| VOLUME 20, NUMBER 2 |
MARCH/APRIL 2007 |
Editorials
56
Not being clear about authorship is lying and damages the
scientific record
People expect honesty. Most of us know
that we receive—and give—it less often than we would like.
When the stakes are high, or when circumstances are just a
little more complicated than they ought to be, we resort to
lying—or perhaps withholding the full story. Accepting this
failing seems to be part of life. Indeed, embracing it is
often seen as part of growing up. One accepted description
of this behaviour is ‘politics’: it is politic to do certain
things or let certain things pass. Another is ‘business’;
not that all business is dishonest, just that some practices
seem to involve a level of dishonesty. It is our contention
that when this behaviour is applied to authorship it damages
the scientific record.
Authorship is a form of public
declaration: ‘I did this’ or ‘we did this together’. For
that to be interpretable, we need to know what the word
‘did’ actually means. A group of editors from major medical
journals came up with a 3-point definition. They classify an
author as someone who meets all of the following criteria: 1
1. Has made substantial contributions
to conception and design, or acquisition of data, or
analysis and interpretation of data;
2. Has drafted the article or revised
it critically for intellectual content; and
3. Has given final approval to the
version to be published.
We would wager handsomely that all of you
reading this can think of someone who has been named as an
author, but did not strictly meet all of the above criteria.
We would also wager, although perhaps not so handsomely,
that you can think of someone who could have been listed as
an author, but was not. Does any of this matter?
Of course it does. Publishing articles is
like getting a certificate from a school. It’s proof that
you have done something. The better the school (i.e.
journal), the more kudos you acquire. Such kudos (and
visibility) is likely to lead to further research funding, a
better job, or invitations to participate in conferences or
commercially-funded research and product advocacy. Looking
beyond personal gain, being named as an author means that
you stake your claim to be part of a scientific community;
your colleagues will want to compare notes at meetings, over
the phone or in the corridor. The stakes are high, so
anything that interferes with the process of attributing
authorship must be examined.
It is often politic to name one’s senior as an author.
The senior might not have made ‘substantial contributions’,
‘drafted the article’ or given ‘final approval’, but if you
don’t scratch his or her back, he or she won’t scratch
yours. Looking beyond personal politics, adding a senior’s
name, especially if he or she is well-known in the field,
may give your article an easier ride through peer
review—because reviewers can be less harsh on respected
names—or make your article more noticeable once published.
This practice is prevalent: one study
found that 60% of senior researchers at an institution had
accepted authorship in this manner.2
This practice is known as ‘gifting authorship’ and we think
it is wrong.
If you were not involved in the research,
why should you have your name on the article? If you cannot
truly say ‘I did this’, then why lie? What if the methods
were flawed? What if a colleague asks detailed questions
about the study? Worse still, what if the data are found to
be fabricated? Claiming to have done something that you did
not is lying. Saying it is part of scientific culture—or,
more accurately, the politics of scientific culture—does not
excuse it. Do we want the scientific record to be filled
with lies? And if we can’t trust the authorship, can we
trust the findings in the article?
There is also a problem with authors not
being listed. All those that meet the above criteria should
be listed but sometimes they are not—these authors are
called ‘ghosts’. Clearly it is unfair for an individual not
to receive credit for his or her work. On that premise
alone, ghosting is unforgivable. However, there are also
times when authors—or the funder of the research—would
prefer to keep someone hidden. Any respectable journal
should ask each author for his or her conflicts of interest.
Knowing such information helps reviewers, editors and
readers to understand the authors’ motivations. Much
attention is paid to the idea that people being paid by
pharmaceutical companies may submit biased work, but our
experience suggests that personal and scientific beliefs are
at times equally troublesome. However, if a bona fide
author has not been listed, how can the reviewer, editor or
reader take their motivations into account?
By not being listed as an author, the
individual is saying ‘I do not meet the criteria for
authorship’. If that is not true, then the individual is
lying. By its very nature, it is hard to quantify ghost
authorship, but there are estimates that 10% of manuscripts
are written by ghosts.3,4So we ask
again: Do we want the scientific record to be filled with
lies? If we cannot trust the authorship, can we trust the
findings of the article?
There are times when someone has made a
contribution to an article, but has not fulfilled all of the
above criteria. For instance, a technician may have helped
with the design and acquisition of the data, or a
statistician may have helped with the conception, design,
analysis and drafting. Such people should be acknowledged
and, as part of their acknowledgement statement, their
conflicts of interest should also be mentioned.
The above criteria for authorship are
often questioned, and perhaps rightly so. Who said that
those editors can tell the scientific world when they can
and cannot be named on their own work? Whether someone
should be an author is often highly emotional—people feel
they deserve some public recognition for their contribution.
This disquiet—and the general difficulties of applying the
above criteria—has given rise to the idea of
contributorship.5,6Each contributor
to an article has to explicitly declare what he or she did.
How this is achieved varies: some journals ask authors to
explain their contribution in their own words,7
while others have a checklist.8
There are clear advantages to this
approach. Now someone can be recognized as an ‘author’ by
explicitly saying what he or she did. Their work can be
recognized even if they are not in a position to give ‘final
approval’ to the article. It means that authors need only be
held accountable for what they did, which has been openly
declared in the contribution statement. If a senior
colleague wishes to be listed as an author simply because he
or she is the boss, then their contribution statement should
make the limited nature of their involvement transparent and
their egotism plain. One caveat, however, is that one author
must take full responsibility for the article; such authors
are called the ‘guarantors’. Despite the flexibility of the
contributorship approach, some journals still vet whether
contributions justify authorship, as they believe that they
are avoiding the dilution of the meaning of authorship (the
contributors of this article are divided as to the value of
this approach).
Research is changing; hence authorship also needs to
change. Increasing division of labour and
multi-institutional projects in recent years challenge how
to list authors and who takes overall credit. Given the
virtually unlimited availability of space on the internet,
and the increasingly acceptable idea of transparency in
public life, we do not see why an article cannot have
hundreds of authors, each with their contribution statements and conflicts of interest
published as part of an article. The aim should be to
accurately and fully convey who deserves credit and why, and
who has responsibility for the integrity of the work.
We would like to end with some advice for
authors:
Ø Do not let
institutional politics make a liar of the scientific
record; if you know it is happening, take it seriously and
create in-house policies on who can be listed as an
author.
Ø If you are a
junior author, be brave. Try to clarify authorship rights
at the start of a project so as not to be disappointed at
the end.
Ø If you are a
senior author, show some humility. Do you really deserve
to be an author? Would an acknowledgement not suffice?
Don’t bully your juniors into making you an author.
Ø Read the
authorship and contributorship policies of the journal you
aim to publish in. If in doubt, contact the editors to
discuss their policy.
Ø If you run a
journal, keep your authorship criteria consistent but
re-consider them regularly. Look into whether you can
embrace an open form of contributorship (as opposed to
checklists).
Ø Finally, forget
the ‘order of authors’. We have not mentioned it here
because it means different things in different disciplines
and different countries, so trying to derive a meaning
from it can be worse than pointless.
Although people expect honesty, we need
to remember that only by being honest can we expect others
to follow. Be the change we all need to see.
PST was asked to write this editorial and
discussed it with CE and MH. CE and MH did a literature
review, and drafted and edited the first version of the
manuscript. PST substantially rewrote it, and CE and MH gave
comments and final approval.
REFERENCES
-
International Committee of Medical
Journal Editors. Uniform requirements for manuscripts
submitted to biomedical journals: Writing and editing for
biomedical publication. Updated February 2006 (http://www.icmje.org/#author)
(accessed on 30 April 2007)
-
Pignatelli B, Maisonneuve H, Chapuis F.
Authorship ignorance: Views of researchers in French clinical
settings. J Med Ethics 2005;31:578–81.
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Mowatt G, Shirran L, Grimshaw JM, Rennie
D, Flanagin A, Yank V, et al. Prevalence of honorary
and ghost authorship in Cochrane reviews. JAMA 2002;287:2769–71.
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Fugh-Berman A. The corporate coauthor.
J Gen Intern Med 2005;20:546–8.
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Smith R. Authorship is dying: Long live contributorship. BMJ 1997;315:696.
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Rennie D, Yank V, Emanuel L. When
authorship fails. A proposal to make contributors accountable.
JAMA 1997;278:579–85.
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http://resources.bmj.com/bmj/authors/article-submission/authorship-contributorship
(accessed on 30 April 2007)
-
http://jama.ama-assn.org/cgi/data/295/1/103/DC1/1
(accessed on 30 April 2007)
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charlotte england
Editor, Faculty of 1000 Medicine, Medicine Reports Ltd
matt hodgkinson
Senior Editor, BMC-series journals, BioMed Central
pritpal s. tamber
Managing Director, Medicine Reports Ltd
Council Member, Committee on Publication Ethics (COPE)
Secretary, World Association of Medical Editors (WAME)
Middlesex House
34-42 Cleveland Street
London
UK
pritpal.s.tamber@f1000medicine.com |
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