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Nature Podcast

Audio long read: Medicine is plagued by untrustworthy clinical trials. How many studies are faked or flawed?

Aug 25, 2023
26:28
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The podcast discusses the prevalence of flawed or faked clinical trials in medicine and the potential dangers they pose. It explores specific examples of flawed trials in maternal health and the impact of fraudulent studies on clinical practice. The podcast also highlights the challenges of reproducibility and research integrity in medicine, emphasizing the need for improved oversight and checks to ensure trustworthiness in medical research.
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Zombie Trials and Flawed Data in Medical Research

A significant number of clinical trial studies in medical journals are plagued by flawed data or fabrication, raising concerns about the trustworthiness of medical research. An analysis conducted by John Carlyle, an editor at the Journal Anesthesia, revealed that 44% of the trials he reviewed contained some form of flawed data, while 26% were deemed impossible to trust due to widespread problems or fake data. These trials were referred to as 'zombie trials' because they appeared to be genuine, but further scrutiny exposed their lack of reliability. The issue extends to different medical fields, with some researchers estimating that up to a third of trials in certain areas are fraudulent or unreliable. The problem is further exacerbated when these flawed trials are included in meta-analyses and systematic reviews, leading to potentially erroneous conclusions influencing medical guidelines and clinical practices.

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