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Challenges and Controversies in Peer Review: JACC Review Topic of the Week
Fred M Kusumoto1, John A Bittl2, Mark A Creager3
1Department of Cardiovascular Disease, Mayo Clinic Alix School of Medicine, Jacksonville, Florida, USA.
Insights
The medical peer-review system faces challenges from increased research and new communication methods. Maintaining rigorous peer review is vital for scientific integrity and patient care.
Area of Science:
- Medical Science
- Scientific Publishing
- Academic Integrity
Background:
- The traditional peer-review process for medical research is under strain.
- Factors like the COVID-19 pandemic, increased publication volume, and evolving communication methods challenge the system.
- A task force by the American College of Cardiology highlighted key controversies.
Purpose of the Study:
- To identify and discuss significant controversies within the current medical peer-review process.
- To emphasize the continued importance of peer review for scientific integrity and patient care.
Main Methods:
- A task force convened by the American College of Cardiology.
- Identification and analysis of five major controversies in peer review.
Main Results:
- Key controversies include the impact of preprints, reviewer blinding, reviewer selection, incentives, and the publication of reviewer comments.
- These issues place significant pressure on the existing peer-review infrastructure.
Conclusions:
- Peer review remains essential for ensuring the integrity of medical science.
- High-quality peer review is crucial for timely information dissemination and improving patient outcomes.
- Adapting peer review to new challenges is necessary to uphold its critical role.
Abstract:
The process of peer review has been the gold standard for evaluating medical science, but significant pressures from the recent COVID-19 pandemic, new methods of communication, larger amounts of research, and an evolving publication landscape have placed significant pressures on this system. A task force convened by the American College of Cardiology identified the 5 most significant controversies associated with the current peer-review process: the effect of preprints, reviewer blinding, reviewer selection, reviewer incentivization, and publication of peer reviewer comments. Although specific solutions to these issues will vary, regardless of how scientific communication evolves, peer review must remain an essential process for ensuring scientific integrity, timely dissemination of information, and better patient care. In medicine, the peer-review process is crucial because harm can occur if poor-quality data or incorrect conclusions are published. With the dramatic increase in scientific publications and new methods of communication, high-quality peer review is more important now than ever.
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