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    BMJ Editor: MMR-Autism Study Was a Fraud

    Editor in Chief of BMJ Says 1998 Study Was Deliberately Fabricated, not Just Bad Science
    WebMD Health News
    Reviewed by Laura J. Martin, MD

    Jan. 6, 2011 -- The journal BMJ has called the 1998 Lancet paper that implied a link between the MMR vaccine and autism “an elaborate fraud.”

    WebMD talked to Fiona Godlee, MD, BMJ editor in chief, about her journal’s expose of the flawed study by Andrew Wakefield, MD.

    Why publish this now, when it looked like the MMR scare was closed when the Lancet retracted the article and Wakefield lost his license?

    [Journalist Brian Deer’s] realization that the paper was a fraud had grown over time, and it was certainly news to me.

    So it seemed to me a very important revelation that the paper was a deliberate fraud rather than simply a rather badly done case series.

    There seemed to me to be quite important aspects of this whole story that had not yet been widely seen and understood.

    Do you think there’s more bad research out there?

    I’m in no doubt at all that there’s a lot of bad science. There are people who feel it’s got so bad that one can’t really trust anything that’s in medical journals. I’m not really at that level. I think there’s some good science around, too. Telling the difference is what’s hard. There’s also the difference between bad science and fraud. I think there’s a great deal more bad science out there than there is fraud.

    My instincts tell me that fraud on this scale in terms of the deliberate nature of it is probably quite rare, but there are lots of smaller misdemeanors and a lot of frank error that it is floating about in the literature and being repeated, incorporated into evidence and guidelines.

    There’s the pharmaceutical industry, which we know is extremely adept at manipulating its information to get the result it wants.

    Vast amounts of literature I think are extremely badly flawed.

    Since Wakefield was called out, have you and other editors had to up your game?

    However much journal editors up their game, I think fraud is always going to be extremely hard to detect. In other cases, frauds have been detected sooner, so I think this is unusual in having survived in the glare of full publicity for so long without being detected.

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