Sato Yoshihiro, Iwamoto Jun, Kanoko Tomohiro, Satoh Kei
Department of Neurology, Mitate Hospital, Tagawa, Japan.
Am J Med. 2005 Nov;118(11):1250-5. doi: 10.1016/j.amjmed.2005.01.052.
This article has been retracted: please see Elsevier Policy on Article Withdrawal (https://www.elsevier.com/about/our-business/policies/article-withdrawal). This article is being retracted at the request of the Editor in Chief because of the stated concerns listed below. The article was accepted for publication by a previous editor and editorial board nearly 15 years ago, at a time when submissions and documentation were in paper form, prior to the transition of The American Journal of Medicine to a digital submission and review process. The records, including the original manuscript and peer reviewers' comments, are no longer extant and consequently we are unable to review the comments of the peer reviewers and the editors involved at that time. Nevertheless, the allegations of Grey et al. (as detailed in their Letter of Concern, published in the March 2018 issue of AJM, Volume 131, Issue 3, pages e107–e108; DOI: 10.1016/j.amjmed.2017.10.009) seem valid. A response by the Editor-in-Chief was also published in that issue. Therefore, given the documentation of Grey et al, the journal has concluded that this article should be considered as likely fraudulent and should not be quoted in the scientific literature in support of its conclusions. The article is severely compromised by wide-ranging and serious concerns about governance, ethics, authorship, implausible study conduct, implausible workload, discrepant participant numbers and treatment groups, impossible data, implausible data, implausible outcome data and discrepant methodology. The concerns are detailed in the afore-referenced letter of concern and can be summarized as follows: • It is stated that the study was approved by the Human Investigation Committee of the Futase Social Insurance Hospital, yet Futase Hospital did not have an ethics committee until 2010. • Given the size of the hospital and volume of clinics undertaken, it is highly unlikely that the stated number of participants could have been recruited within 3 months, or followed up as reported. • There are inconsistencies in the reported data. In Table 1 the mean ages of participants by quartiles of plasma homocysteine are 69.0, 70.6, 71.9, and 72.6 years. The corresponding mean years since menopause are 13.7, 14.6, 15.2, and 16.2 years, meaning that the average age of menopause is 55–57 years, implausibly older than the expected value of 50 years. The plasma homocysteine data in quartile 1 are incorrect. Among 50 women with a range of 6.1-9.0 μmol/L, the reported mean (standard deviation), 7.1 (2.5) μmol/L, is not possible. • In Table 3 the rate of hip fractures in the cohort (72 per 1000 patient-years) is implausibly high, being at least 3 to 4 times that reported in large observational studies of PD. The 51 incident hip fractures in 50 women in quartile 4 represents an astonishing hip fracture incidence of 227 per 1000 patient-years, yet only 6 women (3%) in this quartile were lost to follow-up (Table 1), and none was apparently treated with medications known to reduce fracture risk. The reported incident rates for hip fracture are incorrect. We have attempted to contact the authors regarding these concerns and have received no response. We are therefore retracting this article since the evidence presented indicates that there has been scientific misconduct. Joseph S. Alpert, MD Professor of Medicine, University of Arizona College of Medicine, Tucson, Arizona; Editor in Chief, The American Journal of Medicine
请参阅爱思唯尔关于文章撤回的政策(https://www.elsevier.com/about/our-business/policies/article-withdrawal)。由于以下所述的相关问题,主编要求撤回本文。近15年前,该文章被前一任编辑和编辑委员会接受发表,当时稿件提交和文档都是纸质形式,《美国医学杂志》尚未转变为数字提交和评审流程。包括原始手稿和同行评审意见在内的记录已不复存在,因此我们无法查阅当时参与的同行评审人员和编辑的意见。尽管如此,Grey等人的指控(如他们在2018年3月出版的《美国医学杂志》第131卷第3期e107 - e108页发表的关注信中所述;DOI: 10.1016/j.amjmed.2017.10.009)似乎是合理的。主编的回应也在该期发表。因此,鉴于Grey等人提供的文件,该期刊得出结论,这篇文章应被视为可能存在欺诈行为,不应在科学文献中被引用以支持其结论。这篇文章因在治理、伦理、作者身份、不合理的研究行为、不合理的工作量、不一致的参与者数量和治疗组、不可能的数据、不合理的数据、不合理的结果数据以及不一致的方法学等方面存在广泛而严重的问题而受到严重影响。这些问题在上述关注信中有详细说明,可总结如下:
• 据称该研究得到了二俣社会保险医院人类研究委员会的批准,但二俣医院直到2010年才有伦理委员会。
• 鉴于医院规模和所开展的门诊量,极不可能在3个月内招募到所述数量的参与者,也不可能按报告进行随访。
• 报告的数据存在不一致之处。在表1中,按血浆同型半胱氨酸四分位数划分的参与者平均年龄分别为69.0、70.6、71.9和72.6岁。相应的绝经后平均年数分别为13.7、14.6、15.2和16.2年,这意味着平均绝经年龄为55 - 57岁,比预期的50岁要大得不合理。第一四分位数中的血浆同型半胱氨酸数据不正确。在50名血浆同型半胱氨酸范围为6.1 - 9.0 μmol/L的女性中,报告的平均值(标准差)7.1(2.5)μmol/L是不可能的。
• 在表3中,该队列中的髋部骨折发生率(每1000患者年72例)高得不合理,至少是帕金森病大型观察性研究报告发生率的3至4倍。第四四分位数中50名女性中有51例新发髋部骨折,代表每1000患者年惊人的227例髋部骨折发生率,但该四分位数中只有6名女性(3%)失访(表1),且显然没有人接受已知可降低骨折风险的药物治疗。报告的髋部骨折发生率不正确。
我们已就这些问题试图联系作者,但未得到回应。因此,我们撤回本文,因为所提供的证据表明存在科学不端行为。
医学博士约瑟夫·S·阿尔珀特
亚利桑那大学医学院医学教授,亚利桑那州图森市;《美国医学杂志》主编