Roguljić Marija, Buljan Ivan, Veček Nika, Dragun Ružica, Marušić Matko, Wager Elizabeth, Marušić Ana
Department of Oral Medicine and Periodontology, University of Split School of Medicine, Split, Croatia
University of Split School of Medicine, Split, Croatia.
J Med Ethics. 2022 Jan;48(1):56-60. doi: 10.1136/medethics-2019-105823. Epub 2020 Apr 6.
We analysed all journals from two Journal Citation Reports (JCR) categories: 'Dentistry, Oral Surgery and Medicine' and 'Otorhinolaryngology' published in 2018 for their policies on publishing facial photographs and actual practices of publishing these photographs in articles. We extracted the following data for each journal: JCR category, impact factor, volume, issue, instructions for authors regarding ethical issues, instructions for photograph deidentification, journals' references to standard research and publishing policies, presence and type of published clinical images, separate informed consent for the publication of patient photograph and methods of deidentification. The sample included 103 journals, which published 568 articles with 1404 clinical images. Around a half of the journals (52%) had a policy on clinical images, however, the only predictor of having a journal policy on clinical images was reference in the policy to International Committee of Medical Journal Editors Recommendations (OR=3.00, 95% CI 1.26 to 7.14, p=0.013). Identifiable patient photographs were found in 13% (79/568) of the articles, constituting 9% (128/1404) of the total sample of images. Only 16% (13/79) of articles publishing recognisable patient facial images included a statement about consent for publication of the image. From the total sample of articles, 34% (27/79) contained deidentified but recognisable patient photographs and only 22% (6/27) of them had a statement about patient consent for photograph publication. The patients' consent was more likely stated in the article in cases of recognisable facial images (OR=2.81, 95% CI 1.41 to 5.63, p=0.004). Journals publishing clinical research involving the face and neck region need to establish and enforce policies on publishing clinical images.
我们分析了来自两个《期刊引证报告》（JCR）类别的所有期刊：2018年出版的“牙科、口腔外科与医学”和“耳鼻咽喉科学”，以了解其关于发表面部照片的政策以及在文章中发表这些照片的实际情况。我们为每种期刊提取了以下数据：JCR类别、影响因子、卷、期、关于伦理问题的作者须知、照片去识别化说明、期刊对标准研究和出版政策的引用、已发表临床图像的存在情况和类型、患者照片发表的单独知情同意以及去识别化方法。该样本包括103种期刊，共发表了568篇文章，其中有1404张临床图像。约一半的期刊（52%）有关于临床图像的政策，然而，期刊有临床图像政策的唯一预测因素是政策中提及《医学期刊编辑国际委员会建议》（OR = 3.00，95%置信区间1.26至7.14，p = 0.013）。在13%（79/568）的文章中发现了可识别患者的照片，占图像总样本的9%（128/1404）。在发表可识别患者面部图像的文章中，只有16%（13/79）包含关于图像发表同意的声明。在所有文章样本中，34%（27/79）包含去识别化但仍可识别的患者照片，其中只有22%（6/27）有关于患者照片发表同意的声明。在面部图像可识别的情况下，文章中更有可能声明患者同意（OR = 2.81, 95%置信区间1.41至5.63，p = 0.004）。发表涉及面颈部区域临床研究的期刊需要制定并执行关于发表临床图像的政策。
