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An Unhealthy Bond:
Embargoes and the Ingelfinger Rule
       Science Writers in New York
           September 26, 2011

                 Ivan Oransky, MD
          Executive Editor, Reuters Health
             Blogger, Embargo Watch
       http://embargowatch.wordpress.com
              ivan-oransky@erols.com
Why Journals Say They Embargo

NEJM, a typical policy:
  The Journal embargo policy is designed primarily to
  ensure that physician subscribers have their copy of
  the Journal at about the same time their patients hear
  about new research through the news media. It also
  gives the media time to learn about a topic, gather
  relevant information, and interview authors and other
  experts so they can accurately report complex
  research findings.
The Criticism

“…important science news often is more a
produce of news management by the journals
that publish peer-review research, than of any
one reporter’s special expertise or investigative
energy”
                – Robert Lee Hotz, quoted in Kiernan V.,
                Embargoed Science (2006), p 77
What’s In It For Journals?

“…coverage [by the New York Times] of JAMA
increased by 50 percent after the journal’s publication
date was shifted from Friday to Wednesday in April
1990.”
                 – Kiernan V.
                 Embargoes and the New York Times'
                 coverage of the Journal of the American
                 Medical Association.
                 Science Communication, June 1998
Do Embargoes Mean More Coverage?

 American Geophysical Union’s unembargoed
 journals get nearly no coverage in newspapers,
 compared to Science and Nature, which appear
 nearly every week.

               – Harvey Leifert, quoted in Kiernan, pp 104-105
Does Coverage Mean More Citations?
Articles… covered by the Times received a disproportionate
number of scientific citations in each of the 10 years after
the… articles appeared.
The effect was strongest in the first year after publication,
when… articles publicized by the Times received 72.8% more
scientific citations than control articles.
This effect was not present for articles published during the
strike; articles covered by the Times during this period were
no more likely to be cited than those not covered.
                          – Phillips D et al. Importance of the lay press
                          in the transmission of medical knowledge to
                          the scientific community. NEJM 1991
How Do Embargoes Change Coverage?

  “The often slavish reliance on a few journals implies
  taking science as a given, simply reporting on work
  that is already done. With a supply of easy stories
  guaranteed, there is little incentive to ask about
  issues like the motivation underlying funding or who
  creates the agenda for doing the research.”

                       – John Turney, quoted in Kiernan, p 106
Review: Why Journals Say They Embargo

    • Time to digest findings
    • Time to find outside comments
    • More time for reporters should mean
      greater accuracy
Are their policies consistent with
             these reasons?

•   The Short Embargo Parade
•   Unusual Embargo Policies
•   Freely Available But Embargoed
•   It’s Not Just Journals
•   When Studies Aren’t Available at Embargo
•   Do Journals Sanction Embargo Breakers?
The Short Embargo Parade


         American Journal of Gastroenterology
               22:58 on May 11, 2010
The Short Embargo Parade



                 The Lancet
             9:19, March 31, 2010
The Short Embargo Parade




               Journal of Clinical Oncology
                   2:41, May 24, 2010
The Short Embargo Parade




      The New England Journal of Medicine
         0:49, on September 15, 2010
Is It Really About Accuracy?
Does 49 minutes give reporters enough time to do a
good job?
How do you measure accuracy, anyway?
   “Proponents of the embargo system maintain that
   embargoes promote journalistic accuracy, but this
   claim is essentially tautological, because the
   embargo system reflects and fosters a definition of
   accuracy promoted by the scientific establishment.”

                               – Kiernan V. Embargoed Science,
                               University of Illinois Press, 2006
Unusual Embargo Policies
Unusual Embargo Policies




           University of Leeds
  Embargoed a study that was already
 published in Geophysical Review Letters
Unusual Embargo Policies




                       The Lancet
           7:01 p.m. Eastern – unless you’re on
         the East Coast of the U.S., in which case
           it’s 6:30 p.m., since nightly network
                    newscasts start then
Unusual Embargo Policies



          American Journal of Preventive Medicine
          An embargo that lifts 26 different times,
           since it’s at news outlets’ local times
Freely Available But Embargoed
Freely Available But Embargoed
Honorable Mention
It’s Not Just Journals
When Studies Aren’t Available at Embargo
More Inconsistency: Do Journals
 Sanction Embargo Breakers?

Not often.
In Embargo Watch experience, somewhere
  between 10% and 20% of the time.
Two People Who Were Punished
But Wait, We Can Haz Change!
Some Societies Agree:
They Don’t Make Sense
FDA Reverses Itself
Kiernan’s Vision

It is a rough-and-tumble vision of the journalistic future,
one lacking the gentility that now pervades journalism
about science and medicine.

But the public interest, not the interest of the scientific
and medical establishment, should be the uppermost
concern of science and medical journalists – and, in
fact, of institutional science and medicine.

The embargo should go.
                                                - Page 140
Even Without Embargoes, We’d Still
         Have Ingelfinger
The Letter of the Rule: Nature

• Nature does not wish to hinder communication
  between scientists. For that reason, different
  embargo guidelines apply to work that has been
  discussed at a conference or displayed on a preprint
  server and picked up by the media as a result.
  (Neither conference presentations nor posting on
  recognized preprint servers constitute prior
  publication.)
                        -more-
The Letter of the Rule: Nature

• Our guidelines for authors and potential authors in
  such circumstances are clear-cut in principle:
  communicate with other researchers as much as you
  wish, but do not encourage premature publication by
  discussion with the press (beyond a formal
  presentation, if at a conference).
                       -more-
The Letter of the Rule: Nature

• This advice may jar with those (including most
  researchers and all journalists) who see the freedom
  of information as a good thing. But it embodies a
  longer-term view: that publication in a peer-reviewed
  journal is the appropriate culmination of any piece of
  original research, and an essential prerequisite for
  public discussion.
          From
          http://www.nature.com/nature/authors/policy/embargo.html
Ingelfinger in Practice
Ingelfinger in Practice
Ingelfinger in Practice
Ingelfinger in Practice
Or Should Journalists
         Just Give Them Up?

What if we just got rid of the Ingelfinger Rule?
Is it safe to write about research that isn’t
peer-reviewed?
It’s About Control
           Suggested Embargo Policy Text
Our embargo policy is in place to ensure as much coverage of
research [in our journal/by our society’s members] as possible.
This may divert attention from other important issues in
science and medicine. Provided we have a reasonable interval
between the release of material and the embargo time, it may
also help reporters do a better job covering these studies.
However, policies that bar pre-publication publicity of
scientists’ work can also have a chilling effect on the spread of
scientific knowledge.

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Embargoes and the Ingelfinger Rule

  • 1. An Unhealthy Bond: Embargoes and the Ingelfinger Rule Science Writers in New York September 26, 2011 Ivan Oransky, MD Executive Editor, Reuters Health Blogger, Embargo Watch http://embargowatch.wordpress.com ivan-oransky@erols.com
  • 2. Why Journals Say They Embargo NEJM, a typical policy: The Journal embargo policy is designed primarily to ensure that physician subscribers have their copy of the Journal at about the same time their patients hear about new research through the news media. It also gives the media time to learn about a topic, gather relevant information, and interview authors and other experts so they can accurately report complex research findings.
  • 3. The Criticism “…important science news often is more a produce of news management by the journals that publish peer-review research, than of any one reporter’s special expertise or investigative energy” – Robert Lee Hotz, quoted in Kiernan V., Embargoed Science (2006), p 77
  • 4. What’s In It For Journals? “…coverage [by the New York Times] of JAMA increased by 50 percent after the journal’s publication date was shifted from Friday to Wednesday in April 1990.” – Kiernan V. Embargoes and the New York Times' coverage of the Journal of the American Medical Association. Science Communication, June 1998
  • 5. Do Embargoes Mean More Coverage? American Geophysical Union’s unembargoed journals get nearly no coverage in newspapers, compared to Science and Nature, which appear nearly every week. – Harvey Leifert, quoted in Kiernan, pp 104-105
  • 6. Does Coverage Mean More Citations? Articles… covered by the Times received a disproportionate number of scientific citations in each of the 10 years after the… articles appeared. The effect was strongest in the first year after publication, when… articles publicized by the Times received 72.8% more scientific citations than control articles. This effect was not present for articles published during the strike; articles covered by the Times during this period were no more likely to be cited than those not covered. – Phillips D et al. Importance of the lay press in the transmission of medical knowledge to the scientific community. NEJM 1991
  • 7. How Do Embargoes Change Coverage? “The often slavish reliance on a few journals implies taking science as a given, simply reporting on work that is already done. With a supply of easy stories guaranteed, there is little incentive to ask about issues like the motivation underlying funding or who creates the agenda for doing the research.” – John Turney, quoted in Kiernan, p 106
  • 8. Review: Why Journals Say They Embargo • Time to digest findings • Time to find outside comments • More time for reporters should mean greater accuracy
  • 9. Are their policies consistent with these reasons? • The Short Embargo Parade • Unusual Embargo Policies • Freely Available But Embargoed • It’s Not Just Journals • When Studies Aren’t Available at Embargo • Do Journals Sanction Embargo Breakers?
  • 10. The Short Embargo Parade American Journal of Gastroenterology 22:58 on May 11, 2010
  • 11. The Short Embargo Parade The Lancet 9:19, March 31, 2010
  • 12. The Short Embargo Parade Journal of Clinical Oncology 2:41, May 24, 2010
  • 13. The Short Embargo Parade The New England Journal of Medicine 0:49, on September 15, 2010
  • 14. Is It Really About Accuracy? Does 49 minutes give reporters enough time to do a good job? How do you measure accuracy, anyway? “Proponents of the embargo system maintain that embargoes promote journalistic accuracy, but this claim is essentially tautological, because the embargo system reflects and fosters a definition of accuracy promoted by the scientific establishment.” – Kiernan V. Embargoed Science, University of Illinois Press, 2006
  • 16. Unusual Embargo Policies University of Leeds Embargoed a study that was already published in Geophysical Review Letters
  • 17. Unusual Embargo Policies The Lancet 7:01 p.m. Eastern – unless you’re on the East Coast of the U.S., in which case it’s 6:30 p.m., since nightly network newscasts start then
  • 18. Unusual Embargo Policies American Journal of Preventive Medicine An embargo that lifts 26 different times, since it’s at news outlets’ local times
  • 19. Freely Available But Embargoed
  • 20. Freely Available But Embargoed
  • 21.
  • 23. It’s Not Just Journals
  • 24. When Studies Aren’t Available at Embargo
  • 25. More Inconsistency: Do Journals Sanction Embargo Breakers? Not often. In Embargo Watch experience, somewhere between 10% and 20% of the time.
  • 26. Two People Who Were Punished
  • 27. But Wait, We Can Haz Change!
  • 28. Some Societies Agree: They Don’t Make Sense
  • 30. Kiernan’s Vision It is a rough-and-tumble vision of the journalistic future, one lacking the gentility that now pervades journalism about science and medicine. But the public interest, not the interest of the scientific and medical establishment, should be the uppermost concern of science and medical journalists – and, in fact, of institutional science and medicine. The embargo should go. - Page 140
  • 31. Even Without Embargoes, We’d Still Have Ingelfinger
  • 32. The Letter of the Rule: Nature • Nature does not wish to hinder communication between scientists. For that reason, different embargo guidelines apply to work that has been discussed at a conference or displayed on a preprint server and picked up by the media as a result. (Neither conference presentations nor posting on recognized preprint servers constitute prior publication.) -more-
  • 33. The Letter of the Rule: Nature • Our guidelines for authors and potential authors in such circumstances are clear-cut in principle: communicate with other researchers as much as you wish, but do not encourage premature publication by discussion with the press (beyond a formal presentation, if at a conference). -more-
  • 34. The Letter of the Rule: Nature • This advice may jar with those (including most researchers and all journalists) who see the freedom of information as a good thing. But it embodies a longer-term view: that publication in a peer-reviewed journal is the appropriate culmination of any piece of original research, and an essential prerequisite for public discussion. From http://www.nature.com/nature/authors/policy/embargo.html
  • 39. Or Should Journalists Just Give Them Up? What if we just got rid of the Ingelfinger Rule? Is it safe to write about research that isn’t peer-reviewed?
  • 40. It’s About Control Suggested Embargo Policy Text Our embargo policy is in place to ensure as much coverage of research [in our journal/by our society’s members] as possible. This may divert attention from other important issues in science and medicine. Provided we have a reasonable interval between the release of material and the embargo time, it may also help reporters do a better job covering these studies. However, policies that bar pre-publication publicity of scientists’ work can also have a chilling effect on the spread of scientific knowledge.