{"id":43384,"date":"2018-11-08T11:18:16","date_gmt":"2018-11-08T10:18:16","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=43384"},"modified":"2018-11-16T12:19:51","modified_gmt":"2018-11-16T11:19:51","slug":"peter-c-gotzsche-cochrane-no-longer-a-collaboration","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2018\/11\/08\/peter-c-gotzsche-cochrane-no-longer-a-collaboration\/","title":{"rendered":"Peter C G\u00f8tzsche: Cochrane\u2014no longer a Collaboration"},"content":{"rendered":"

Peter C G\u00f8tzsche discusses his expulsion from the Cochrane Collaboration<\/p>\n

<\/p>\n

\"Peter_Goetsche\"<\/a>My expulsion from Cochrane\u2019s Governing Board and the Cochrane Collaboration is well known.<\/span><\/p>\n

As one of its founding fathers, I had great aspirations for the charity and have realised many of them. I have published many important Cochrane reviews, e.g. on mammography screening and health checks, contributed to developing the methods and reporting of research, and documented the harms of overuse of drugs. My greatest contribution to science was to get access to clinical trial data at the European Medicines Agency,<\/span>\u00a0a feat that many people said would be impossible. [1]<\/span><\/p>\n

When CEO Mark Wilson dropped the word \u201ccollaboration\u201d from the charity\u2019s registered name, it was a sign of things to come.\u00a0Wilson changed the organisation from a grass roots scientific organisation, where centres worked autonomously and embraced diversity, into a highly centralised business, focused on \u201dbrand\u201d and \u201clogos,\u201d with \u201cone voice, one position.\u201d I could not abide by this oppressive culture. <\/span><\/p>\n

When Iain Chalmers started the Collaboration 25 years ago, he wrote in the invitational letter to 50 people, including me, that the collaboration is \u201dcommitted to opposing any tendency for it to become dominated by any nation, institution, or individual.\u201d Unfortunately, Cochrane has gone in that direction.<\/span><\/p>\n

Academic freedom has gone, scientific debates are unwelcome, and transparency is a thing of the past. Cochrane\u2019s public statements deny this, but I am a witness on the inside and <\/span>Cochrane\u2019s show trial against me <\/span>is illustrative. [<\/span>2,3]<\/span><\/p>\n

Eighteen months ago, I was elected to Cochrane\u2019s Governing Board with the most votes of the 11 candidates. My aim was to stop the rot<\/span>\u2014<\/span>what I saw as a moral slide\u2014and I challenged the leadership on core issues and on the way it was managing the charity. <\/span><\/p>\n

I wrote a policy a year ago that would prevent Cochrane authors from having a commercial interest in the interventions they were assessing. The Cochrane leadership stalled.<\/span><\/p>\n

I tried to block the CEO from micromanaging centres, so researchers could be free to operate autonomously with their own funding, but failed. <\/span><\/p>\n

I tried to uphold Cochrane\u2019s values of publicly challenging science. But when my team challenged Cochrane’s HPV vaccine review,<\/span>\u00a0we came under heavy criticism.<\/span>This was scientific censorship. [<\/span>2, 4, 5]<\/span><\/p>\n

The Board and the CEO believe that public debates undermine Cochrane\u2019s reputation. I disagree. Scientific debates further science, to everyone\u2019s benefit.<\/span><\/p>\n

Cochrane no longer lives up to its core values of collaboration, openness, transparency, accountability, democracy and keeping the drug industry at arm\u2019s length.<\/span><\/p>\n

In my view, the Board and the CEO should resign. <\/span>They should resign from their posts and call for independent elections to be held and respect the requests from 31 centre directors and many others for an independent investigation of the \u201cprocess\u201d against me. It\u2019s the only way to restore this great organisation to what it once was.<\/span><\/p>\n

The ultimate excuse for ousting me from Cochrane was my \u201cseriously bad behaviour.\u201d If questioning our leadership, holding the drug industry to account and criticising bad science qualifies as \u201cseriously bad behaviour,\u201d then I am proud to own it. \u00a0<\/span><\/p>\n

I have submitted a complaint to the Charity Commission and hope the Commission and the funder of the UK groups will help to accomplish highly needed changes in the leadership and set-up of Cochrane. <\/span><\/p>\n

Peter C G\u00f8tzsche<\/strong> is a Danish physician and medical researcher<\/em><\/p>\n

Competing interests<\/strong>: None declared.<\/p>\n

See also:<\/p>\n

Ray Moynihan: Let\u2019s stop the burning and the bleeding at Cochrane\u2014there\u2019s too much at stake<\/a><\/p>\n

Trish Greenhalgh: The Cochrane Collaboration\u2014what crisis?<\/a><\/p>\n

References:<\/b><\/p>\n

1 G\u00f8tzsche PC, J\u00f8rgensen AW. Opening up data at the European Medicines Agency. BMJ 2011;342:d2686.<\/span><\/p>\n

2 Demasi M. Cochrane \u2013 A sinking ship? 2018; 16 Sept. <\/span>https:\/\/blogs.bmj.com\/bmjebmspotlight\/2018\/09\/16\/cochrane-a-sinking-ship\/<\/span><\/a>.<\/span><\/p>\n

3 Hammerstein D. Regenerate Cochrane to strengthen the production of trusted evidence for the common good of public health. 2018; 8 Oct. <\/span>http:\/\/www.nogracias.eu\/2018\/10\/08\/regenerate-cochrane-to-strengthen-the-production-of-trusted-evidence-for-the-common-good-of-public-health-by-david-hammerstein\/<\/span><\/a>. \u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n

4 J\u00f8rgensen L, G\u00f8tzsche PC, Jefferson T. The Cochrane HPV vaccine review was incomplete and ignored important evidence of bias. BMJ Evidence-Based Medicine 2018; 27 July. <\/span>http:\/\/dx.doi.org\/10.1136\/bmjebm-2018-111012<\/span><\/a>.<\/span><\/p>\n

5 J\u00f8rgensen L, G\u00f8tzsche PC, Jefferson T. The Cochrane HPV vaccine review was incomplete and ignored important evidence of bias: Response to the Cochrane editors. <\/span>https:\/\/ebm.bmj.com\/content\/early\/2018\/07\/27\/bmjebm-2018-111012.responses#the-cochrane-hpvvaccine-review-was-incomplete-and-ignored-important-evidence-of-bias-response-to-the-cochraneeditors<\/span><\/a> 2018; 17 September.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Peter C G\u00f8tzsche discusses his expulsion from the Cochrane Collaboration […]<\/p>\n

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