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"NIH Eyes Sweeping Reform of Peer Review"

from Science, November 1999, vol 286

This article describes the results of a "blue-ribbon" panel convened to discuss reforms at NIH. National Academy of Sciences president, Bruce Alberts "wants to completely restructured the array of study sections operated by NIH's Center for Scientific Review (CSR) which pass judgement on about three-quarters of NIH grant applications"..

According to this article CSR has already "fashioned new study sections that handle applications from clinical researchers who feel they don't get a fair shake in panels dominated by laboratory researchers and to provide homes for research proposals that don't seem to fit anywhere else".

What prompted the move to change the CSR system was a belief that the peer-review method was too often marred by "error-prone, turf-conscious nitpicking by obsolete study sections that reject novel ideas out of fear, ignorance or self-interest."

Ann's NOTE: There is a long way to go to fix the existing system. I have heard the complaints raised by researchers who are outside of the usual establishments, or areas of study. They do feel short-changed. It has been shown that the system favors those in postitions of power or key areas rather than new researchers. A prime example of this is the work done by the Department of Defense with its breast cancer research funds. The DOD chose to fund new idea people. This was a radical step. It is acknowledged by "insiders" that the best way to get funding is to have had funding. A bit of an "old boy network" thing.

Changes could be beneficial. I hope that "consumers", that is what they call concerned citizen activists, can be involved in these discussions. We often add the forgotten human face.


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padAdvocates & Conflict of Interest
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Statment by Margaret Borwhat Women's Cancer Advocacy Network, 1/04
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Ann's Comments: Pharmaceutical Give-aways
Disclosure Letter (for Advocate Donations) Suggested 6/07
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padMed Journals Act to Limit Drug Firms' Influence
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Reuters Article, 9/10/01 National/International Journals
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Guidelines Set By Doctors With Ties to Industry
Tainted Medicine?
NEJM Says NO MORE INDEPENDENT Docs
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padPeer Review & Supreme Court
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Trends in Pharmacological Sciences, February 2001
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Openess, Accountability Etc.
Effects of Editorial Peer Review
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padBreaking Confidentiality Agreements w/Pharmas
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Br Med J, 11/01
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Independent? Academic-Industry Research
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padBarbara Ehrenreich Article
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Harper's Magazine
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Helen Schiff Responds
The Pink Ribbon Trap
Think Before You Pink
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padUnrecogn Molec Heterogeneity Obscures Effects
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J Clin Oncology, 5/02
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padFeminists Demand Generic Cancer Drugs
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National Org for Women 12/01
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Life Extension Reveals Price Comparisons
American Healthcare is the Best in the World If...
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padMed Journals & Info:Adverse Effects
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JAMA Study January 2001
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Survey of Toxicity Assess & Reporting
Health System Failing Cancer Patients-Presidential Commission
20% New Drugs Later Show Serious Adverse Effects
Adverse Effects Reporting Standards NEEDED
Analysis: FDA Warning Ltrs to Investigators Onc Clin Trials
Randomized Trials Stopped Early : Systematic Review
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pad Medical Error Issues & Solutions
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Excerpts from article and what you can do
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Clin & Hosp Pharm Services & Medication ERRORS
Patient Safety Awareness Week-Med Errors
Drugs Over the Internet: Risky
Off-label Drugs Can Do Damage
Drug Complications: Outpatients
Universal Protocol (Medical errors)
Boston Ctr for Patient Safety
Books on Medical Errors
Organizational Silence & Hidden Threats to Pt Safety
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padUp to 5%  Clinical Trials Fraudulent
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Dr. Frank Wells, Medico Legal Investiations, 1/15/02
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Doctors Named as Authors May Not Have Seen Raw Data
Doctors accused of Cancer Trial Bias
American Oncologists May Not Regard Clinical Trials
Data Not Fully Published Originally
Informed Consent/Ethics Committee Approval
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padScreening Trials-Mortality end point
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Oncology Week in Review, 2/11/02
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Misclassification of Cancer Deaths & Screening Trials
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padCriticism of Time Magazine (Breast Cancer) Excerpts
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Karen Lurie, PopPolitics.com from Alternet.org
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padSpeeding Drug Development
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BioMedNet News, 1/15/02
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Serious Drug Toxicities Found in Postmarketing
John R.Durant Responds
Timing of New Black Box Warnings/Withdrawals
Does a Drug do Better When it is New?
New Meds Seldom Contain Anything New:Study
How Well Tested Are New Cancer Drugs?
Variability in Safety Info in Pkge Inserts
Expanded Access Programs for Investigational Drugs
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pad"What Doctors Don't Know"
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New York Times Magazine, 5/5/02
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Managed Care Limits Communications:Doc/Pt
"The Patient Failed Chemotherapy"
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padLimitations Studying Model Organisms
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Sorry, we lost the source
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"Animal Research Benefits Humans and Animals"
Are Animal Studies Useful to Humans?
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padConsumer Advg & Physn Diag/Prescribing
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Am J Health-Syst Pharm, 3/02
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padConflicts of Interest (Financial) & Bias
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Nature, 3/02
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Corp $$$ & Non Profit Groups
Conflicts of Interest & Research Results
Essential Guide to Health & Wellbeing May be NEITHER
Conflict of Interest - Comments by Roy M. Poses, MD
Letter re Ethics/Conflicts of Interest Oncology
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padDrug Residue Contaminates Streams
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US Geological Survey 3/02
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padResearch Advocacy Network
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LINK to site where advocates learn about participation opportunities/newsletter
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padPharmas Most Prof Industry (Again) 2001
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Public Citizen, 5/02
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Spending 2 1/2 Times More on Mktg/Adv/Admin THAN R&D
Statement by Richard I. Smith, VP Policy & Research
Financial Ties/Conflicts of Interest-Pharma/Tobacco
Generic Makers Versus Pharmas
Call for INDEPENDENT Funding of Patient Groups
The Truth About the Drug Companies, by Marcia Angell
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padTrial Quality & Treatment Effect
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JAMA,
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Number Needed to Treat/Absolute Risk
Statistical Expertise in Med Research
Tumor Response & Survival End Points: Clin Trials
Patient Group Gets ECOG Study of LOWER Dose
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padVitamin Mfgs-Cartel Price-Fixing Again???
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July 3, 2002 The Nation via Alternet.org
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padUniversity Fails to Offer Another Viewpoint
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Letter to the Chronicle, Georgia Newspaper, 2002 Dr. Abbe, Athens, GA
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padSites do NOT Put Into Practice Sooner
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JAMA, 9/02
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padNumber of Patients Per Nurse:Life/Death
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JAMA, 10/02
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padDelays In Reporting Errors & Incidence
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JNCI, 10/02
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padPharma Drug Trials MOSTLY Succeed:What's UP?
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The Guardian (UK), 1/04
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Cancer Journal Articles Lack Referenced Methods
Selective Reporting: OUTCOMES in Randomized Trials
Drug companies research, products more likely to perform well
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padPatient Navigation: Improves Timeliness of Diagnosis
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Canadian Assoc Radiol J, 6/04
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References for Patient Navigation article
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padExaggerated/Misdirections:Interventions
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JCNI, 7/02 All explained here
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Contributor to Research Papers:Accurate Views?
Classification of Cancer Deaths
When the Tumor is Not the Target:An Advocate's Journey
Drugs Do NOT WORK on Most People
Absolute #s BEST for Discussing Treatment Options
Cancer is Top Killer - New Approaches Needed?
Too Many Drug Trials Stopped EARLY
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padOBITS - Various People who Contributed w/Special Grace
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Janaury 19, 2004 New York Times
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Cindy Francine Hills Melancon, an OBIT
Obits of Prominent Lesbians Dead of Cancer
Harold Benjamin: Founder The Wellness Community
Obit: Dr. Jeanne Petrek
Obit: Vera Komarkova, Mountaineer, Age 62
Steve Dunn - Founder of www.cancerguide.org - Cancer Advisor
Earl Woods, 74, Father of Tiger Woods - Prostate Cancer
OBIT: Soraya Winner of Latin Grammy, Activist w/Hispanic Women
Leslie H. Kopp, 53, Archivist Focused on Preserving Dance
Barbara Gittings, 74, Prominent Gay Rights Activist Since ’50s, Dies
Barbara Seaman, 72; Pioneer In Women's Health Mvment Lung Ca
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padAnn Fonfa/Annie Appleseed's Comments to NCI
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NCI Listens and Learns, 10/06

http://ncilistens.cancer.gov/
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Annie Appleseed on State Cancer Legsltve Database Progr
Biorepository Question - Annie Appleseed Comments
Using Research Findings in Cancer Care - Annie Appleseed Comments
Prioriting President Cancer Panel Recommendations - Annie Appleseed Comments
Elimination of Cancer Health Disparities - Annie Appleseed Comments
Eliminate Suffering/Death from Cancer - Annie Appleseed Comments
Cancer Topics for 2006 NCI Teleconference Series
Disappointed in New Patient Education Material
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padNanotechnology Issues
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Posted 12/06 more to come as they arise
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Nanoparticles Can Damage DNA, Increase Cancer Risk
Nanoparticles of Alumina Slow Plant Growth
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padInformed Choice
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A JAMA study
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Information Needs of Patients with Cancer
Cancer Specialists Avoid Alt Therapies
Patient Track-abstract (presented at conferences)
Engaging Patients in Medical Decision Making
Informed Consent Not Always Given
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padU.S. LAST Among Indstrlizd Nations for Prvntbl Deaths
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Philanthropy News Digest, January 2008
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