ArticleBMC medical research methodology2015
Classification and prevalence of spin in abstracts of non-randomized studies evaluating an intervention.
Article in BMC medical research methodology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 10 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
48 citing papers in PubMed, 10 syntheses or guidelines pooled it.
- Moderate to high levels of spin in studies comparing open and arthroscopic Latarjet procedures for anterior shoulder instability: A systematic review from the LaTour Group.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Pooled it
- Overinterpretation of findings in machine learning prediction model studies in oncology: a systematic review.Journal of clinical epidemiology · 2023Pooled it
- Spin in the Scientific Literature on Bariatric Endoscopy: a Systematic Review of Randomized Controlled Trials.Obesity surgery · 2022Pooled it
- Misleading Reporting (Spin) in Noninferiority Randomized Clinical Trials in Oncology With Statistically Not Significant Results: A Systematic Review.JAMA network open · 2021Pooled it
- Long-term effects of alcohol consumption on cognitive function: a systematic review and dose-response analysis of evidence published between 2007 and 2018.Systematic reviews · 2020Pooled it
- Tools used to assess the quality of peer review reports: a methodological systematic review.BMC medical research methodology · 2019Pooled it
- Overinterpretation and misreporting of prognostic factor studies in oncology: a systematic review.British journal of cancer · 2018Pooled it
- Pooled it
- Pooled it
- Impact of interventions to improve the quality of peer review of biomedical journals: a systematic review and meta-analysis.BMC medicine · 2016Pooled it
- Trial
- Influence of overstated abstract conclusions on clinicians: a web-based randomised controlled trial.BMJ open · 2017Trial
- Spin and Methodological Quality of Systematic Reviews and Meta-Analyses Comparing Single- and Multiple-Visit Endodontic Treatment: A Meta-Research Study.Australian endodontic journal : the journal of the Australian Society of Endodontology Inc · 2026Review
- Misleading readers without lies: understanding spin and its relevance to acupuncture research.Integrative medicine research · 2026Article
- Spin reporting is common in pilot and feasibility trials in hip and knee arthroplasty: a methodological analysis of a cross-sectional sample.Pilot and feasibility studies · 2026Article
- Promoting informed health choices: the long and winding road.Journal of the Royal Society of Medicine · 2025Article
- Reporting Bias Is Highly Prevalent in Systematic Reviews and Meta-Analyses Related to Medial Patellofemoral Ligament Reconstruction.Arthroscopy, sports medicine, and rehabilitation · 2025Review
- Causal Interpretations of Correlational Evidence Regarding Violence.Journal of interpersonal violence · 2025Article
- Spin Bias in randomized controlled trials of botulinum toxin for bruxism management: a meta-epidemiologic study.BMC medical research methodology · 2025Article
- To: Science over language: a plea to consider language bias in scientific publishing.Critical care science · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSpin represents specific reporting strategies, either intentional or unintentional, to convince the reader that the beneficial effect of the experimental intervention in terms of efficacy and safety is greater than that shown by the results. The objectives of this study were to 1) develop a classification of spin specific to non-randomized studies assessing an intervention and 2) estimate the prevalence of spin in abstracts of reports of such studies.
methodsIn a first step, we developed a specific classification of spin for non-randomized studies by a literature review and pilot study. In a second step, 2 researchers trained in the field of methodology evaluated the prevalence of spin in the abstract of all non-randomized studies assessing an intervention published in the BioMed Central Medical Series journals between January 1, 2011 and December 31, 2013. All disagreements were resolved by consensus. We also determined whether the level of spin in abstract conclusions was high (spin reported without uncertainty or recommendations for further trials), moderate (spin reported with some uncertainty or recommendations for further trials) or low (spin reported with uncertainty and recommendations for further trials).
resultsAmong the 128 assessed articles assessed, 107 (84%) had at least one example of spin in their abstract. The most prevalent strategy of spin was the use of causal language, identified in 68 (53%) abstracts. Other frequent strategies were linguistic spin, inadequate implications for clinical practice, and lack of focus on harm, identified in 33 (26%), 25 (20%), and 34 (27%) abstracts respectively. Abstract conclusions of 61 (48%) articles featured a high level of spin.
conclusionAbstract of reports of non-randomized studies assessing an intervention frequently includes spin. Efforts to reduce the prevalence of spin in abstract for such studies are needed.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.