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John Ioannidis<\/p><\/div>Source: The National Herald<\/a><\/p>\n

Don\u2019t tell Professor John Ioannidis \u2013 formerly of the University of Ioannina in Greece and now at Stanford in California \u2013 that he\u2019s a hero to science deniers because he exposes faulty research among his peers and in his field: which still haven\u2019t kept him from earning the praise of his colleagues and renowned as one of the greatest scientists in the world. \u201cI definitely want nothing to do with science deniers \u2026 I don\u2019t think science would be harmed by its ability or desire to check facts or improve on these facts,\u201d he said in a radio interview. \u201cScience is a noble endeavor, but it\u2019s also a low-yield endeavor,\u201d he says. \u201cI\u2019m not sure that more than a very small percentage of medical research is ever likely to lead to major improvements in clinical outcomes and quality of life. We should be very comfortable with that fact.\u201d<\/p>\n

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Nonetheless, his debunking of bad scientists and discrediting their alleged work in his 2005 paper Why Most Published Research Findings Are False is the most-downloaded article in the history of Public Library of Science and elevated him to the position of cult hero \u2013 which he said he despises \u2013 to those who have little regard for science. He says they missed the point of his paper, but the humble scientist, who was born in New York City in 1965 and grew up in Athens, where he was first in his 1984 graduating class, can\u2019t escape the fame that has come with his remarkable work, especially after a recent lengthy article in the prestigious Boston-based magazine The Atlantic, which lauded him for a career challenging his peers by exposing their bad science, noting that much of what medical researchers conclude in their studies is misleading, exaggerated, or flat-out wrong \u2013 and even worse \u2013 the results are still being used despite being false.<\/p>\n

The Atlantic article, Lies, Damned Lies, and Medical Science, noted that Ioannidis analyzed 49 of the most highly regarded research findings in medicine over the previous 13 years, and found 34 had to be retested while 14 were wrong or significantly exaggerated, a remarkable standard of failure in a field which uses trial-and-error trying to reach conclusive results. He certainly has the standard to raise questions. Besides his teaching in Greece and now at Stanford, where he is director of the Prevention Research Center, he got his medical degree at Harvard and then did a fellowship in infectious disease at the highly-regarded Tufts Medical School in Boston, won the National Award of the Greek Mathematical Society and held appointments at the National Institute of Health and Johns Hopkins University School of Medicine. Just as Houdini exposed frauds posing as fortunetellers, Ioannidis reveals bad scientists.<\/p>\n

The Atlantic article, by David H. Freedman, opened with a chilling anecdote about empirical evidence and the work of medicine and science. \u201cIn 2001, rumors were circulating in Greek hospitals that surgery residents, eager to rack up scalpel time, were falsely diagnosing hapless Albanian immigrants with appendicitis. At the University of Ioannina medical school\u2019s teaching hospital, a newly minted doctor named Athina Tatsioni was discussing the rumors with colleagues when a professor who had overheard asked her if she\u2019d like to try to prove whether they were true\u2014he seemed to be almost daring her. She accepted the challenge and, with the professor\u2019s and other colleagues\u2019 help, eventually produced a formal study showing that, for whatever reason, the appendices removed from patients with Albanian names in six Greek hospitals were more than three times as likely to be perfectly healthy as those removed from patients with Greek names. \u201cIt was hard to find a journal willing to publish it, but we did,\u201d recalls Tatsioni. \u201cI also discovered that I really liked research.\u201d Good thing, because the study had actually been a sort of audition. The professor, it turned out, had been putting together a team of exceptionally brash and curious young clinicians and Ph.D.s to join him in tackling an unusual and controversial agenda.\u201d And Ioannidis was off and running.<\/p>\n

During one meeting at the Greek medical school\u2019s campus, there was a lively discussion about a study considering whether drug companies were manipulating published research to make their drugs look more effective. After a lot of back-and-forth and give-and-take that seemed to be missing the point, Freedman \u2013 who attended the meeting \u2013 wrote that, \u201cIoannidis, who had mostly been listening, delivered what felt like a coup de grace: wasn\u2019t it possible, he asked, that drug companies were carefully selecting the topics of their studies\u2014for example, comparing their new drugs against those already known to be inferior to others on the market\u2014so that they were ahead of the game even before the data juggling began? \u201cMaybe sometimes it\u2019s the questions that are biased, not the answers,\u201d he said, flashing a friendly smile. Everyone nodded. Though the results of drug studies often make newspaper headlines, you have to wonder whether they prove anything at all. Indeed, given the breadth of the potential problems raised at the meeting, can any medical-research studies be trusted?\u201d<\/p>\n

That\u2019s what Ioannidis work has been questioning as well and that question, as the article noted, has been central to his career as what\u2019s known as a meta-researcher who has become one of the world\u2019s foremost experts on the credibility of medical research. He and his team have shown, again and again, and in many different ways, that much of what biomedical researchers conclude in published studies\u2014conclusions that doctors keep in mind when they prescribe antibiotics or blood-pressure medication, or when they advise us to consume more fiber or less meat, or when they recommend surgery for heart disease or back pain\u2014is misleading, exaggerated, and often flat-out wrong. He charges that as much as 90% of the published medical information that doctors rely on is flawed.<\/p>\n

His work has been widely accepted by the medical community; it has been published in the field\u2019s top journals, where it is heavily cited; and he is a big draw at conferences. Given this exposure, and the fact that his work broadly targets everyone else\u2019s work in medicine, as well as everything that physicians do and all the health advice we get, Ioannidis may be one of the most influential scientists alive. Yet for all his influence, he worries that the field of medical research is so pervasively flawed, and so riddled with conflicts of interest, that it might be chronically resistant to change\u2014or even to publicly admitting that there\u2019s a problem.<\/p>\n

Ioannidis\u2019 Greek roots remain deep. In Ioannina, in northern Greece, there is a sanctuary built at the site of the Dodona oracle. The oracle was said to have issued pronouncements to priests through the rustling of a sacred oak tree. Today, a different oak tree at the site provides visitors with a chance to try their own hands at extracting a prophecy. \u201cI take all the researchers who visit me here, and almost every single one of them asks the tree the same question,\u201d Ioannidis tells me, as we contemplate the tree the day after the team\u2019s meeting. \u201c\u2018Will my research grant be approved?\u2019\u201d He chuckles, not maliciously or in glee, but to soften the sting of what he said. Nonetheless, his work has stung enough to change how medical and scientific research is being done. <\/p>\n","protected":false},"excerpt":{"rendered":"

Source: The National Herald Don\u2019t tell Professor John Ioannidis \u2013 formerly of the University of Ioannina in Greece and now at Stanford in California \u2013 that he\u2019s a hero to science deniers because he exposes faulty research among his peers and in his field: which still haven\u2019t kept him from earning the praise of his […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1784],"tags":[1491,1490],"_links":{"self":[{"href":"https:\/\/www.aoiusa.org\/wp-json\/wp\/v2\/posts\/8536"}],"collection":[{"href":"https:\/\/www.aoiusa.org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.aoiusa.org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.aoiusa.org\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.aoiusa.org\/wp-json\/wp\/v2\/comments?post=8536"}],"version-history":[{"count":3,"href":"https:\/\/www.aoiusa.org\/wp-json\/wp\/v2\/posts\/8536\/revisions"}],"predecessor-version":[{"id":8600,"href":"https:\/\/www.aoiusa.org\/wp-json\/wp\/v2\/posts\/8536\/revisions\/8600"}],"wp:attachment":[{"href":"https:\/\/www.aoiusa.org\/wp-json\/wp\/v2\/media?parent=8536"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.aoiusa.org\/wp-json\/wp\/v2\/categories?post=8536"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.aoiusa.org\/wp-json\/wp\/v2\/tags?post=8536"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}