Abstract
The digital era has dramatically expanded scientific publishing, with journals and the annual number of publications increasing unprecedentedly. While this growth has enhanced accessibility, collaboration, and dissemination, it has also introduced significant challenges to the integrity of scientific literature. Mega-journals and open-access models, although beneficial in many respects, have contributed to inequities and facilitated the rise of predatory journals, which often publish low-quality or misleading research with minimal peer review. At the same time, the use of spin, defined as rhetorical strategies that exaggerate or misrepresent findings, has become widespread and can influence the interpretation of results by researchers, clinicians, and the public. Importantly, low-quality, misleading, and even fraudulent research is not confined to predatory outlets and can occur in well-established, high-impact journals, highlighting the limitations of relying solely on journal reputation. While critical appraisal remains central to evaluating research, traditional approaches often fail to fully address the risks of spin, predatory publishing, and fraud. This article explores these challenges, examining how such practices compromise scientific integrity, distort evidence, and affect decision-making. It also outlines practical strategies for researchers, reviewers, and clinicians to critically assess publications, safeguard reliability, and uphold the credibility of scientific literature.
Impact statement
Researchers and clinicians now require a guide to navigate the modern landscape of scientific publishing, which is challenged by the proliferation of predatory journals, the use of “spin” to misrepresent findings, and outright fraud, which has eroded scientific integrity, leading to a need for a new level of scrutiny. This paper outlines practical strategies and tools for researchers, clinicians, and reviewers to identify unreliable evidence, emphasizing that critical appraisal must go beyond traditional methods to assess trustworthiness and integrity. By promoting these skills, all can safeguard the credibility of science and protect evidence-based practice.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 14 print issues and online access
$259.00 per year
only $18.50 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to the full article PDF.
USD 39.95
Prices may be subject to local taxes which are calculated during checkout


Similar content being viewed by others
References
Ozonoff, D. As the world turns: scientific publishing in the digital era. Environ. Health 23, 1–5 (2024).
Lord, S. E., Seavey, K. M., Oren, S. D., Budney, A. J. & Marsch, L. A. Digital presence of a research center as a research dissemination platform: reach and resources. JMIR Ment. Health 6, e11686 (2019).
Ioannidis, J. P. A., Pezzullo, A. M. & Boccia, S. The rapid growth of mega-journals: threats and opportunities. JAMA 329, 1253–1254 (2023).
Ghasemi, A., Mirmiran, P., Kashfi, K. & Bahadoran, Z. Scientific publishing in biomedicine: a brief history of scientific journals. Int. J. Endocrinol. Metab. 21, e131812 (2022).
Chiu, K., Grundy, Q. & Bero, L. Spin’ in published biomedical literature: a methodological systematic review. PLoS Biol. 15, e2002173 (2017).
Nascimento, D. P. & Costa, L. O. P. Spin of results in scientific articles might kill you. Braz. J. Phys. Ther. 23, 365 (2019).
Alt, A. The evolution of predatory Journals - New strategies and threats. A letter to the editor. Eur. J. Physiother. https://doi.org/10.1080/21679169.2025 (2025).
Laine, C. et al. Predatory journals — what can we do to protect their prey? N. Engl. J. Med. 392, 283–285 (2025).
Predatory Journals - Predatory Journals List 2025 https://www.predatoryjournals.org/news/predatory-journals-list-2025.
Directory of Open Access Journals – DOAJ. https://doaj.org/ (2025).
Identify trusted publishers for your research • Think. Check. Submit. https://thinkchecksubmit.org/ (2025).
Cabells. https://cabells.com/solutions/predatory-reports (2025).
Beall’s list of potential predatory journals and publishers. https://beallslist.net/.
Kokol, P., Završnik, J., Lahtič, B. & Voner, H. B. Bibliometric characteristics of predatory journals in pediatrics. Pediatr. Res. 83, 1093–1094 (2018).
Shi, L. et al. Mapping retracted articles and exploring regional differences in China, 2012–2023. PLoS ONE 19, e0314622 (2024).
Alfirevic, Z. & Weeks, J. Trustworthiness assessment of published clinical trials: Literature review of domains and questions. Cochrane Evid. Synth. Methods. 2 https://doi.org/10.1002/CESM.12099 (2024).
Armond, A. C. V., Cobey, K. D. & Moher, D. Key concepts in clinical epidemiology: research integrity definitions and challenges. J. Clin. Epidemiol. 171 https://doi.org/10.1016/j.jclinepi.2024.111367 (2024).
Horton, R. The rhetoric of research. BMJ 310, 985 (1995).
Boutron, I., Dutton, S., Ravaud, P. & Altman, D. G. Reporting and interpretation of randomized controlled trials with statistically nonsignificant results for primary outcomes. JAMA 303, 2058–2064 (2010).
Chiu, K., Grundy, Q. & Bero, L. ‘Spin’ in published biomedical literature: a methodological systematic review. PLoS Biol. 15. https://doi.org/10.1371/JOURNAL.PBIO.2002173 (2017).
Nascimento, D. P. et al. Letter to the Editor – Not even the top general medical journals are free of spin: a wake-up call based on an overview of reviews. J. Clin. Epidemiol. 139, 232–234 (2021).
Yavchitz, A. et al. A new classification of spin in systematic reviews and meta-analyses was developed and ranked according to the severity. J. Clin. Epidemiol. 75, 56–65 (2016).
O’Leary, R., La Rosa, G. R. M., Vernooij, R. & Polosa, R. Identifying spin bias of nonsignificant findings in biomedical studies. BMC Res. 16. https://doi.org/10.1186/S13104-023-06321-2 (2023).
Boutron, I. et al. Impact of spin in the abstracts of articles reporting results of randomized controlled trials in the field of cancer: the SPIIN randomized controlled trial. J. Clin. Oncol. 32, 4120–4126 (2014).
Boutron, I. et al. Three randomized controlled trials evaluating the impact of “spin” in health news stories reporting studies of pharmacologic treatments on patients’/caregivers’ interpretation of treatment benefit. BMC Med. 17, 1–10 (2019).
Flemyng, E. et al. Using Risk of Bias 2 to assess results from randomised controlled trials: guidance from Cochrane. BMJ Evid. Based Med. 28, 260–266 (2023).
Shea, B. J. et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ 358. https://doi.org/10.1136/BMJ.J4008 (2017).
CASP Checklists - Critical Appraisal Skills Programme. https://casp-uk.net/casp-tools-checklists/ (2025).
Critical Appraisal tools — Centre for Evidence-Based Medicine (CEBM), University of Oxford. https://www.cebm.ox.ac.uk/resources/ebm-tools/critical-appraisal-tools (2025).
Mol, B. W. et al. Checklist to assess Trustworthiness in RAndomised Controlled Trials (TRACT checklist): concept proposal and pilot. Res. Integr. Peer Rev. 8. https://doi.org/10.1186/S41073-023-00130-8 (2023).
Weeks, J., Cuthbert, A. & Alfirevic, Z. Trustworthiness assessment as an inclusion criterion for systematic reviews-What is the impact on results? Cochrane Evid. Synth. Methods. https://doi.org/10.1002/CESM.12037 (2023).
Alfirevic, Z. et al. Identifying and handling potentially untrustworthy trials – Trustworthiness Screening Tool (TST) developed by the Cochrane Pregnancy and Childbirth Group. Cochrane Pregnancy and Childbirth. Version 3.
Funding
The authors received no external funding for the preparation of this manuscript.
Author information
Authors and Affiliations
Contributions
All authors conceptualized the review and drafted the initial manuscript. All authors critically reviewed the content, contributed to manuscript sections and revisions, and approved the final version for submission.
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Vereen, R., King, B., Razak, A. et al. Safeguarding the integrity of scientific literature in the 21st century. Pediatr Res (2025). https://doi.org/10.1038/s41390-025-04647-0
Received:
Accepted:
Published:
Version of record:
DOI: https://doi.org/10.1038/s41390-025-04647-0


