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Electronic Letters to:

J Barton
Atomoxetine: a new pharmacotherapeutic approach in the management of attention deficit/hyperactivity disorder
Arch Dis Child 2005; 90: i26-29i [Abstract] [Full text] [PDF]
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Electronic letters published:

[Read eLetter] What about the cost?
Mike Farrall   (31 January 2005)
[Read eLetter] True status of supplement not made clear to reader
Charlotte M Wright, Tony Waterston, Tim Cole and Carol Dezateux   (22 April 2005)

What about the cost? 31 January 2005
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Mike Farrall,
consultant community paediatrician
Mansfield PCT

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Re: What about the cost?

mike.farrall{at}mansfield-pct.nhs.uk Mike Farrall

Dear Editor,

I'm unable to find any consideration of the cost of atomoxetine in the article. This is unfortunate as the article is positive towards this new drug , but ignores it's significantly increased cost when compared to methylphenidate.

Locally we feel this should not be a first line drug due to it's cost , unless there are clear contraindications to methylphenidate.

True status of supplement not made clear to reader 22 April 2005
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Charlotte M Wright,
Senior Lecturer in community Child Health
Glasgow University,
Tony Waterston, Tim Cole and Carol Dezateux

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Re: True status of supplement not made clear to reader

cmw7a{at}clinmed.gla.ac.uk Charlotte M Wright, et al.

Dear Editor,

As current or previous members of the ADC editorial board, we wish to register our disquiet about your recent supplement on ADHD.

Firstly, we are concerned at the principle of publishing something of this kind at all. One of ADC’s great strengths has been the fact that it has not, until now, rented out editorial space to those prepared to pay. Such commercially funded supplements, even if peer reviewed, will always tend to emphasis aspects that favours the funding company. This supplement illustrates this, with two of the seven articles mentioning the same Eli Lilly drug in their titles, with no other drugs mentioned at all. We feel that this sort of covert advertising is not in keeping with ADC’s reputation for academic rigour.

Secondly, we are concerned that a casual reader might not have realised that this publication was commercially motivated. The sponsorship was not mentioned on the cover and then was mentioned only elliptically by referring to an ‘educational grant’ from Eli Lilly. Most importantly, there was no explicit acknowledgment that the drug featured prominently in the supplement was produced by the sponsors of the supplement; we had to go on the web to establish the connection. We have additional concerns that none of the authors of the articles declared either the presence or absence of a conflict of interest, in contrast to articles appearing in the main journal, when it seems likely that at least some of them have received grant funding or sponsorship from Eli Lilly, indeed one is a Lilly employee.

We hope very much that this supplement is not part of a new trend to prioritise advertising income over ethics and represents instead merely a slip-up in ADC's usual editorial rigour. Either way, we suggest that ADC publish a clarification about the status of the supplement to alert the unwary reader.

We have no competing financial interests.

 

ADC is co-owned by the RCPCH and is the official journal of the European Academy of Paediatrics

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