Keeping up does not mean reading abstracts & press releases & then calling the author. It means reading recent papers, not just the same 2005 one. Many meta-research investigations (led or co-authored by JPAI) show a murky & complex picture, w/ acknowledged caveats. 2/
The issue is how to interpret murky results, allowing 4 all the complexities. The caricature of the John Ioannidis brand as "everything is wrong & should be thrown to trash" is v far from reality. Most of his papers are seasoned w/ caveats, if you go past the title/abstract 3/
This simplistic & highly romanticized ("fall from grace") take does no justice to JPAI's work, or meta-research in general. The difficulty of examining biases is that they are elusive, fickle & often compensated for by good studies, or tools like good reporting & registration. 4/
In 2017 as the first large-scale @CAMARADES_ results of how bad reporting was in animal research were emerging at the @peerrevcongress, I asked John at lunch what he thought should be done with, you know, this disastrous field (I, unlike him, was out to get them all). 6/
He looked at me in surprise and asked about the alternative. Testing everything in humans first, which - he underlined- would be THE disaster, so animal studies, badly reported as they are, are essential. This reasoning rather than "throw it all away" is quintessential JPAI. 7/
Finally last year I proposed a new project to John. I was going to go after the #mindfulness business. I was going to search for speaking events, from there for key speakers, then for their conflicts of interest & show how it's all a corrupt mess of money and shoddy content. 8/
He stopped me dead in the tracks, pointing out I was going after single individuals who never claimed their activity was even scientific, I was using partial information, & at best would show things that could *look* suspicious but probably had little to do w/ systematic bias. 9/
So this is the John Ioannidis I & others who collaborate or pore over his papers recognize. I am not claiming he, like every scientist, should not be the object of scrutiny & criticism. But caricaturing his work & positions does not help. Maybe @dhfreedman could consider this 10/
I am lucky to be a little noone here on Twitter so I hope to escape the wrath of social media. In any case, my COI disclosure (*btw, improper use of COI, which is financial): John was my Fulbright mentor in 2016-2017, and we have collaborated ever since. 11/
You can follow @IoanaA_Cristea.
Tip: mention @twtextapp on a Twitter thread with the keyword “unroll” to get a link to it.

Latest Threads Unrolled: