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Gaps in the Ottawa Statement on the Ethical Design and Conduct of Cluster Randomized Trials: a citation analysis reveals a need for updated ethics guidelines

Assessed by RV002 · Business Manager

Assessed on 3 Nov 2025

OverallReviewer's overall integrity assessment, derived from all research questions Some concerns

DOI 10.1186/s41073-025-00166-y (opens in new tab)

Resource ripekg:research-integrity-assessment/RIPEA773A00C69688BA9B

5 Research Questions · 9 Evidence Items

Q1.1 — Does the study have an associated retraction?

Automated Assessment:Assessment produced by the automated systemNo
Human Assessment:Assessment by a domain expert reviewer, informed by AI resultsNo

Rationale: Agree - no listing found in Retraction Watch or on journal website

Q1.2 — Does the study have an associated expression of concern or other relevant post-publication notice?

Automated Assessment:Assessment produced by the automated systemNo
Human Assessment:Assessment by a domain expert reviewer, informed by AI resultsNo

Rationale: Agree - nothing in evidence on journal website or PubPeer

Q1.3 — Do other studies by the research team highlight causes for concern?

Automated Assessment:Assessment produced by the automated systemYes
Human Assessment:Assessment by a domain expert reviewer, informed by AI resultsYes

Rationale: Agree - one author has several retractions listed, but nothing more recent than 2019

Supporting Evidence (7)

Retraction NoticeSource: Retraction Watch database

Interdental brushing for the management of periodontal diseases and dental caries in adults

10.1002/14651858.cd009857.pub3 (opens in new tab)
Journal: Cochrane Database of Systematic ReviewsPublisher: WileyDate: 24 Apr 2019

RetractionWatch ID:Record identifier in the Retraction Watch database 30650

Rationale: Retract and Replace;Withdrawn as Out of Date

About Author: Peter Tugwell

Retraction NoticeSource: Retraction Watch database

Interdental brushing for the prevention and control of periodontal diseases and dental caries in adults (Pub 2)

10.1002/14651858.cd009857.pub3 (opens in new tab)
Journal: Cochrane Database of Systematic ReviewsPublisher: WileyDate: 24 Apr 2019

RetractionWatch ID:Record identifier in the Retraction Watch database 30651

Rationale: Retract and Replace;Withdrawn as Out of Date

About Author: Peter Tugwell

Retraction NoticeSource: Retraction Watch database

Flossing for the management of periodontal diseases and dental caries in adults (Pub 2)

10.1002/14651858.cd008829.pub3 (opens in new tab)
Journal: Cochrane Database of Systematic ReviewsPublisher: WileyDate: 23 Apr 2019

RetractionWatch ID:Record identifier in the Retraction Watch database 30653

Rationale: Retract and Replace;Withdrawn as Out of Date

About Author: Peter Tugwell

Q2.2 — Are there concerns relating to the timing or absence of study registration?

Automated Assessment:Assessment produced by the automated systemUnclear
Human Assessment:Assessment by a domain expert reviewer, informed by AI resultsNo

Rationale: Paper did not come out of a trial or a study using human participants so I do not believe this to be a cause for concern

Supporting Evidence (2)

Clinical Trial RegistrationSource: Clinical trial registry (e.g. ClinicalTrials.gov, ISRCTN)

No trial registration found

Assessment Rationale:How INSPECT-AI determined the prospective registration status by comparing dates LLM-extracted recruitment start date (normalized_date) is missing or empty.

Study Design EvidenceDates and timelines extracted by INSPECT-AI from the publication text

Recruitment Start: N/A

Recruitment Start Rationale:INSPECT-AI's reasoning for how it identified the recruitment start date No recruitment start date found after full search.

Recruitment End: N/A

Recruitment End Rationale:INSPECT-AI's reasoning for how it identified the recruitment end date No recruitment finish date found after full search.

Study End: N/A

Study End Rationale:INSPECT-AI's reasoning for how it identified the study end date No study end date found after full search.

Overall — What is the overall integrity assessment of the study?

Automated Assessment:Assessment produced by the automated systemN/A
Human Assessment:Assessment by a domain expert reviewer, informed by AI resultsSome concerns

Rationale: Some concerns over one author having multiple retractions, but they do not seem to be recent