The Office of the Deputy Vice-Chancellor at the University of Queensland (UQ) has concluded its research misconduct investigation regarding the two papers, hereafter referred to as Paper 1 (the protocol in JMIR Research Protocols) [1] and Paper 2 (the results in JMIR Public Health and Surveillance) [2]. In short, the main findings were that no retraction is required.

There were issues with inadequate disclosure of conflict of interests on submission, as well as “honest” mistakes, both of which were fully addressed in the JMIR Expression of Editorial Concern, Correction of Conflict of Interest and Affiliation, and Data Corrections, which we published in both affected journals [3,4] in close consultation with the Committee on Publication Ethics (COPE), together with the updated conflict of interest statement and data corrections submitted by the authors. According to the Council of Science Editors (CSE), the purpose of an Expression of Editorial Concern is to draw attention to potential problems in a publication, “but it does not go so far as to retract or correct an article.” CSE continues that “an editor who has a significant concern about the reliability of an article but not enough information to warrant a retraction until an institutional investigation is complete will sometimes use an expression of concern” [5]. COPE’s guidelines encourage editors to consider an Expression of Editorial Concern if “they receive inconclusive evidence of research or publication misconduct by the authors” or if “an investigation is underway but a judgement will not be available for a considerable time” [6], which both fit the circumstances of this case.

As the University of Queensland investigation is now complete, we are updating the Expression of Editorial Concern following the key findings of the university report, from which we cite below, together with our response, as follows:

University of Queensland:

JMIR response: The investigation confirms our concerns that the vaguely phrased originally submitted COI (disclosing that the authors are “insiders”) did “not adequately declare the nature of the authors’ associations with Universal Medicine”. No changes to the Expressions of Editorial Concern or corrections are deemed necessary because they point out exactly that concern. JMIR may not have accepted the papers if the editor and reviewers had been aware of the full extent of the authors’ COIs, or at least would have insisted on describing ways to manage the significant COIs of the authors.

University of Queensland:

JMIR response: To reflect the UQ judgement that “there is no evidence that these were more than honest mistakes” we have updated the Expressions of Editorial Concern [3,4] to remove the following paragraph:

University of Queensland:

JMIR response: We have inserted the phrase “At the time of publication of this protocol, data collection has been completed” in the Methods section of the abstract and body of the protocol paper (Paper 1 [1]). In addition, we have added an IRRID (International Registered Report Identifier) to both papers [1,2], which indicate (through the prefix DE for “Data Existing”) that the data were already collected at the time as is now standard practice for all protocols we publish [7].

The correction will appear in the online version of the papers on the JMIR website on September 23, 2019, together with the publication of this correction notice. Because this was made after submission to PubMed, PubMed Central, and other full-text repositories, the corrected articles have also been resubmitted to those repositories.