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  Vol. 280 No. 3, July 15, 1998 TABLE OF CONTENTS
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Masking Author Identity in Peer Review

What Factors Influence Masking Success?

Mildred K. Cho, PhD; Amy C. Justice, MD, PhD; Margaret A. Winker, MD; Jesse A. Berlin, ScD; Joseph F. Waeckerle, MD; Michael L. Callaham, MD; Drummond Rennie, MD; and the PEER Investigators

JAMA. 1998;280:243-245.

Context.— In a previous study, we found that masking success was higher at a journal that masked reviewers to author identity. We hypothesized that masking policy or other factors could be associated with masking success.

Objectives.— To evaluate differences in success of masking reviewers to author identity at 7 biomedical journals and to identify factors associated with these differences.

Design.— Written questionnaire.

Participants.— Reviewers at 3 journals with a long-standing policy of masking author identity (Annals of Emergency Medicine, Epidemiology, and Journal of the American Geriatrics Society) and 4 journals without a policy of masking author identity (Annals of Internal Medicine, JAMA, Obstetrics & Gynecology, and Ophthalmology).

Main Outcome Measures.— Masking success (percentage of reviewers successfully masked) and reviewer characteristics associated with masking.

Results.— There was no significant difference in masking success between journals with a policy of masking (60%) and those without (58%) (P=.92). We found no association between masking success and a policy of masking when adjusted for the reviewer characteristics of age, sex, years of reviewing experience, number of articles published, number of articles reviewed, percentage of time spent in research, editorial experience, or academic rank (odds ratio [OR], 1.3; 95% confidence interval [CI], 0.64-2.8; P=.43). In multivariable analysis of reviewer characteristics, reviewers spending a greater percentage of time in research, the only significant predictor of masking success, were less likely to be successfully masked (OR, 1.01; 95% CI, 1.00-1.02) (P=.04).

Conclusions.— Masking success appears unrelated to a journal policy of masking, but is associated with reviewers' research experience and could be affected by other characteristics. Using reviewers with less research and reviewing experience might increase masking success, but the effect on review quality is unknown.


From the Center for Bioethics, University of Pennsylvania, Philadelphia (Dr Cho); Division of General Internal Medicine and Program for Health Care Research, Department of Veterans Affairs Medical Center, Cleveland, Ohio, and University Hospitals of Cleveland, Case Western Reserve University (Dr Justice); Division of Biostatistics, Department of Biostatistics and Epidemiology and Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia (Dr Berlin); Department of Emergency Medicine, University of Missouri Kansas City School of Medicine (Dr Waeckerle); Division of Emergency Medicine, University of California, San Francisco School of Medicine (Dr Callaham); Institute for Health Policy Studies, University of California, San Francisco (Dr Rennie). Dr Winker is Senior Editor and Dr Rennie is Deputy Editor (West), JAMA.



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