Jon Sudbø

Jon Sudbø (born May 3, 1961) is a dentist and a consultant oncologist and former medical researcher at The Radium Hospital in Oslo, Norway. Having earlier been licensed as a dentist and a physician, he earned a doctorate (dr. med) in 2001. Until February 2006 he was an associate Professor at the University of Oslo. A research fabrication scandal surfaced in 2006; as a result of this his license to practice medicine and dentistry was revoked and the faculty of medicine at the University of Oslo decided to revoke his doctorate. ^[1][2] Recently he gained a limited authorization to work as a dentist, and is currently working in Seljord, Telemark.

Contents 1 Scandal 2 Effects of fraud 3 Publications 3.1 Retracted papers 3.2 Papers which have not been retracted 4 See also 5 External links 5.1 Notes

Scandal

In January 2006 it was revealed that his October 2005 fast track submission to The Lancet was based upon fraudulent patient data. ^[3] The article had suggested that non-COX2-NSAIDs like ibuprofen diminish the risk of oral cancer in smokers.^[4] However, it turned out that the whole patient material was fictional. The leader of the epidemiology division at Norwegian Institute of Public Health, Camilla Stoltenberg, found the article suspicious at the end of 2005 because the data was supposedly from a cancer patient database which had not yet opened.^[5] The Norwegian newspaper Dagbladet reported that of the 908 subjects in the Lancet study 250 had the same birthday.^[6]

Sudbø has later acknowledged that he has used fictional data in at least two more papers, published in the New England Journal of Medicine and the Journal of Clinical Oncology.

An independent Commission of Inquiry led by Swedish Professor Anders Ekbom, that also included a member from the U.S. National Cancer Institute, was set up by Rikshospitalet and the University of Oslo to discern the details of the fraud. They were also to try to identify the role of the co-authors, which included, among others, Jon Sudbø's brother, wife and Andrew J. Dannenberg, who was listed as the senior author on the article.

In May 2006, Norwegian and Swedish media reported that the committee was investigating some 60 scientists from 6 countries, and a total of 38 articles.^[7]

The commission reported on 30 June 2006 [1]. The commission deemed much of Sudbø's work invalid because of manipulation and fabrication of raw data: of the 38 articles he had published since 1993, 15 were condemned as fraudulent, including his doctoral dissertation.^[8] Because of this, the dissertation and the other fraudulent articles will be rescinded. The commission also criticised the co-authors of Sudbø's papers. Professor Anders Ekbom, the Chair of the Commission, said: "One explanation of this catastrophe was that Sudbø was a lone wolf. Few or anyone had insight into his work". However, the commission found no evidence that any of his co-authors had taken part in the fraud or otherwise been party to the deceit (although Sudbø's supervisor accepted criticism for lack of vigilance and follow-up).

In November 2006 his authorization as a physician and a dentist was revoked by the Norwegian Board of Health Supervision, but in 2007 authorization as a dentist back. In 2009 his authorization as a physician, however he cannot act in medical research.

Effects of fraud

Rikshospitalet and the University were both criticized for "a lack of preliminary control and organization with a view to the researcher's [Sudbø's] PhD project". The hospital was also criticized for "a lack of training and consciousness-raising in respect of the researcher and other employees with a view to the rules for handling patient material, preliminary assessments of research projects and authorship" and for "a lack of leadership and routines designed to expose and deal with non-conformance with its rules of procedure".

The fraud may also have had international effects.^[9] The commission could not rule out that Sudbø's false conclusions could have had an impact on cancer patients around the world, because his findings were used by other scientists and incorporated into cancer treatments, although Sudbø's solicitor Erling O. Lyngtveit had said on behalf of his client that none of the fraudulent articles had had any consequences for patients [2]. Norway's scientific reputation could also be damaged by the affair, and "massive lawsuits" may be imminent from the national and international organisations that funded Sudbø's fraudulent papers.

According to the Norwegian news website Depesjer ("Dispatches"), scientific experts they consulted felt that Sudbø's co-authors were "severely exploited", but also that closer observations of the Vancouver guidelines and other rules by co-authors would "hamper future attempts at publishing fabricated material" [3]. Dr. Atle Klovning, a leading European authority on evidence-based medicine, said in the article that Sudbø's co-authors had probably not lived up to their responsibilities according to the Vancouver rules.

Publications

• Sudbø J. 2001. Predictive markers in oral premalignancies and early stage carcinomas. Oslo : Department of Pathology, The Norwegian Radium Hospital. ISBN 82-7633-163-7. Doctoral dissertation, University of Oslo.
  • Retracted December 2006

Retracted papers

Papers which have not been retracted

See also

• Scientific misconduct, including a list of alleged science scandals.

External links

• Richard Horton (February 2006). "Retraction — Non-steroidal anti-inflammatory drugs and the risk of oral cancer: a nested case-control study". The Lancet 367 (9508): 382. doi:10.1016/S0140-6736(06)68120-8. PMID 16458751. http://www.thelancet.com/journals/lancet/article/PIIS0140673606681130/fulltext. 
• "The influence of resection and aneuploidy on mortality in oral leukoplakia" (English)
• Exclusive radio interview with Jon Sudbø from NRK P2, June 2006 (Norwegian)
• Summary of the Commission of Inquiry's report (.pdf format) (English)
• The complete report (.pdf format) (Norwegian)
• Case involving scientific fraud 2005-2006 - article with links to the decision of the Norwegian Board of Health Supervision, and reports concerning the case (English)

Notes

Persondata
Name	Sudboe, Jon
Alternative names
Short description
Date of birth	1961-05-03
Place of birth
Date of death
Place of death