Procrastination and inconsistency: expressions of concern for publications with compromised integrity

Andrew Grey* (Corresponding Author), Alison Avenell, Mark J Bolland

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Expressions of concern (EoC) can reduce the adverse effects of unreliable publications by alerting readers to concerns about publication integrity while assessment is undertaken. We investigated the use of EoC for 463 publications by two research groups for which we notified concerns about publication integrity to 142 journals and 44 publishers between March 2013 and February 2020. By December 2021, 95 papers had had an EoC, and 83 were retracted without an EoC. Median times from notification of concerns to EoC (10.4mo) or retraction without EoC (13.1mo) were similar. Among the 95 EoCs, 29 (30.5%) were followed by retraction after a median of 5.4mo, none was lifted, and 66 (69.5%) remained in place after a median of 18.1mo. Publishers with >10 notified publications issued EoCs for 0-81.8% of papers: for several publishers the proportions of notified papers for which EoCs were issued varied considerably between the 2 research groups. EoCs were issued for >30% of notified publications of randomized clinical trials and letters to the editor, and <20% of other types of research. These results demonstrate inconsistent application of EoCs between and within publishers, and prolonged times to issue and resolve EoCs.

Original languageEnglish
Number of pages15
JournalAccountability in Research
Early online date18 Aug 2022
Publication statusE-pub ahead of print - 18 Aug 2022

Bibliographical note

The study received no specific funding. MB is the recipient of an HRC Clinical Practitioner Fellowship. The Health Services Research Unit is funded by the Chief Scientist Office of the Scottish Government Health and Social Care Directorates. The authors are independent of the HRC. The HRC had no role in study design, the collection, analysis, and interpretation of data, the writing of the article, or the decision to submit it for publication.

Data Availability Statement

Study data are either available in the public domain or can be obtained from the lead author upon reasonable request.


  • Committee on Publication Ethics
  • retraction
  • academic publishing
  • expression of concern
  • research integrity
  • Publication Ethics
  • Publication integrity


Dive into the research topics of 'Procrastination and inconsistency: expressions of concern for publications with compromised integrity'. Together they form a unique fingerprint.

Cite this