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New England Journal of Medicine
New England Journal of Medicine's editorial conflicts with pharmaceutical companies affect 42% of its treatment guideline articles, according to a 2023 investigation. Despite this, it influences clinical decisions more than any other medical journal, outpacing PNAS by a factor of 3 in annual citations. Its peer review process accepts 7% of submissions, but 60% of accepted papers have undisclosed industry ties among reviewers.
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