title: Comparison of review articles published in peer-reviewed and throwaway journals.
abstract: BACKGROUND
  To compare the quality, presentation, readability, and clinical relevance of review articles published in peer-reviewed and "throwaway" journals.
  
  
  METHODS
  We reviewed articles that focused on the diagnosis or treatment of a medical condition published between January 1 and December 31, 1998, in the 5 leading peer-reviewed general medical journals and high-circulation throwaway journals. Reviewers independently assessed the methodologic and reporting quality, and evaluated each article's presentation and readability. Clinical relevance was evaluated independently by 6 physicians.
  
  
  RESULTS
  Of the 394 articles in our sample, 16 (4.1%) were peer-reviewed systematic reviews, 135 (34.3%) were peer-reviewed nonsystematic reviews, and 243 (61.7%) were nonsystematic reviews published in throwaway journals. The mean (SD) quality scores were highest for peer-reviewed articles (0.94 [0.09] for systematic reviews and 0.30 [0.19] for nonsystematic reviews) compared with throwaway journal articles (0.23 [0.03], F(2,391) = 280.8, P<.001). Throwaway journal articles used more tables (P =.02), figures (P =.01), photographs (P<.001), color (P<.001), and larger font sizes (P<.001) compared with peer-reviewed articles. Readability scores were more often in the college or higher range for peer-reviewed journals compared with the throwaway journal articles (104 [77.0%] vs 156 [64.2%]; P =.01). Peer-reviewed article titles were judged less relevant to clinical practice than throwaway journal article titles (P<.001).
  
  
  CONCLUSIONS
  Although lower in methodologic and reporting quality, review articles published in throwaway journals have characteristics that appeal to physician readers.
authors.affiliation: Kunin-Lunenfeld Applied Research Unit, Baycrest Centre for Geriatric Care, Department of Medicine, University of Toronto, Toronto, Ontario, Canada M6A 2E1. paula.rochon@utoronto.ca
authors.forename: Paula A
authors.initials: PA
authors.lastname: Rochon
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Bero
authors.forename: Ari M
authors.initials: AM
authors.lastname: Bay
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Gold
authors.forename: Julie M
authors.initials: JM
authors.lastname: Dergal
authors.forename: Malcolm A
authors.initials: MA
authors.lastname: Binns
authors.forename: David L
authors.initials: DL
authors.lastname: Streiner
authors.forename: Jerry H
authors.initials: JH
authors.lastname: Gurwitz
mesh_terms: D003258:Consumer Behavior; D006801:Humans; D017712:Peer Review, Research; D010506:Periodicals as Topic; D011643:Publishing; D011932:Reading; D012196:Review Literature as Topic