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Aims and Scope

The National Catholic Bioethics Quarterly seeks to foster intellectual inquiry by publishing articles that address the ethical, philosophical, spiritual, and clinical questions raised by modern medical sciences. The journal, therefore, seeks to improve traditional approaches and promote innovative solutions grounded in practical philosophy.

The Quarterly unites metaphysical inquiry to reasoned and rigorous reflection on the findings of the empirical and experimental sciences. While the Quarterly is committed to examining bioethical issues from a natural law perspective, it remains open to all philosophical traditions in the spirit of informed dialogue.

NCBQ EDITORiAL AND PUBLISHING POLICIES

The National Catholic Bioethics Quarterly follows the editorial policies recommended by the International Committee of Medical Journal Editors (ICMJE). The NCBQ has adopted the wording found in the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals with some minor adjustments:

Editorial Freedom

The editor in chief of the NCBQ has full authority over the entire editorial content of the journal and the timing of publication of that content. The National Catholic Bioethics Center (NCBC) does not interfere in the evaluation, selection, scheduling, or editing of individual articles either directly or by creating an environment that strongly influences decisions. Editorial decisions are based on the quality of the work and its importance to the NCBQ’s readers, not on the commercial implications for the journal.

The editor in chief has the final say in decisions about which advertisements or sponsored content, including supplements, the journal will and will not carry, and he or she has final say in use of the journal brand and in overall policy regarding commercial use of journal content. The NCBQ has established an independent editorial advisory board to help the editor establish and maintain editorial policy.

The editorial staff members of the NCBQ defend the confidentiality of authors and peer-reviewers (names and reviewer comments) in accordance with ICMJE policy (see Recommendations, section II C.2.a).

Confidentiality

Manuscripts submitted to the NCBQ are privileged communications that are authors’ private, confidential property, and authors may be harmed by premature disclosure of any or all of a manuscript’s details.

 The editorial staff members therefore will not share information about manuscripts, including whether they have been received and are under review, their content and status in the review process, criticism by reviewers, and their ultimate fate, to anyone other than the authors and reviewers. Requests from third parties to use manuscripts and reviews for legal proceedings will be politely refused, and the editor in chief will do his or her best not to provide such confidential material should it be subpoenaed.

Reviewers should keep manuscripts, associated material, and the information they contain strictly confidential. Reviewers and editorial staff members must not publicly discuss the authors’ work, and reviewers must not appropriate authors’ ideas before the manuscript is published. Reviewers must not retain the manuscript for their personal use and should destroy paper copies of manuscripts and delete electronic copies after submitting their reviews.

When a manuscript is published, the NCBQ will keep copies of the original submission, reviews, revisions, and correspondence to help answer future questions about the work should they arise.

The editors will not publish or publicize peer reviewers’ comments without permission of the reviewer and author. The identity of a reviewer will not be revealed to the author or anyone else without the reviewers’ expressed written permission.

Confidentiality may have to be breached if dishonesty or fraud is alleged, but editors will notify authors or reviewers if they intend to do so.

Peer Review

(See the chart of NCBC peer review here.)

The NCBQ policy on peer review can be viewed here.

Conflicts of Interest

The NCBQ policy on conflicts of interest can be viewed here.

Protection of Research Participants

The NCBQ policy on protecting research participants can be viewed here.

Clinical Trials

Registration 

Clinical trials must be registered in a public trials registry at or before the time of first patient enrollment as a condition of consideration for publication. The NCBQ uses the date trial registration materials were first submitted to a registry as the date of registration.

A clinical trial is defined as any research project that prospectively assigns people or a group of people to an intervention, with or without concurrent comparison or control groups, to study the relationship between a health-related intervention and a health outcome. Health-related interventions are those used to modify a biomedical or health-related outcome; examples include drugs, surgical procedures, devices, behavioral treatments, educational programs, dietary interventions, quality improvement interventions, and process-of-care changes. Health outcomes are any biomedical or health-related measures obtained in patients or participants, including pharmacokinetic measures and adverse events. The NCBQ does not define the timing of first participant enrollment, but best practice dictates registration by the time of first participant consent.

The NCBQ accepts publicly accessible registration in any registry that is a primary register of the WHO International Clinical Trials Registry Platform (ICTRP) or in ClinicalTrials.gov, which is a data provider to the WHO ICTRP. The NCBQ endorses these registries because they meet several criteria. They are accessible to the public at no charge, are open to all prospective registrants, are managed by a not-for-profit organization, have a mechanism to ensure the validity of the registration data, and are electronically searchable. An acceptable registry must include the minimum 21-item trial registration dataset such as the International Clinical Trials Registry Platform at the time of registration and before enrollment of the first participant. The NCBQ considers inadequate trial registrations missing any of the 21 data fields, those that have fields that contain uninformative information, or registrations that are not made publicly accessible such as phase I trials submitted to the EU-CTR and trials of devices for which the information is placed in a “lock box.” In order to comply with NCBQ policy, investigators registering trials of devices at ClinicalTrials.gov must “opt out” of the lock box by electing public posting prior to device approval. Although not a required item, the NCBQ encourages authors to include a statement that indicates that the results have not yet been published in a peer-reviewed journal, and to update the registration with the full journal citation when the results are published.

The purpose of clinical trial registration is to prevent selective publication and selective reporting of research outcomes, to prevent unnecessary duplication of research effort, to help patients and the public know what trials are planned or ongoing into which they might want to enroll, and to help give ethics review boards considering approval of new studies a view of similar work and data relevant to the research they are considering. Retrospective registration, for example at the time of manuscript submission, meets none of these purposes. Those purposes apply also to research with alternative designs, for example observational studies. For that reason, the NCBQ encourages registration of research with non-trial designs, but because the exposure or intervention in non-trial research is not dictated by the researchers, the NCBQ does not require it.

Secondary data analyses of primary (parent) clinical trials should not be registered as separate clinical trials, but instead should reference the trial registration number of the primary trial.

The NCBQ expects authors to ensure that they have met the requirements of their funding and regulatory agencies regarding aggregate clinical trial results reporting in clinical trial registries. It is the authors’, and not the journal editors’, responsibility to explain any discrepancies between results reported in registries and journal publications. The NCBQ will not consider as prior publication the posting of trial results in any registry that meets the above criteria if results are limited to a brief (500 word) structured abstract or tables (to include trial participants enrolled, baseline characteristics, primary and secondary outcomes, and adverse events).

The trial registration number will be printed at the end of the abstract. Whenever a registration number is available, authors should list this number the first time they use a trial acronym to refer either to the trial they are reporting or to other trials that they mention in the manuscript.

The editors will consider whether the circumstances involved in a failure to appropriately register a clinical trial were likely to have been intended to or resulted in biased reporting. Because of the importance of prospective trial registration, if an exception to this policy is made, trials must be registered and the authors should indicate in the publication when registration was completed and why it was delayed. Such exceptions should be rare, and that authors failing to prospectively register a trial risk its inadmissibility to the NCBQ.

Data Sharing

  1. As of 1 July 2019, manuscripts submitted to the NCBQ that report the results of clinical trials must contain a data sharing statement as described below.

  2. Clinical trials that begin enrolling participants on or after 1 January 2019 must include a data sharing plan in the trial’s registration. The NCBQ follows the ICMJE’s policy regarding trial registration, which is is explained at www.icmje.org/recommendations/browse/ publishing-and-editorial-issues/clinical-trial-registration.html. If the data sharing plan changes after registration, this should be reflected in the statement submitted and published with the manuscript, and updated in the registry record.

Data sharing statements must indicate the following: whether individual de-identified participant data (including data dictionaries) will be shared (“undecided” is not an acceptable answer); what data in particular will be shared; whether additional, related documents will be available (e.g., study protocol, statistical analysis plan, etc.); when the data will become available and for how long; by what access criteria data will be shared (including with whom, for what types of analyses, and by what mechanism).

Authors of secondary analyses using shared data must attest that their use was in accordance with the terms (if any) agreed to upon their receipt. They must also reference the source of the data using its unique, persistent identifier to provide appropriate credit to those who generated it and allow searching for the studies it has supported. Authors of secondary analyses must explain completely how theirs differ from previous analyses. In addition, those who generate and then share clinical trial data sets deserve substantial credit for their efforts. Those using data collected by others should seek collaboration with those who collected the data. As collaboration will not always be possible, practical, or desired, the efforts of those who generated the data must be recognized.

Reporting Guidelines

Reporting guidelines have been developed for different study designs; examples include CONSORT for randomized trials, STROBE for observational studiesPRISMA for systematic reviews and meta-analyses, and STARD for studies of diagnostic accuracy. Journals are encouraged to ask authors to follow these guidelines because they help authors describe the study in enough detail for it to be evaluated by editors, reviewers, readers, and other researchers evaluating the medical literature. Authors of review manuscripts are encouraged to describe the methods used for locating, selecting, extracting, and synthesizing data; this is mandatory for systematic reviews. Good sources for reporting guidelines are the EQUATOR Network and the NLM’s Research Reporting Guidelines and Initiatives.

Timeliness of Publication Process

The editorial staff members will do all they can to ensure timely processing of manuscripts with the resources available to them, and any planned delays should be negotiated with the authors. If the NCBQ has no intention of proceeding with a manuscript, the author will be notified as soon as possible to allow him or her to submit to a different journal. 

Misconduct, Expression of Concern, and Retraction

Misconduct includes but is not necessarily limited to data fabrication; data falsification, including deceptive manipulation of images; purposeful failure to disclose conflicts of interest; and plagiarism.

When misconduct is alleged, or concerns are otherwise raised about the conduct or integrity of work described in submitted or published papers, the editor in chief will initiate appropriate procedures. If the investigation proves misconduct, a retraction of the article may be published. There may be circumstances in which no misconduct is proven, but an exchange of letters to the editor could be published to highlight matters of debate to readers.

Expressions of concern and retractions will be prominently labelled online and in-print. Online retractions will be linked with the original article in both directions, and the retracted article will be clearly labelled as retracted in all its forms. Retracted articles should remain in the public domain and be clearly labelled as retracted. The integrity of research may also be compromised by inappropriate methodology that could lead to retraction.

Defining the Role of Authors

Authorship is based on the following four criteria: (1) substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; (2) drafting the work or revising it critically for important intellectual content; (3) final approval of the version to be published; and (4) agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Those who do not meet all four criteria are considered contributors and may be acknowledged for writing assistance, technical editing, language editing, and proofreading. Because acknowledgment may imply endorsement, the corresponding author must obtain written permission to be acknowledged from all acknowledged individuals.

References

Authors should provide direct references to original research sources whenever possible. References should not be used by authors, editors, or peer reviewers to promote self-interests. Although references to review articles can be an efficient way to guide readers to a body of literature, review articles do not always reflect original work accurately. On the other hand, extensive lists of references to original work on a topic can use excessive space. Fewer references to key original papers often serve as well as more exhaustive lists, particularly since references can now be added to the electronic version of published papers, and since electronic literature searching allows readers to retrieve published literature efficiently.

When possible, the NCBQ check the accuracy of all reference citations using either an electronic bibliographic source, such as PubMed, or print copies from original sources.

Contributor’s Publishing Agreement

Copyright Assignment

The author grants and assigns the entire copyright for the contribution to the NCBC for its exclusive use. The copyright consists of any and all rights of whatever kind or nature now or hereafter protected by the copyright laws of the United States and of all foreign countries, in all languages and forms of communication, and the NCBC shall be the sole proprietor thereof. The NCBC, in turn, grants to the author the right to reprint the contribution in any book of which he or she is the author or editor, subject to he or she giving proper credit in the book to the original publication of the contribution in the NCBQ. To protect the copyright in the contribution, the original copyright notice as it appears in the NCBQ should be included in the credit.

Warranty

The author warrants that the contribution is original with him or her; that it contains no matter which is defamatory or is otherwise unlawful or which invades individual privacy or infringes any proprietary right or any statutory copyright; and he or she agrees to indemnify and hold the NCBC harmless against any claim to the contrary. Further, the author warrants that he or she has the right to assign the copyright to the NCBC and that no portion of the copyright to the contribution has been assigned previously. It is understood that the copyright to the contribution has not been registered with the Library of Congress, but that in the event such registration has taken place the author will promptly transfer the copyright to the NCBC.

Previous Publication and Permission

The author warrants that the contribution has not been published elsewhere in whole or in substantial part (except as may be set out in a rider and signed by the NCBC) and that no agreement to publish is outstanding. Should the contribution contain material which requires written permission for inclusion in the contribution, such permission shall be obtained at the author’s own expense from the copyright proprietor and submitted for review to the editor in chief of the NCBQ with the manuscript.

Proofhandling

The author will be given an opportunity to read and correct the edited manuscript and/or proofs, but if he or she fails to return them to the NCBQ by the date set by the editorial staff members, production and publication may proceed without his or her corrections.

Subsidiary Rights and Compensation

It is understood that the author will receive no monetary compensation from the NCBC for the assignment of copyright and publication of the contribution in the NCBQ. However, fees received from licenses to reprint the contribution in readers, anthologies, and/or textbooks will be divided equally between the author and the press. The author will receive no monetary compensation for other licenses which may be granted for the use of his or her contribution, nor will the author receive any share of fees amounting to $50.00 or less. The author’s share of fees collected by the NCBC will be paid to him or her (in the case of joint authors, to the first named) within three months of receipt.

Open Access and Author Archiving

All articles published in the NCBQ are archived at the Philosophy Documentation Center.

Reprints and Permissions

The preprint is the submitted manuscript (in word-processing format) as it was before peer review. The post-print is the manuscript after peer review and author revisions but before production work has been done on it. The published article has the look of the journal. It has been checked for accuracy, copyedited, corrected, typeset, proofread, and given final approval by the author and editor. Page proofs are an earlier typeset version; they resemble a published article but are likely to contain errors and do not show the correct page numbers. Page proofs (like the edited manuscript) are only for the author’s use during production; they may not be posted, distributed, or used in any other way or for any other purpose.

A preprint or post-print with full acknowledgment includes the NCBQ’s copyright notice and a notice stating that the article has been accepted for publication or has already been published in the NCBQ. On request, the NCBQ publications department will provide the author with (1) a preprint or post-print with full acknowledgment, (2) the published article, and (3) written permission for uses that require it.

Preprint or post-print manuscripts may be used in a class the author teaches and copies given to students, presented at a meeting or conference and copies given to other attendees, shared with colleagues for their research, included in a later publication of the author’s, included in the author’s thesis or dissertation, reused for extracts, or used as part of a derivative noncommercial work. Preprint or post-print manuscripts may be posted on preprint servers and posted for scholarly purposes on the author’s personal website or the website of his or her institution with full acknowledgement to the NCBQ. Preprint or post-print manuscripts may be deposited in subject-oriented or centralized repositories only with specific agreement between the NCBQ and the repository. Preprint or post-print manuscripts may be used for posted for commercial gain or used in a way that substitutes for services provided directly by the journal only with written permission from the NCBQ.

Published articles may be used in a class the author teaches and copies given to students, presented at a meeting or conference and copies given to other attendees, shared with colleagues for their research, included in a later publication of the author’s, included in the author’s thesis or dissertation, reused for extracts, or used as part of a derivative noncommercial work. Published articles may not be posted on reprint servers. Published articles may be deposited in subject-oriented or centralized repositories only with specific agreement between the NCBQ and the repository. Published articles may be posted for scholarly purposes on the author’s personal website or the website of his or her institution, used for posted for commercial gain, or used in a way that substitutes for services provided directly by the journal only with written permission from the NCBQ.

NCBQ Peer Review Process

1. Manuscript Submission

In general, authors submit manuscripts via email. Submission guidelines can be found here.

2. Assessment by Editor in Chief (EIC)

The manuscript is assessed by the editor in chief to ensure it is of high quality and on a relevant subject that is not overrepresented in the National Catholic Bioethics Quarterly.

3. Ethicist Review (Optional)

The manuscript may be sent to an ethicist at The National Catholic Bioethics Center for his or her opinion on its merits.

4. EIC Assessment of Ethicist Review

The editor in chief reviews the ethicist’s comments and suggestions before deciding whether to send the manuscript for peer review.

5. Peer Review

The manuscript is sent to a reviewer with expertise on the subject matter, who evaluates the strengths and limitations of the article and provides the editor in chief with his or her assessment of the paper’s merits. This includes evaluating the author’s argument for soundness and clarity; eliminating unsupported claims, factual errors, and gaps in the research or reasoning; and providing solutions for addressing weaknesses. The peer-review process in double-blind, that is, the reviewer does not know the identity of the author and vice versa. If a peer reviewer recommends that a manuscript be rejected, the author will be given the opportunity to revise his or her manuscript for re-review.

6. EIC Assessment of Peer Review

The editor in chief reviews the peer reviewer’s comments and suggestions before deciding whether to send the manuscript back to the author for revision or to accept it for publication. If the reviewer recommends that a revised manuscript be rejected, the editor in chief may send the manuscript to a second reviewer before making a final decision regarding publication.

7. Manuscript Sent to Production

The manuscript is sent to the editorial staff, who fact-check and edit the work.

Conflicts of Interest

The National Catholic Bioethics Quarterly follows the recommendations of the International Committee of Medical Journal Editors regarding conflicts of interest:

Public trust in the scientific process and the credibility of published articles depend in part on how transparently conflicts of interest are handled during the planning, implementation, writing, peer review, editing, and publication of scientific work.

A conflict of interest exists when professional judgment concerning a primary interest (such as patients' welfare or the validity of research) may be influenced by a secondary interest (such as financial gain). Perceptions of conflict of interest are as important as actual conflicts of interest.

Financial relationships (such as employment, consultancies, stock ownership or options, honoraria, patents, and paid expert testimony) are the most easily identifiable conflicts of interest and the most likely to undermine the credibility of the journal, the authors, and of science itself. However, conflicts can occur for other reasons, such as personal relationships or rivalries, academic competition, and intellectual beliefs. Authors should avoid entering in to agreements with study sponsors, both for-profit and non-profit, that interfere with authors’ access to all of the study’s data or that interfere with their ability to analyze and interpret the data and to prepare and publish manuscripts independently when and where they choose. Authors may be required to provide the journal with the agreements in confidence.

Purposeful failure to disclose conflicts of interest is a form of misconduct, as is discussed in section III.B [of the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals.

Participants

All participants in the peer-review and publication process—not only authors but also peer reviewers, editors, and editorial board members of journals—must consider their conflicts of interest when fulfilling their roles in the process of article review and publication and must disclose all relationships that could be viewed as potential conflicts of interest.

Authors

When authors submit a manuscript of any type or format they are responsible for disclosing all financial and personal relationships that might bias or be seen to bias their work. The ICMJE has developed a Form for Disclosure of Conflicts of Interest to facilitate and standardize authors’ disclosures. ICMJE member journals require that authors use this form, and ICMJE encourages other journals to adopt it.

Peer Reviewers

Reviewers should be asked at the time they are asked to critique a manuscript if they have conflicts of interest that could complicate their review. Reviewers must disclose to editors any conflicts of interest that could bias their opinions of the manuscript, and should recuse themselves from reviewing specific manuscripts if the potential for bias exists. Reviewers must not use knowledge of the work they’re reviewing before its publication to further their own interests.

Editors and Journal Staff

Editors who make final decisions about manuscripts should recuse themselves from editorial decisions if they have conflicts of interest or relationships that pose potential conflicts related to articles under consideration. Other editorial staff members who participate in editorial decisions must provide editors with a current description of their financial interests or other conflicts (as they might relate to editorial judgments) and recuse themselves from any decisions in which a conflict of interest exists. Editorial staff must not use information gained through working with manuscripts for private gain. Editors should publish regular disclosure statements about potential conflicts of interests related to their own commitments and those of their journal staff. Guest editors should follow these same procedures.

Journals should take extra precautions and have a stated policy for evaluation of manuscripts submitted by individuals involved in editorial decisions. Further guidance is available from COPE and WAME.

Reporting Conflicts of Interest

Articles should be published with statements or supporting documents, such as the ICMJE conflict of interest form, declaring:

  • Authors’ conflicts of interest; and

  • Sources of support for the work, including sponsor names along with explanations of the role of those sources if any in study design; collection, analysis, and interpretation of data; writing of the report; the decision to submit the report for publication; or a statement declaring that the supporting source had no such involvement; and

  • Whether the authors had access to the study data, with an explanation of the nature and extent of access, including whether access is on-going.

To support the above statements, editors may request that authors of a study sponsored by a funder with a proprietary or financial interest in the outcome sign a statement, such as “I had full access to all of the data in this study and I take complete responsibility for the integrity of the data and the accuracy of the data analysis.”

Protection of Research Participants

The National Catholic Bioethics Quarterly follows the recommendations of the International Committee of Medical Journal Editors regarding the protection of research participants:

Protection of Research Participants. All investigators should ensure that the planning conduct and reporting of human research are in accordance with the Helsinki Declaration as revised in 2013. All authors should seek approval to conduct research from an independent local, regional, or national review body (e.g., ethics committee, institutional review board). If doubt exists whether the research was conducted in accordance with the Helsinki Declaration, the authors must explain the rationale for their approach and demonstrate that the local, regional, or national review body explicitly approved the doubtful aspects of the study. Approval by a responsible review body does not preclude editors from forming their own judgment whether the conduct of the research was appropriate.

Patients have a right to privacy that should not be violated without informed consent. Identifying information, including names, initials, or hospital numbers, should not be published in written descriptions, photographs, or pedigrees unless the information is essential for scientific purposes and the patient (or parent or guardian) gives written informed consent for publication. Informed consent for this purpose requires that an identifiable patient be shown the manuscript to be published. Authors should disclose to these patients whether any potential identifiable material might be available via the Internet as well as in print after publication. Patient consent should be written and archived with the journal, the authors, or both, as dictated by local regulations or laws. Applicable laws vary from locale to locale, and journals should establish their own policies with legal guidance. Since a journal that archives the consent will be aware of patient identity, some journals may decide that patient confidentiality is better guarded by having the author archive the consent and instead providing the journal with a written statement that attests that they have received and archived written patient consent.

Nonessential identifying details should be omitted. Informed consent should be obtained if there is any doubt that anonymity can be maintained. For example, masking the eye region in photographs of patients is inadequate protection of anonymity. If identifying characteristics are de-identified, authors should provide assurance, and editors should so note, that such changes do not distort scientific meaning.

The requirement for informed consent should be included in the journal’s instructions for authors. When informed consent has been obtained, it should be indicated in the published article.

When reporting experiments on animals, authors should indicate whether institutional and national standards for the care and use of laboratory animals were followed. Further guidance on animal research ethics is available from the International Association of Veterinary Editors’ Consensus Author Guidelines on Animal Ethics and Welfare.