Evidence for non‐random sampling in randomised, controlled trials by Yuhji Saitoh
Open accessAbstract
Summary: A large number of randomised trials authored by Yoshitaka Fujii have been retracted, in part as a consequence of a previous analysis finding a very low probability of random sampling. Dr Yuhji Saitoh co‐authored 34 of those trials and he was corresponding author for eight of them. We found a number of additional randomised, controlled trials that included baseline data, with Saitoh as corresponding author, that Fujii did not co‐author. We used Monte Carlo simulations to analyse the baseline data from 32 relevant trials in total as well as an outcome (muscle twitch recovery ratios) reported in several. We also compared a series of muscle twitch recovery graphs appearing in a number of Saitoh's publications. The baseline data in 14/32 randomised, controlled trials had p < 0.01, of which seven p values were < 0.001. Eight trials reported four ratios of the time for the return of muscle activity after neuromuscular blockade, the distributions of which were homogeneous: the p values for the observed Q statistics were 0.0055, 0.031, 0.016 and 0.0071. Comparison of graphs revealed multiple coincident or near‐coincident curves across a large number of publications, a finding also inconsistent with random sampling. Combining the continuous and categorical probabilities of the 32 included trials, we found a very low likelihood of random sampling: p = 1.27 × 10 −8 (1 in 100,000,000). The high probability of non‐random sampling and the repetition of lines in multiple graphs suggest that further scrutiny of Saitoh's work is warranted.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The same approach has been used to investigate trials published by Yuhji Saitoh, a co-author of Dr Fujii, and formed a component of the investigation of his work.
“The same approach has been used to investigate trials published by Yuhji Saitoh, a co-author of Dr Fujii, and form a component of the investigation of his work [4].”
From Data fabrication and other reasons for non‐random sampling in 5087 randomised, controlled trials in anaesthetic and general medical journals (2017) · cites this paper as [4]
The trials published by Yuhji Saitoh were identified as problematic by Carlisle and colleagues.
“I used the trials published by Yuhji Saitoh which were identified as problematic by Carlisle and colleagues. 22”
From Automated detection of over- and under-dispersion in baseline tables in randomised controlled trials. (2022) · cites this paper as [22]
A limitation of GRIMMER software is that it only works for sample sizes of 99 or less.
“A limitation of the software is that it only works for a sample size of 99 or less.”
From Assessing Research Misconduct in Randomized Controlled Trials (2021) · cites this paper as [21]
The GRIMMER test assesses whether reported measures of variability are possible given the sample size and granularity.
“The GRIMMER (Granularity-Related Inconsistency of Means Mapped to Error Repeats) test allows for testing whether reported measures of variability are possible by assessing whether a reported statistic is consistent with the sample size and granularity.20,21”
From Assessing Research Misconduct in Randomized Controlled Trials (2021) · cites this paper as [21]
GRIMMER can test variances, standard deviations, and standard errors.
“This method can test variances, SDs, and standard errors.”
From Assessing Research Misconduct in Randomized Controlled Trials (2021) · cites this paper as [21]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
1 retracted
Ochmann, C., Tuschy, B., Beschmann, R., Hamm, F., Röhm, K. D., & Piper, S. N. (2010) · European Journal of Anaesthesiology · doi:10.1097/eja.0b013e32833b04e4 · Cited by 19 · see citing works
RetractedThe analysis of 168 randomised controlled trials to test data integrity
Carlisle, J. B. (2012) · Anaesthesia · doi:10.1111/j.1365-2044.2012.07128.x · Cited by 255 · see citing works
Self-citationWise, J. (2013) · BMJ · doi:10.1136/bmj.f1738 · Cited by 110 · see citing works
Carlisle, J. B., Dexter, F., Pandit, J. J., Shafer, S. L., & Yentis, S. M. (2015) · Anaesthesia · doi:10.1111/anae.13126 · Cited by 87 · see citing works
Self-citationExtreme between-study homogeneity in meta-analyses could offer useful insights
Ioannidis, J. P. A., Trikalinos, T. A., & Zintzaras, E. (2006) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2006.02.013 · Cited by 58 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [4]4. External Announcements, Fujii case. http://onlinelibrary.wiley. com/journal/10.1111/(ISSN)1365-2044/homepage/-_research_ misconduct.htm (accessed 15/06/2016). · DOI
Cited by
Sorted by citations
Carlisle, J. B. (2017) · Anaesthesia · doi:10.1111/anae.13938 · Cited by 229 · see citing works
Self-citationCarlisle, J. B. (2021) · Anaesthesia · doi:10.1111/anae.15263 · Cited by 173 · see citing works
Self-citationCheck for publication integrity before misconduct
Grey, A., Bolland, M. J., Avenell, A., Klein, A. A., & Gunsalus, C. K. (2020) · Nature · doi:10.1038/d41586-019-03959-6 · Cited by 114 · see citing works
Methods to assess research misconduct in health-related research: A scoping review
Bordewijk, E. M., Li, W., van Eekelen, R., Wang, R., Showell, M., Mol, B. W., & van Wely, M. (2021) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2021.05.012 · Cited by 68 · see citing works
Data integrity of 35 randomised controlled trials in women' health
Bordewijk, E. M., Wang, R., Askie, L. M., Gurrin, L. C., Thornton, J. G., van Wely, M., Li, W., & Mol, B. W. (2020) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2020.04.016 · Cited by 66 · see citing works
Hundreds of thousands of zombie randomised trials circulate among us
Ioannidis, J. P. A. (2021) · Anaesthesia · doi:10.1111/anae.15297 · Cited by 76 · see citing works
Integrity of randomized controlled trials: challenges and solutions
Li, W., van Wely, M., Gurrin, L., & Mol, B. W. (2020) · Fertility and Sterility · doi:10.1016/j.fertnstert.2020.04.018 · Cited by 49 · see citing works
Assessing Research Misconduct in Randomized Controlled Trials
Li, W., Bordewijk, E. M., & Mol, B. W. (2021) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000004513 · Cited by 37 · see citing works
Bolland, M. J., Gamble, G. D., Avenell, A., & Grey, A. (2019) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2019.03.001 · Cited by 31 · see citing works
An appraisal of the Carlisle-Stouffer-Fisher method for assessing study data integrity and fraud
Mascha, E. J., Vetter, T. R., & Pittet, J.-F. (2017) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000002415 · Cited by 30 · see citing works
Hüllemann, S., Schüpfer, G., & Mauch, J. (2017) · Der Anaesthesist · doi:10.1007/s00101-017-0333-1 · Cited by 25 · see citing works
Bordewijk, E. M., Wang, R., van Wely, M., Costello, M. F., Norman, R. J., Teede, H., Gurrin, L. C., Mol, B. W., & Li, W. (2020) · Human Reproduction Update · doi:10.1093/humupd/dmaa031 · Cited by 18 · see citing works
Detection of data fabrication using statistical tools
Hartgerink, C. H. J., Voelkel, J. G., Wicherts, J. M., & van Assen, M. A. L. M. (2019) · doi:10.31234/osf.io/jkws4 · Cited by 16 · see citing works
Seeking and reporting apparent research misconduct: errors and integrity
Kharasch, E. D., & Houle, T. T. (2018) · Anaesthesia · doi:10.1111/anae.14147 · Cited by 15 · see citing works
Errors and Integrity in Seeking and Reporting Apparent Research Misconduct
Kharasch, E. D., & Houle, T. T. (2017) · Anesthesiology · doi:10.1097/aln.0000000000001875 · Cited by 15 · see citing works
How a data detective exposed suspicious medical trials.
Adam, D. (2019) · Nature · doi:10.1038/d41586-019-02241-z · Cited by 12 · see citing works
Fabricated data – should we quarantine? A novel tool for risk assessment is proposed
Gupta, J. K. (2020) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2020.04.020 · Cited by 9 · see citing works
Assessing the scientific integrity of the collected work of one author or author group
Nielsen, J., Bordewijk, E. M., Gurrin, L. C., Shivantha, S., Flanagan, M., Liu, S., Linn, M. M., Zhou, K. X., van Eekelen, R., Brown, N. J. L., et al. (2025) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2024.111603 · Cited by 10 · see citing works
Barnett, A. (2022) · F1000Research · doi:10.12688/f1000research.123002.1 · Cited by 7 · see citing works
Au, L. S., Qu, L., Nielsen, J., Ge, Z., Gurrin, L. C., Mol, B. W., & Wang, R. (2025) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2025.111672 · Cited by 5 · see citing works
- Authors
- Carlisle, J. B., & Loadsman, J. A.
- Affiliations
- Torbay Hospital (GB)
- The University of Sydney (AU)
- Corresponding author
- Carlisle, J. B.
- Venue
- Anaesthesia
- Publisher
- Wiley
- Published
- 2016-12-18
- Volume
- 72
- Issue
- 1
- Pages
- 17-27
- ISSN
- 0003-2409 (ISSN-L)
- 1365-2044
- OpenAlex
- W2566467546
- Semantic Scholar
- 5f76e10c8e2cd2f644f5f3982499a330114f4b33
- Cited by
- 64
- References
- 5
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 7 · 2023: 3 · 2022: 4 · 2021: 7 · 2020: 8 · 2019: 8 · 2018: 5 · 2017: 12 · 2016: 1
- FWCI
- 21.96
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Anaesthesia (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Safety Research › Academic integrity and plagiarism
- Physical Sciences › Mathematics › Statistics and Probability › Benford’s Law and Fraud Detection
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmaceutical industry and healthcare
- Keywords
- non-probability sampling, randomized controlled trials, corresponding authorship, baseline data, p-values, neuromuscular blockade, q-statistics, research integrity
- MeSH terms
- Adult, Data Interpretation, Statistical, Female, Humans, Male, Middle Aged, Monte Carlo Method, Random Allocation, Research Design, Scientific Misconduct, Randomized Controlled Trials as Topic, Neuromuscular Blockade
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review