The Journal of Bone and Joint Surgery (American). 2009;91:61-67.
doi:10.2106/JBJS.H.01538
© 2009 The Journal of Bone and Joint Surgery, Inc.
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Authorship and Ethical Considerations in the Conduct of Observational Studies

Paul Tornetta, III, MD1, Jodi Siegel, MD1, Paula McKay, BSc2 and Mohit Bhandari, MD, MSc, FRCSC2

1 Department of Orthopaedic Surgery, Boston University Medical Center, 850 Harrison Avenue, Boston, MA 02118. E-mail address for P. Tornetta III: ptornetta{at}pol.net
2 Division of Orthopaedic Surgery, Department of Surgery and Department of Clinical Epidemiology and Biostatistics, McMaster University, 293 Wellington Street North, Suite 110, Hamilton, ON L8L 2X2, Canada

Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.


Surgeons who participate in research studies frequently struggle with a number of challenges when determining authorship of the publications that arise from their research. Furthermore, new concerns relating to who receives credit and who takes responsibility have emerged with the increase in multicenter research collaborations. This paper provides a discussion of the importance of authorship and outlines a number of ethical issues that commonly arise when determining the author byline. We also present some strategies, such as publishing under group authorship, listing individual author contributions, and revising the mechanism for acknowledging nonauthor contributions, that have the potential to improve authorship and publication practices.


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