Publication bias poses a threat to the validity of medical research. It is
unlikely that conventional paper journals can solve the problem of selectiv
e publication of studies with striking results because of their space limit
ation and need to be newsworthy. Peer-reviewed electronic journals without
limitation of space might provide a solution to this paradox. To maintain t
he integrity of medical publication, editorial policy needs to be changed t
o accept clinical trials for publication, based only on the methodological
criteria and not on the impact of their findings.