Cochrane Collaboration ta wallafa sharhi mai tsari kan tasirin ayyukan kula da lafiya. Ni ɗaya ne daga cikin waɗanda suka kafa kamfanin amma an kore ni bayan shekaru 25, a watan Satumba na 2018, na zama mutum ɗaya tilo da aka taɓa korar.
An yi Allah wadai da ayyukan Cochrane sosai a cikin manyan mujallu, misali a cikin Science, Nature, da Lancet, da kuma cikin BMJ1 wanda Babban Editan ya rubuta cewa ya kamata Cochrane ta himmatu wajen ɗaukar nauyin masana'antu da cibiyoyin ilimi, kuma korar da aka yi min ta nuna "bambancin ra'ayi mai zurfi game da yadda kusancin masana'antu ya yi yawa."2
Masanin binciken likitanci da aka fi ambato a duniya, Farfesa John Ioannidis daga Stanford, ya buga wani kakkausar suka game da "kisan gillar da Cochrane ya yi min", yana mamakin ko Cochrane ya yi shiru da "babban mutum mai manyan gudummawa ga maganin da aka dogara da shaida" saboda an sace shi.3
Na buga littattafai biyu game da wannan al'amari4,5 kuma wani sharhin littafin ya ce:6 "Wannan littafin ya yi bayani dalla-dalla game da wannan lokaci mai duhu a fannin kimiyyar likitanci inda wata cibiya da aka amince da ita a da ta gudanar da daya daga cikin mafi munin gwaje-gwajen da aka taba yi a fannin ilimi. Shugaban kamfanin da abokan aikinsa sun gudanar da aikinsu ta hanyar da ta yi kama da yadda masana'antar magunguna ke aiki."
Rushewar Cochrane ta fara ne a shekarar 2012, lokacin da ɗan jaridar Burtaniya Mark Wilson ya zama shugaban kamfanin. Abin da ya ɓata wa shugabannin Cochrane rai,4,5 ya jagoranci babbar Cochrane Titanic zuwa ga dutsen kankara wanda zai nutsar da mu duka,7 kamar yadda ya lalata tsohon wurin aikinsa, Panos da ke Landan.5
Na yi ƙoƙarin hana hakan kuma an zaɓe ni a Hukumar Gudanarwa a watan Janairun 2017 da mafi yawan ƙuri'u, duk da cewa ni kaɗai ce daga cikin 'yan takara 11 da suka soki shugabannin a cikin sanarwar zaɓen da na yi.8
Lokacin da na zama barazana ga Wilson, ya shirya kashe ni. Yana da cikakken iko a kan Hukumar Gudanarwa, kuma a cikin wani tsari na Kafkaesque, shi da shugabannin hukumar guda biyu, Martin Burton da Marguerite Koster, sun karya dukkan ƙa'idodi masu mahimmanci ga ƙungiyoyin agaji da kuma Cochrane kuma sun yi ƙarya don kare ayyukansu.4,5 Burton, wanda, kamar sauran mutane da yawa, yana jin tsoron Wilson, wanda shine shugabansa, shine mai aiwatar da hukuncin kisa.4,5
Makircin Wilson ya ƙunshi cewa Burton ya tattara rahoto ga wani lauya da Cochrane ya ɗauke shi aiki, wanda ake kira Lauya, game da zargin aikata laifukan da na yi a cikin shekaru 25 da na yi tare da Cochrane, kuma hukumar ta yi amfani da rahoton Lauya don korar ni.
Amma akwai matsala. Rahoton lauya ya wanke ni.9 Bai ga dalilin da zai yi min horo ba, wanda abin mamaki ne domin Burton, a cikin rahotonsa ga Lauyan, ya yi ƙarya a fili. Har ma ya kira shi "zargi" cewa wasu membobin kwamitin sun shaida cewa Wilson ya yi fushi gaba ɗaya a lokacin taron kwamitin kuma ya fara nuna ƙarfin hali ga wani memba na kwamitin.4,5
Gwajin Nunin Sirri
An ba ni mintuna 5 kacal don in kare kaina kafin a nemi in fita daga ɗakin kwamitin gudanarwa. Saboda haka ban iya gyara rashin fahimta da ƙarya da aka yi mini ba a sauran ranar.
Duk da haka, na tabbatar, bisa ga dokokinmu, cewa an yi rikodin taron - wanda aka shirya a ɓoye kuma ba a yi rikodinsa ba - kuma wani memba na kwamitin ya ba ni kwafin rikodinsa, duk da cewa Wilson ya nemi kowa ya goge su. Sun bayyana cewa Burton da Koster sun yi ƙarya ta mugunta don shawo kan kwamitin ya kore ni.4,5
Burton ya yi magana game da ɗabi'un da suka daɗe suna kawo cikas, rashin kunya, da kuma rashin da'a, rashin bin ƙa'idodi da kuma yin aiki tare, da kuma karya Yarjejeniyar Haɗin gwiwa, waɗanda duk ba gaskiya ba ne. Ya kuma nuna cewa na ci zarafin ma'aikatan Cochrane ta hanyar jima'i: "Don ci gaba da kwatantawa da Ni-Too..." kuma ya yi iƙirarin cewa "zarge-zargen da na yi," waɗanda aka tabbatar da gaskiya ne,10 an tabbatar da cewa rashin kula da Cochrane da kuma rashin kyawun tsarin da Wilson ya yi ba daidai ba ne.
Burton ya yi amfani da "shaidar" da ya shuka kansa,4,5 – Wasikun koke game da ni da abin mamaki suka iso jim kaɗan bayan na gabatar da rahotona ga Lauya10 yana rubuta rashin da'ar Burton game da Cochrane da kuma yadda shi da wata shugabar gwamnati ta baya, Lisa Bero, suka yi amfani da yarjejeniyar taron don kare Wilson da kuma kai min hari.
Burton da Koster sun ce na ci zarafin Wilson da ma'aikatansa kuma na danne su amma gaskiyar magana ita ce ni ne wanda aka zalunta shekaru da yawa bisa umarnin Wilson kuma ma'aikatansa sun tafi da yawa saboda salon mulkinsa na rashin tausayi.4,5 Wilson shi ma ya yi amfani da lokacin taron kuma ya yi ƙarya akai-akai.
Wani bincike mai zaman kansa da aka yi a shekarar 2015 game da aikin Wilson a cikin shekaru uku na farko a ofis ya kasance abin suka ga shugabancinsa.4,5 Lokacin da na nuna masa CV mai ban mamaki, mai cike da kuzari11 ga wani abokin aikinsa, ya yi magana a fili: "Ya manta ya faɗi lokacin da yake kan wata."5
Ɓargadin da Cochrane ya yi na korar ni mummunan hali ne, amma ba su taɓa bayyana menene wannan ba, kuma Lauyan bai nuna irin wannan ɗabi'ar a cikin rahotonsa ba.9 Duk da haka, Wilson ya yi amfani da ikonsa ba bisa ƙa'ida ba ta hanyar bai wa hukumar wa'adin cewa zaɓinsu ya kasance tsakanina da shi duk da cewa taron hukumar ba game da shi ba ne, amma game da ko ya kamata a hukunta ni. Membobin kwamitin guda huɗu sun yi murabus don nuna rashin amincewa kan tsarin da kuma korar da aka yi min.
Ni ɗaya ne daga cikin manyan masu ba da gudummawa ga Cochrane.12 Na kafa babbar cibiyar Cochrane a duniya, Cibiyar Nordic Cochrane a Copenhagen, da kuma cibiyoyin da ke da alaƙa a Norway, Sweden, Finland, Poland, da Rasha; na karɓi aikin haɓaka software daga Oxford kuma na kashe sama da kambin Denmark miliyan 30 akan wannan, wanda ba ni da wani wajibin yi; na taimaka wajen haɓaka hanyar bita ta Cochrane; na yi kira da a ci gaba da nuna gaskiya, 'yancin ilimi, da 'yancin kai; na yi ƙoƙari fiye da kowa don samun kuɗin masana'antu daga Cochrane;12,13 kuma ya buɗe taskar rahotannin binciken asibiti a Hukumar Magunguna ta Turai,14 babban ci gaba ga lafiyar jama'a.
Na rubuta sharhi 19 na Cochrane, a fannoni daban-daban. Da yawa daga cikin sharhin da na yi a tsarin, misali na gwajin mammography, gwajin lafiya gabaɗaya, magungunan kashe ƙwayoyin cuta, tasirin placebo, magungunan tabin hankali, da alluran rigakafin HPV, sun haifar da muhawara ta ƙasa da ƙasa kuma sun ƙalubalanci ƙa'idodin likitanci da suka daɗe suna yaɗuwa.12
Karyace-karyace Masu Ban Dariya a Babban Taron Shekara-shekara na 2018
A taron AGM, Burton ya yi ƙoƙarin bayyana dalilin da ya sa aka kore ni.15 Da yake ba shi da abin da zai bayar, sai ya yi hasashen cewa na ci zarafin ma'aikatan Cochrane ta hanyar lalata. Wani ya rubuta wa hedikwatar Cochrane cewa kamar na yi wa wani fyaɗe ne.5 Wasu kuma sun rubuta cewa "Martin mutum ne mai ban tsoro" kuma "ƙa'idar #metoo ta karkace a cikin neon."
An yi ta'aziyya ga fitattun mutane waɗanda suka mutu tun bayan taron ƙarshe, kuma ɗaya daga cikinsu masanin kidayar jama'a ne Douglas Altman, wani babban mutum mai ilimi. Na buga takardu da yawa tare da Doug fiye da kowa, amma Burton ya yi sanyi sosai. Duk wannan ya shafi jin tausayin masu sauraro game da "hukuncinsa na babban laifi," kamar yadda wani memba na kwamitin ya kira shi.4,5 Burton bai amince da duk wani nasarar da na samu ba amma ya tabbatar da cewa na bar Cochrane cikin kunya.
A lokacin taron majalisar da kuma bayan haka, misali a cikin wasiƙun da aka aika wa hukumar, mutane sun tambaye ni dalilin da ya sa aka kore ni daga hukumar da kuma Cochrane. Ba su sami amsa ba sai dai uzuri game da dalilan shari'a da kuma kare sirri,5 wanda ya nuna cewa sirrin yana da alaƙa da "wadanda aka zalunta" da "mummunan ɗabi'ata." Amma ni kaɗai ne wanda aka zalunta. Kuma tunda babu mata da aka ci zarafinsu ta hanyar jima'i, matsalar sirrin kawai ta shafi ni.
Burton ya yi magana game da "dogon bincike kan munanan halaye da aka maimaita a tsawon shekaru da yawa," amma yayin da binciken bai yi tsawo ba kuma an gabatar da shi cikin gaggawa, Lauyan ya yi la'akari da rahotonsa na farko.9
Burton ya ce "Bitar mai zaman kanta ba ta wanke mutum ba,"16 wanda hakan yana da matuƙar amfani, domin yana nuna laifi a ɓangarena. Lokaci ɗaya da Lauyan ya yi tunanin cewa na yi wani abu ba daidai ba ("Ina tsammanin girmamawa"), shi ne ya yi kuskure domin bai fahimci waɗanne cibiyoyi aka yarda su yi ba.4,5 Duk da kuskurensa, ya kammala da cewa "Ban tabbata ba zai yi daidai a soki PG."9
Burton ya nuna wani zamewa a yayin gabatar da shi tare da kalamai guda huɗu waɗanda duk ƙarya ne:
- Wannan shawarar da Hukumar ta yanke ta ba game da 'yancin faɗar albarkacin baki.
- Yana da ba game da muhawarar kimiyya.
- Yana da ba game da haƙurin rashin amincewa.
- Yana da ba game da wani da ba zai iya sukar Cochrane Review ba.
A wani taron yanar gizo na Cochrane makonni uku bayan haka,5 inda shugabannin ƙungiyar suka yi ƙoƙarin bayyana dalilin da ya sa aka kore ni, suka kira shi mummunan hali kuma ba don amfanin Cochrane ba ne na soki sake duba allurar rigakafin cutar HPV ta Cochrane a cikin wani mujallar likitanci.17 Kuma taron kwamitin sirri ya nuna cewa sukata ta taka muhimmiyar rawa wajen korar ni: "HPV" ya bayyana sau 48 a cikin rubutun.5
Haka kuma a taron yanar gizo, Burton da Koster sun yi ƙarya game da dalilan korar da aka yi min: Sun yi iƙirarin cewa na karya Dokar Ɗabi'ar Amintattu sosai; na sanya muradun kaina a sama da na Cochrane sau da yawa; na wakilci ra'ayoyin kaina kamar na Cochrane ne; kuma na yi amfani da taken Cibiyar don abubuwan da ba na Cochrane ba, wanda suka yi iƙirarin ya lalata amincin Cochrane.
Rahoton lauya bai bayar da goyon baya ga waɗannan zarge-zargen ba.9 Kuma wani zare da ke ikirarin cewa hukumar ta bi tsarin da ya dace yayin bincikenta, shi ma ƙarya ne karara. Takardun da suka fi muhimmanci sun zo a makare har hukumar ba ta da isasshen lokaci don yin nazarin batutuwan kafin su yanke shawarar korar ni. Rahoton lauya ya isa awanni 12 kafin taron, da sauran takardu kwanaki 1.5 da suka gabata. Tsawon takardun ya yi daidai da littattafai uku, kuma membobin hukumar ba su san abin da ke cikinsu ba, domin sun yarda da hujjoji da dama a lokacin shari'ar cewa takardun sun tabbatar da ƙarya.5
Daga baya, shugabannin Cochrane sun ci gaba da yaɗa ƙarya game da dalilin da ya sa aka kore ni, misali a cikin wasiƙu ga mutanen da ke korafi game da korar da aka yi mini, da kuma a cikin wata hira da aka yi da Koster a mujallar.5,18,19
Buƙatata ga Cochrane a 2025
Na ajiye komai a bayana amma a watan Fabrairun 2025, na fara mamakin menene gadon da na bari kuma na nemi "Cochrane Gøtzsche" a Google. Duk abin da ke cikin shafukan farko game da korar da aka yi min ne. Ban san cewa cin zarafin Cochrane zai bar irin wannan babban tarihi ba bayan shekaru bakwai.
Maimakon rubuta game da nasarorin da na samu, 'yan jaridar sun yi nuni ga wata sanarwa mai batanci da Cochrane ta buga a shafinta na yanar gizo a shekarar 2018 wadda ta yi nuni da "halayen da ke ci gaba da kasancewa masu kawo cikas da rashin dacewa... suna lalata aikin ƙungiyar agaji, suna da kuma membobinta."20
Mako guda da ya gabata, Cochrane ya buga wani jawabi mafi muni na batanci, wanda shine rubutun jawabin ƙiyayya da Burton ya yi a taron Majalisar Dokoki na ƙasa kwanaki huɗu bayan korar da aka yi min, wanda aka ɗora a YouTube.15
Na rubuta wa Babban Jami'in Gudanarwa na Cochrane ina neman Cochrane ya gyara, ya cire, ko ya rubuta ikirari da aka buga game da ni.21 Na tambayi ko menene mummunan ɗabi'ata da kuma dalilin da ya sa Cochrane ya yanke shawarar cewa ayyukana sun lalata al'adar Cochrane kuma suna da illa ga aikin agaji, suna, da membobinta. Kamar yadda masu lura da al'amura da yawa suka ce gudunmawar da na bayar ga Cochrane, al'adarta, aikinta, da sunanta sun wuce duk wani mummunan ɓangare na aikina, na tambaya ko Cochrane yana tunanin na ba da gudummawa a cikin shekaru 25 da na yi tare da ƙungiyar.
Na lura cewa waɗanda aka ci zarafinsu koyaushe suna jin daɗin samun afuwa, wanda hakan kuma zai iya zama da amfani ga Cochrane idan yana son ya dawo da wasu kyawawan suna da yake da su kafin 2018. Na ba da shawarar neman afuwa ba tare da wani sharaɗi ba, a tallata shi a cikin wata sanarwa da aka fitar, a gidan yanar gizon Cochrane, kuma na sanar da dukkan membobin Cochrane a cikin imel game da maganganun batanci da na mugunta da aka yi game da ni a AGM da kuma daga baya kuma game da rashin tsari mai adalci, kamar yadda duk membobin Cochrane suka karɓi jawabin batanci na Burton a AGM a cikin imel.
Na kuma roƙi Cochrane da ya nemi afuwa kan cewa Wilson ya yi wa Ma'aikatar Lafiya ta Denmark ƙarya kuma na yi nadama cewa wannan ya sa na rasa aikina, a matsayin farfesa kuma babban likita a asibiti na. Wilson ya yi iƙirarin cewa ban cika wajibai na ba bisa ga yarjejeniyar fahimta, yarjejeniya tsakaninsa da cibiyar Cochrane ta. Membobin kwamitin gudanarwa da dama sun nuna a lokacin shari'ar cewa hujjarsa ƙarya ce. Wilson ne ya karya yarjejeniyarmu, misali ta hanyar canza gidan yanar gizon mu a bayana da kuma buga ɗaya daga cikin maganganun ɓata suna game da ni.5 a shafin farko.
Wilson ya kuma yi ƙarya lokacin da ya gaya wa Ma'aikatar cewa ba zan iya ci gaba da aiki a Cibiyar Nordic Cochrane ba.5 Da na iya mika ragamar gudanarwa ga mataimakina kuma na ci gaba da aiki a matsayin mai bincike da babban likita a cibiyar. Amma saboda wannan ƙaryar, gwamnatin Denmark ta ji ba ta da wani zaɓi illa ta kore ni daga aiki duk da cewa sama da mutane 9,000, ciki har da wanda ya kafa Cochrane, Sir Iain Chalmers, da wasu 'yan siyasa da dama a majalisar dokoki, sun yi ƙoƙarin hana hakan.4,5
Na lura cewa ambaton Cochrane game da ƙungiyar "#MeToo"4,5,16 ya haifar min da sakamako, ciki har da asarar kudin shiga. Lokacin da lauya Michael Baum daga Los Angeles ya so ya dauke ni aiki a matsayin ƙwararriyar shaida a shari'ar da aka yi wa Merck,22 Ya tambayi ɗaya daga cikin abokan aikina menene "mummunan ɗabi'ata" take nufi. Abokin aikina ya amsa: "Babu wani mummunan ɗabi'a - kawai dai PG ba ya rera waƙa daga takardar waƙa ɗaya da Shugaba na Cochrane wanda da alama ana ɗaukarsa a matsayin mai lalata da dubura."5 Ya bayyana cewa "Zai bar mutane da yawa suna tunanin Peter Harvey Weinstein ne" kuma mutane da yawa za su cire ni daga jerin mutanen da za su yi la'akari da su don aikin kafofin watsa labarai, shari'a, asibiti, ko bincike bisa ga wannan zagi.
Na tambayi ko Cochrane zai ba ni diyya ta tattalin arziki saboda munanan ayyukansa da kuma asarar kudin shiga da na yi. Na lura cewa na buga wata hira da na yi da Ioannidis game da dalilin da ya sa Cochrane ya kore ni.23 kuma za a haɗa shi cikin wani fim mai taken aiki, "Farfesa mai gaskiya da rugujewar daular Cochrane."24
Martanin Cochrane
"Korafe-korafen Cochrane" ya amsa:25
Mun yi la'akari da abubuwan da ke cikin Wasikar a hankali. Muna ci gaba da kasancewa da ra'ayin cewa an ɗauki shawarar cire ku daga Kwamitin Amintattu na Cochrane a shekarar 2018, da duk wasu matakai da suka shafi hakan, tare da cikakken la'akari da duk wasu bayanai masu dacewa kuma sun dace kuma sun dace da yanayin. Duk da haka, a matsayin wata alama ta alheri, ba tare da wani amincewa daga ɓangarenmu ba kuma ba tare da nuna wariya ga matsayinmu ba, mun yarda mu cire sanarwar Hukumar daga gidan yanar gizon mu mai kwanan wata 26 ga Satumba 2018. Muna fatan wannan sakamako ne mai gamsarwa a gare ku wanda zai haifar da rufe wannan batu cikin sauri.
Fasahohin biyu marasa komai, kafin "ba tare da wani izini ba," suna nuna cewa lauyoyin Cochrane ne suka saka wannan jumlar.
Idan mutum ya yi la'akari da "dukkan hujjoji masu dacewa," ba zai yiwu a kammala da cewa "dukkan ayyukan da suka shafi" a kaina "sun dace kuma sun dace ba."
Na buƙata a cikin wasiƙa ta biyu26 cewa Cochrane ya kamata ya cire sanarwar da ta fi ɓata suna16 da kuma kalaman ƙiyayya na Burton game da ni a YouTube15 kuma ku amsa tambayoyina.
Cochrane ya sake amfani da amsar farko amma ya cire ɗayan bayanin da kuma bidiyon YouTube na AGM, sa'o'i ɗaya da rabi, wanda ya yi daidai da kalaman ƙiyayya na Burton. Wannan lalata tarihin tarihi da ba a taɓa yin irinsa ba a cikin wata ƙungiyar agaji ya nuna cewa Cochrane ya san yana cikin matsala mai tsanani, domin ba za a iya tabbatar da maganganunsa da ƙaƙƙarfan maganganunsa ba, kuma yana fuskantar haɗarin a kai shi ƙara saboda ɓata suna da kuma asarar kuɗin shiga na.
A watan Agusta na 2025, na yi hira da Martin Kulldorff, wanda ke riƙe da babban aiki a Ma'aikatar Lafiya da Ayyukan Dan Adam ta Amurka,27 ga tashar fina-finai da hirarrakinmu, Broken Medical Science. Da na nuna masa wasiƙar Cochrane, ya lura cewa da alama lauya ne ya rubuta ta; cewa a bayyane suke jin kunya game da abin da suka yi amma ba sa son gyara shingen kuma su yarda cewa ba daidai ba ne; kuma duk wani mai lura da hankali zai fassara wasiƙar a matsayin amincewa da laifi duk da cewa lauyansu ya gaya musu cewa ba dole ba ne su yarda da laifi.
Martin ya kuma ce Cochrane ta yi wa kansu abubuwa da yawa masu lalata tun daga shekarar 2018; cewa amincewar da aka yi wa Cochrane Collaboration ta ruguje; dole ne su san cewa sun yi barna sosai ga kimiyya da kuma Cochrane; cewa yana da matukar wahala a amince da irin wannan ɗabi'ar da ke lalata kai; kuma masu cin zarafin ba sa neman afuwa.
Na gabatar da Yarjejeniyar Zaman Lafiya a cikin Muradin Cochrane
Cochrane ya yi la'akari da cewa lamarin ya ƙare, amma da yake ba su amsa tambayoyina ba, na aika da wata wasiƙa ta uku, mai cikakken bayani, ina ƙoƙarin tashe Cochrane daga yanayin da suka ƙirƙira wa kansu. Na roƙi Cochrane da ya tabbatar da cewa wasiƙar ta ta zo ga Shugaban Hukumar Gudanarwa da kuma Hukumar Gudanarwa ta Cochrane, wadda na ɗauka da muhimmanci sosai.28
Na lura cewa Cochrane yana da hakkin jama'a su ba ni bayani domin dubban mutane da ke mamakin dalilin da ya sa aka kore ni daga Cochrane yanzu za su yi mamakin dalilin da ya sa aka cire maganganun batanci.
Na ba da shawarar abin da ya kamata a mayar da hankali a kai na neman afuwa, kuma na ce idan Cochrane bai yarda cewa Burton ya yi kuskuren ba da rahoton Lauyoyi a lokacin taron kwamitin gudanarwa ba, kuma an yi mini rashin adalci sosai, wannan zai gaya wa duniya cewa koma bayan ɗabi'a da Cochrane ta yi a 2018 har yanzu yana nuna Cochrane kuma saboda haka Cochrane ba zai iya gyarawa ba.
Na lura cewa "Shari'ar ta fi ni girma sosai. An yanke min hukunci kan wani laifi da ban san menene ba, kuma wanda Cochrane bai taɓa bayyana ba. Abin da ya bayyana a fili shi ne na zama abin zargi ga rashin nasarar hanyar tafiya da Shugaban Cochrane na wancan lokacin, Mark Wilson, ya gabatar, wanda ya lalata yawancin abin da shugabannin Cochrane suka gina a cikin shekaru ashirin kafin ya iso... Ya kamata afuwar ta bayyana wani abu game da gudummawar da na bayar ga Cochrane kuma ta gayyace ni in sake shiga Cochrane a matsayin memba, idan ina son yin hakan."
Martanin Cochrane ga Shawarar da na bayar don Yarjejeniyar Zaman Lafiya
Kamar a shekarar 2018, Cochrane ta zaɓi mafi munin zaɓi. Ba su mayar da martani ba. "Korafe-korafen Cochrane" sun maimaita wasiƙunsu na baya kawai kuma sun ce idan "na yi imanin wani abu ya canza a wannan lokacin, ko kuma idan akwai wani sabon abu da za a ƙara, don Allah a bi tsarin korafe-korafen da aka saba yi."29
Ta amfani da fom ɗin koke-koke da ke shafin yanar gizon Cochrane, na lura cewa Cochrane ya amsa ɗaya kawai daga cikin tambayoyina 17 kuma na sake tambayar Cochrane don tabbatar da cewa wasiƙar ta ta zo ga Shugaban Hukumar Gudanarwa ta Cochrane da kuma Hukumar Gudanarwa. Na kuma tambaya ko sun ga wasiƙar ta ta baya.
Cochrane ya shigar da ƙarata "ga ma'aikacin tsakiya mafi dacewa na Cochrane" wanda zai tantance korafina kuma ya yanke shawara kan matakin bincike da za a gudanar.
Babu wani bincike da aka yi: "Bayan mun duba cikin gida, sai muka koma ga abubuwan da muka mayar da martani a baya."30
Ba za a iya yin watsi da girman kai na Cochrane, raina adalci, da kuma durkushewar ɗabi'a ba. Ba "sadarwa da yanke shawara a bayyane da gaskiya" ba ce da ke cikin babban ƙa'idarta ta farko, amma ƙungiya ce ta ɓoye. Duk da cewa ni uba ne na kafa, memba na Hukumar Gudanarwa, kuma darektan Cochrane, Cochrane bai sami ikon gaya mini ko takwarorina sun ga wasiƙuna na ba. Kuma ba zan iya rubutawa kai tsaye ga Shugaba ko membobin kwamitin ba, domin adiresoshin imel ɗinsu sirri ne.
Domin samun tarihin rayuwa, na ɗora kalaman ƙiyayya na Burton.15 Yadda ya yi, motsin zuciyarsa da kuma yadda yake furta kalmomi suna nuna irin maguɗin da Cochrane ya yi.
Menene Cochrane a Yau?
A tsakiyar watan Afrilun 2021, Mark Wilson ya bar Cochrane ba zato ba tsammani, ba tare da sanarwar bankwana ba. Cochrane bai taɓa bayyana dalilin da ya sa ya tafi ba,4,5 amma ya yaba masa saboda "shekaru takwas na aikin da ya yi,"31 kamar yadda suka kira shi da lalata Cochrane ta hanyar tsari.
Wilson ya tafi mako guda kafin babban mai ba da kuɗi na Cochrane, Cibiyar Bincike ta Lafiya ta Burtaniya (NIHR), ta sanar da cewa akwai yiwuwar rage kasafin kuɗi mai yawa. Mai ba da kuɗi ya soki Cochrane saboda dalilai iri ɗaya da na yi; ya jaddada cewa marubutan Cochrane ya kamata su zama masu ɗaukar hoto; ya ce rubutun ya kasance a bango tsawon shekaru takwas, wanda shine daidai lokacin da Wilson ke mulkin ƙungiyar; kuma ya yi magana game da gazawar ingancin kimiyya yana mai cewa "Wannan batu ne da mutanen da ke cikin Haɗin gwiwa suka ɗaga don tabbatar da cewa shara ba ta shiga cikin sake dubawa ba; in ba haka ba, sake dubawarku za su zama shara."5
Mutane a cikin da'irori masu tushen shaida sun gaya mini cewa barnar da Wilson da Burton suka yi ba za a iya gyara ta ba.
A watan Agusta na 2021, NIHR ta sanar da cewa za ta dakatar da bayar da tallafinta a watan Maris na 2023.5 asarar kusan fam miliyan 5.3 a kowace shekara.32 Cochrane ya shiga cikin rudani sosai, kuma tambayoyi da amsoshi da ke shafin yanar gizon Cochrane sun ba da labarin ruɗani mai yawa.12,33 Farfesa Emeritus John H. Noble ya rubuta a cikin jerin imel cewa babu abin da zai canza sai dai idan an aiwatar da shawarwarin da aka bayar a baya; ci gaba da "buga doki mai mutuwa na Cochrane Review" ba zai sa ya yi aiki ba.
A watan Maris na 2025, na gano cewa gidan yanar gizon Cochrane game da manyan masu ba da kuɗi ba daidai ba ne:12,34 "NIHR ita ce babbar mai ba da kuɗi ga Cochrane, kuma a halin yanzu tana tallafawa ƙungiyoyi 21 na Cochrane Review Groups da ke Ingila." Babu ɗaya daga cikin ƙungiyoyin bita na Burtaniya da ke da babban kuɗi kuma yawancinsu an rufe su saboda wannan dalili.
Abin mamaki, saboda ni ne kawai gwamnatin Denmark ta zama cibiya ɗaya tilo a duniya da ke ba da gudummawar sama da fam miliyan 1 a kowace shekara ga Cochrane. Amma lokacin da na sanar da Cochrane game da bayanan karya game da masu ba da tallafin, martanin da suka mayar shine cire duk wani bayani game da su waye masu ba da tallafin. Wannan bai dace ba ga wata ƙungiyar agaji da 'yan waje ke ɗauka a matsayin kusa da masana'antar magunguna.2
A yau, sassan baya a cikin sharhin Cochrane game da magunguna suna kama da ƙasidu na farfaganda daga masana'antar magunguna,35 yin taken Cochrane "Shaidar da aka amince da ita" ya zama kamar wasa mara kyau. Ina ganin ya kamata Denmark ta bi misalin Birtaniya ta dakatar da duk wani babban kuɗaɗen da ake kashewa kan ayyukan Cochrane. Ba shi da amfani kuma.
Cochrane ta fara aikin kashe kanta tun a shekarar 2001 lokacin da suka ƙi barin ni da marubucina mu buga manyan illolin da ke tattare da gwajin mammography, ganewar asali fiye da kima, da kuma yawan shan magani a cikin bitar Cochrane ɗinmu.36 Cochrane ya sake haifar da wata badakala a shekarar 2025 lokacin da suka ƙi buga sabuntawarmu ta baya-bayan nan, tare da ƙarin bayanai game da mace-mace, ba tare da wani dalili ba sai dai dacewar siyasa.35
Na yi bayani a cikin kasidu da littattafai dalilin da yasa Cochrane zai ɓace a banza saboda yawan birokrasi, rashin shugabanci mai kyau, cin zarafin iko, kare muradun mutum, ƙungiyoyi da kuɗi, rashin inganci, rashin ƙwarewa, takunkumin kimiyya, danne 'yancin faɗar albarkacin baki, da kuma ɓoye sirri.4,5,12,35-37 Ba wani abu bane illa ko abin da Cochrane ya buga daidai ne kuma yana da amfani, sai dai kawai yana faranta wa waɗanda ke saman dala mai ƙarfi rai.
References
1 Vogel G. Ƙungiyar likitoci masu ba da shaida kan yaƙi da sabbin faɗa. Kimiyya 2018;362:735; Vesper I. Murabus daga manyan jami'an gudanarwa na Cochrane Collaboration ya yi wa kwamitin gudanarwa na Cochrane Collaboration kwarin gwiwa. Nature 2018; Satumba 17; Enserink M. Kungiyar likitoci masu shaida na cikin rudani bayan korar wanda ya kafa kungiyar. Kimiyya ta 2018; Satumba 16; Korar daraktan Hawkes N. Cochrane ya haifar da murabus daga mukaminsa, inda mambobin kwamitin gudanarwa guda huɗu suka yi murabus. BMJ 2018;17 Satumba,362:k3945; Burki T. Hukumar Cochrane ta kaɗa ƙuri'ar korar Peter Gøtzsche. Lancet 2018;392:1103-4; Daraktan Hawkes N. Cochrane ya ce korarsa ba ta da wani tasiri kuma ta zo ne bayan "gwaji". BMJ 2018; 20 Satumba, 362:k4008.
2 Godlee F. Reinvigorating Cochrane. BMJ 2018;362:k3966.
3 Ioannidis JPA. Rikicin Cochrane: sirri, rashin haƙuri, da ƙimar tushen shaida. Eur J Clin Invest 2018; Disamba 5.
4 Gøtzsche PC. Mutuwar wani mai fallasa bayanai da kuma rugujewar ɗabi'ar Cochrane. Copenhagen: People's Press; 2019.
5 Gøtzsche PC. Rushewa da faduwar daular Cochrane. Copenhagen: Cibiyar 'Yancin Kimiyya; 2022 (akwai kyauta).
6 Timimi S. Mutuwar wani mai fallasa bayanai da kuma rugujewar ɗabi'ar Cochrane. Psychosis 2020;12:99-100 (ana samunsa kyauta a nan).
7 Demasi M. Cochrane - Jirgin ruwa mai nutsewa? BMJ shafin yanar gizo na 2018; Satumba 16.
8 Zaɓen sabbin membobin cikin gida na Hukumar Gudanarwa ta Cochrane. Sanarwa daga Peter C. Gøtzsche, Farfesa kuma Darakta, Cibiyar Nordic CochraneShafin yanar gizo na Cochrane 2016; Disamba (kuma ana iya samu a gidan yanar gizo na).
9 Grant T. Rahoton farko kan wasu koke-koke/matsaloliCibiyar 'Yancin Kimiyya ta 2025; Satumba 12.
10 30 ga Agusta. Rahoton Gøtzsche mai shafuka 66 ya mika wa kamfanin lauyoyi na Cochrane a ranar 30 ga Agusta. Deadlymedicines.dk 2018; Agusta 30.
11 Tarihin Mark Wilson daga 21 ga Yuni, 2012. Deadlymedicines.dk.
12 Gøtzsche PC. Mai ba da labari a cikin koshin lafiyaCopenhagen: Cibiyar 'Yancin Kimiyya ta 2025; 8 ga Afrilu (tarihin rayuwar da ake samu kyauta).
13 Gøtzsche PC. Giant a Magunguna: Kyauta ga Drummond Rennie. Jaridar Brownstone 2025; Oktoba 2.
14 Gøtzsche PC, Jørgensen AW. Buɗe bayanai a Hukumar Kula da Magunguna ta Turai. BMJ 2011;342:d2686.
15 Kalaman ƙiyayya na Burton a lokacin Babban Taron Shekara-shekara a ranar 17 ga Satumba, 2018Cochrane ya sauke bidiyon taron gaba ɗaya daga YouTube a watan Afrilun 2025 bayan na yi korafi game da ɓata suna da Cochrane ke yi mini da kuma ƙaryar da take yi mini, amma na ɗora shi don tarihin rayuwa.
16 Gøtzsche PC. Sanarwar da Hukumar Gudanarwa ta Cochrane ta fitar game da zargin mummunan hali na "mutum ɗaya." Deadlymedicines.dk 2018; Satumba 19. Cochrane ta soke wannan bayanin a watan Afrilun 2025 bayan na yi korafi game da bata min suna da Cochrane ta yi da kuma munanan karairayin da take yi. Na saka tsokacina.
17 Jørgensen L, Gøtzsche PC, Jefferson T. Binciken maganin rigakafin Cochrane HPV bai cika ba kuma ya yi watsi da muhimmiyar shaida na son zuciya. BMJ Magani-Tsarin Shaida 2018; 27 ga Yuli.
18 Oransky I, Marcus A. Cochrane ya kori mai bincike saboda amfani da rubutun hannu ba daidai ba, in ji mataimakin shugaban kwamitin. STAT 2018; Satumba 28.
19 Gøtzsche PC. 10 Oktoba A. Jagorancin Cochrane a cikin rushewar ɗabi'a: ɓata adalci da ƙarya game da shaidar da ke cikin labarin mujallar. Deadlymedicines.dk 2018; 10 ga Oktoba.
20 26 Satumba B. Bayanin Gøtzsche game da Sanarwar Hukumar Gudanarwa ta Cochrane game da dalilin da ya sa aka ƙi amincewa da ƙararsa. Deadlymedicines.dk 2018; Satumba 26.
21 Gøtzsche PC. Wasika zuwa ga Shugabar Cochrane Catherine Spencer. Cibiyar 'Yanci na Kimiyya 2025; Fabrairu 25.
22 Gøtzsche PC. Yadda Merck da masu kula da magunguna suka ɓoye munanan lahani na rigakafin HPV. New York: Skyhorse; 2025.
23 Me yasa Cochrane ya kori Peter Gøtzsche? Hira da John Ioannidis. Karya Kimiyya Kimiyya 2025; Fabrairu 9.
24 Fim game da rashin 'yancin kimiyyaGoFundMe 2022; 31 ga Mayu.
25 Amsar CochraneImel daga 2025; Maris 18. Yanar gizo ta Cibiyar 'Yancin Kimiyya.
26 Gøtzsche PC. Bibiyar batanci da Cochrane ya yi miniCibiyar 'Yancin Kimiyya ta 2025; Maris 26.
27 An naɗa shahararren masanin cututtuka da kuma masanin ilimin halittu Martin Kulldorff a matsayin babban jami'in HHSMa'aikatar Lafiya da Ayyukan Dan Adam ta Amurka 2025; Disamba 1.
28 Gøtzsche PC. Batanci da Cochrane ya yi mini: Shawarar yarjejeniyar sulhuCibiyar 'Yancin Kimiyya ta 2025; 23 ga Afrilu.
29 Owens S. Sabuwar amsa ga tambayarku (tikitin #CSO00209542)Tallafin Cochrane 2025; 11 ga Yuni.
30 Saƙo daga Cochrane ComplaintsImel daga 2025; 11 ga Yuli.
31 Saƙo daga Hukumar Gudanarwa ta CochraneCochrane 2021; 20 ga Afrilu.
32 Jefferson T, Heneghan C. Tsayawa akan ajanda Archie Cochrane. Substack 2024; 13 ga Satumba.
33 Yanar gizo.archive.org daga 8 ga Disamba 2021.
34 Yanar gizo.archive.org daga Maris 28, 2025.
35 Gøtzsche PC. Cochrane a kan aikin kashe kansa. Brownstone Journalnal 2025; 20 ga Yuni.
36 Gøtzsche PC. Binciken mammography: gaskiya, karya da jayayya. London: Radcliffe Publishing; 2012.
37 Gøtzsche PC. Bukatun don Haɗin gwiwar Cochrane. Jaridar Brownstone 2025; 18 ga Yuli; Gøtzsche PC. Cochrane yana ba da shawarar antidepressants don damuwa a cikin datti a ciki, duba datti. Mahaukaciya a Amurka 2025; Yuli 29; Gøtzsche PC. Binciken Cochrane da rashin da'a a fannin edita: maganin antitrypsin na alpha-1 da sauran matsaloli. Cibiyar 'Yanci na Kimiyya 2025; Mar 1; Gøtzsche PC. Binciken Cochrane na addu'ar neman gafara: ginshiƙi na kunya ga Cochrane. Cibiyar 'Yanci na Kimiyya 2024; Oktoba 14; Gøtzsche PC. BMJ da Cochrane Hype allurar HPV a cikin matsananciyar wahala. Jaridar Brownstone 2025; Dec 8.
-
Dokta Peter Gøtzsche shi ne ya kafa Cochrane Haɗin kai, wanda da zarar an yi la'akari da babbar ƙungiyar bincike ta likita mai zaman kanta ta duniya. A cikin 2010 Gøtzsche an nada shi Farfesa na Tsarin Bincike na Clinical da Bincike a Jami'ar Copenhagen. Gøtzsche ya buga fiye da 100 takardu a cikin "manyan biyar" mujallolin likita (JAMA, Lancet, New England Journal of Medicine, British Medical Journal, da Annals of Internal Medicine). Gøtzsche ya kuma rubuta litattafai kan al'amuran kiwon lafiya da suka hada da Magungunan Mutuwa da Laifukan Tsara.
Duba dukkan posts
