Case Study

A retracted paper, re-reviewed.

In 2025 the Journal of Medical Ethics published “Relational accountability in AI-driven pharmaceutical practices: an ethics approach to bias, inequity and structural harm (doi:10.1136/jme-2025-110913). In 2026 the journal retracted it — in part because it “includes references that do not exist.” We ran the published manuscript through a standard PeerReviewAI peer review to see what automated verification catches.

The record

What happened.

The paper was received 11 March 2025, accepted 29 May 2025, and published 9 September 2025. It applied a “relational accountability” ethics framework to AI in pharmaceutical practice.

In 2026 the journal retracted it. The retraction notice states:

“The article is retracted due to evidence of peer review manipulation, and because it includes references that do not exist. This results from undeclared AI use with inadequate oversight by the author.”

“The author used generative AI to identify and understand referenced sources. They did not adequately verify these references prior to submission.”

Methodology

On 7 July 2026 — after the retraction — we ran the published manuscript through PeerReviewAI’s standard Peer Review — as offered at the time — with no special prompting. This page reports the review’s reference-verification results — the same ground the journal’s notice raised — and nothing beyond them. Every check is independently reproducible against PubMed and Crossref, which is the point. Manuscripts reviewed on PeerReviewAI are processed under Zero Data Retention; this one is public record.

These results are a historical artifact of review engine v1.1.0 (7 July 2026); the current product may differ. Published case-study results are never silently updated.

Ground by ground

The retraction grounds, mapped to the review.

Every retraction ground from the journal’s notice, against what the automated reference check found — each row verifiable in the audit table below.
The retraction notice
The reference check
Status
…it includes references that do not exist.
12 of 22 references returned no matching record in PubMed or Crossref; one lookup resolved to a different work — a review of the book, not the book itself. The full audit table is below.
Flagged
The author used generative AI to identify and understand referenced sources. They did not adequately verify these references prior to submission.
Of the 22 references, only 8 verified against their cited fields. The audit table below shows the field-level problems the lookups surfaced — journal-name mismatches, missing fields, lookups resolving elsewhere.
Flagged
…evidence of peer review manipulation…
Not caught — and not catchable. Manipulation of the review process is invisible in a manuscript; no automated manuscript review can detect it, and ours doesn’t claim to.
Not catchable
8
Verified
2
Possible match
12
Unverified
…of 22 references, checked live against PubMed and Crossref.
Checked live

The reference audit.

All 22 references from the published manuscript. Every PMID links to the actual PubMed record — check any of them yourself.
#ReferenceStatusPMIDNote
1Beauchamp, 2019UnverifiedNo matching record (book)
2Lotter, 2024Verified38597966All citation fields verified
3Clark, 2019Verified30545650All citation fields verified
4Held, 2006UnverifiedNo matching record (book)
5Popejoy, 2016Verified27734877Journal cited as “Nature New Biol” — canonical journal is Nature
6Information Commissioner's Office, 2017UnverifiedNo matching record (regulatory report)
7Gilligan, 1982UnverifiedNo matching record (book)
8Price, 2019Verified30617331Issue number omitted
9Pasquale, 2015UnverifiedNo matching record (book)
10Mehrabi, 2021UnverifiedSingle author listed before “et al.”; no matching record
11Adamson, 2018Verified30073260Issue number omitted
12Benjamin, 2019Possible matchDOILookup matched a different work — a review of the book (different author, year, journal), not the book
13Access to Medicine Foundation, 2021UnverifiedNo matching record (grey literature)
14Xiao, 2022Verified35435948Issue number omitted
15Genomics England, 2019UnverifiedNo matching record (grey literature)
16The Global Fund, 2021UnverifiedNo matching record (grey literature)
17Obermeyer, 2019Verified31649194All citation fields verified
18Chen, 2021Verified34396058All citation fields verified
19Mittelstadt, 2019UnverifiedNo matching record in PubMed/Crossref
20Pfizer Inc, 2019UnverifiedNo matching record (corporate press release)
21Powles, 2017Possible match29308344Journal name variant — Health Technol (Berl)
22Bellamy, 2019UnverifiedNo matching record in PubMed/Crossref

“Unverified” means no matching record was found in PubMed or Crossref. Books and grey literature can legitimately resist indexing — the review flags them for human checking rather than alleging fabrication. The journal’s own investigation concluded that several references did not exist.

The honest part

What automated review cannot catch.

The retraction also cites evidence of peer review manipulation — process fraud that is invisible in any manuscript. No automated tool catches that, and ours doesn’t claim to. But the reference problems were sitting in the manuscript the whole time, checkable by machine in minutes.

Reference verification · included in every review

This check runs before submission, not after retraction.

Journal Brief $2.99 · Peer Review $49 — reference verification included in both.

This page quotes the journal’s public retraction notice and reports machine-reproducible reference checks against public databases (PubMed, Crossref); we make no claims beyond either. AI-generated analysis — intended to support, not replace, expert peer review.