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Evidence · Preprints

Preprint servers and what screening they do

BT
b.teixeiraTL2 Moderator13 Dec 2025#1

Preprint servers and what screening they do — setting out what I have, and where I think it stops being reliable.

I have seen FLOW (N Engl J Med, 2024) cited in support of a claim I do not think it supports, twice this month, so I would like to work through what it actually shows.

My reading is that the trial is sound for its own question and is being stretched to answer a different one. I might be wrong about that, which is why this is a topic rather than a correction.

What I would like from this discussion: someone who disagrees with me to say why, with the section of the paper they are relying on.

0 likes 7mo
SR
s.roosTL2 Moderator16 Dec 2025#2

Picking up the opening post: that is the part I would want checked first.

Do not build anything on a preprint that you would mind rebuilding: if the preprint later changes substantially in revision or shows different results when published, your reasoning based on the preprint needs to be revised.

23 likes 7mo
DN
desiccant_notesTL2Member18 Dec 2025#3

On the opening post — agreed on the reasoning, with one qualification.

Server repositories: medRxiv for medicine, bioRxiv for biology. Preprints on these servers are time-stamped and have DOIs even if they are later published elsewhere. Citing the preprint with its DOI is appropriate while noting it is unpublished.

11 likes 7mo
MR
m.ramosTL2 Moderator19 Dec 2025#4

What changes between preprint and publication: authors respond to reviewer comments, re-analyse data, correct errors found in peer review, and sometimes report different results from updated analyses. The published version is not the same as the preprint.

3 likes 7mo
L
LeitermanTL3Regular21 Dec 2025#5

Check whether it was later published: searching for the preprint's first author and keywords in PubMed might find a published version. The published version is the stronger citation if it exists.

32 likes 7mo
NS
n.serranoTL2 Moderator23 Dec 2025#6
b.teixeira, post #1: Preprint servers and what screening they do — setting out what I have, and where I think it stops being reliable. I have seen FLOW ( N Engl J Med , 2024) cited in support of a claim I do not think it supports, twice this month, so I would like to work through what it actually shows. My reading is that the trial is sound for its own… Go to post

Always label it as a preprint in any discussion. A preprint is not a published trial and it is not settled knowledge. Use it for hypothesis generation and for understanding emerging evidence, not for drawing definitive conclusions.

17 likes in reply to #1 7mo
RM
r.marsdenTL3Regular24 Dec 2025 · edited#7

Worth separating two things that post #3 runs together.

Unrefereed work is not worthless. A great deal of it survives review substantially unchanged. It is also the case that the version appearing in a journal frequently has different numbers, and the changes are not random — they tend to be in the direction of a smaller effect and a more careful claim.

6 likes 7mo
FF
f.fontaineTL2 Moderator26 Dec 2025#8

post #7 is right about the mechanism and I think understates the practical bit.

Discussing preprints in this community: bring them in for early discussion, label them clearly as preprints, invite peer critique, and be prepared for the discussion to differ if the paper is later published differently.

1 like 7mo
JH
j.habermannTL3Regular27 Dec 2025#9

How to cite a preprint: author last name, first initial, et al. Title. Server name [preprint]. Posted date. Doi. Include the server name and note that it is a preprint.

24 likes 7mo
KO
k.okaforTL2 Moderator28 Dec 2025#10
desiccant_notes, post #3: On the opening post — agreed on the reasoning, with one qualification. Server repositories: medRxiv for medicine, bioRxiv for biology. Preprints on these servers are time-stamped and have DOIs even if they are later published elsewhere. Citing the preprint with its DOI is appropriate while noting it is unpublished. Go to post

Peer review as a filter: published papers have survived a review process that rejects many submissions. Preprints have not. Neither guarantees correctness, but publication history is a difference worth noting.

11 likes in reply to #3 7mo
EM
endpoint_marginTL2Member30 Dec 2025#11

Picking up post #8: that is the part I would want checked first.

Preprints for speed: some important preliminary findings are posted as preprints to disseminate quickly. That speed is useful but comes at the cost of not yet having survived peer review. The trade-off is real.

14 likes 7mo
RC
r.coelhoTL2 Moderator31 Dec 2025#12

Preprints for speed: some important preliminary findings are posted as preprints to disseminate quickly. That speed is useful but comes at the cost of not yet having survived peer review. The trade-off is real.

28 likes 7mo
K
KStephanopoulosTL3Regular1 Jan 2026#13
n.serrano, post #6: Always label it as a preprint in any discussion. A preprint is not a published trial and it is not settled knowledge. Use it for hypothesis generation and for understanding emerging evidence, not for drawing definitive conclusions. Go to post

Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up.

0 likes in reply to #6 7mo
SV
s.vogelTL2 Moderator3 Jan 2026#14

How to cite a preprint: author last name, first initial, et al. Title. Server name [preprint]. Posted date. Doi. Include the server name and note that it is a preprint.

2 likes 7mo
FE
footnote_entryTL3Regular4 Jan 2026#15

Always label it as a preprint in any discussion. A preprint is not a published trial and it is not settled knowledge. Use it for hypothesis generation and for understanding emerging evidence, not for drawing definitive conclusions.

9 likes 7mo
AK
ar.kravchenkoTL2 Moderator5 Jan 2026#16

Check whether it was later published: searching for the preprint's first author and keywords in PubMed might find a published version. The published version is the stronger citation if it exists.

21 likes 7mo
CI
citation_indexTL2Member6 Jan 2026#17
j.habermann, post #9: How to cite a preprint: author last name, first initial, et al. Title. Server name [preprint]. Posted date. Doi. Include the server name and note that it is a preprint. Go to post

What changes between preprint and publication: authors respond to reviewer comments, re-analyse data, correct errors found in peer review, and sometimes report different results from updated analyses. The published version is not the same as the preprint.

0 likes in reply to #9 7mo
MO
m.oyelaranTL2 Moderator7 Jan 2026#18

Worth separating two things that post #14 runs together.

Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing.

The correction was fair and I had been repeating something I had not checked carefully enough.

1 like 7mo
GH
g.haalandTL3Regular8 Jan 2026#19

I disagree with the reply above, and I think the disagreement is substantive rather than terminological.

The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.

27 likes 7mo
SB
s.beaulieuTL2 Moderator10 Jan 2026#20
m.oyelaran, post #18: Worth separating two things that post #14 runs together. Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing. The correction was fair and I had been repeating something I had not checked carefully enough. Go to post

Discussing preprints in this community: bring them in for early discussion, label them clearly as preprints, invite peer critique, and be prepared for the discussion to differ if the paper is later published differently.

0 likes in reply to #18 7mo
UC
unit_conversionTL3Regular11 Jan 2026#21

Coming back to post #19, because the follow-up matters more than the original answer.

Server repositories: medRxiv for medicine, bioRxiv for biology. Preprints on these servers are time-stamped and have DOIs even if they are later published elsewhere. Citing the preprint with its DOI is appropriate while noting it is unpublished.

22 likes 7mo
IL
i.lehtinenTL2 Moderator12 Jan 2026 · edited#22

Do not build anything on a preprint that you would mind rebuilding: if the preprint later changes substantially in revision or shows different results when published, your reasoning based on the preprint needs to be revised.

9 likes 6mo
QZ
q.zhao_qaTL3Quality assurance13 Jan 2026#23

Peer review as a filter: published papers have survived a review process that rejects many submissions. Preprints have not. Neither guarantees correctness, but publication history is a difference worth noting.

1 like 6mo
ES
e.steinerTL2 Moderator14 Jan 2026#24
s.beaulieu, post #20: Discussing preprints in this community: bring them in for early discussion, label them clearly as preprints, invite peer critique, and be prepared for the discussion to differ if the paper is later published differently. Go to post

post #23 answers the question as asked. The question underneath it is different.

Unrefereed work is not worthless. A great deal of it survives review substantially unchanged. It is also the case that the version appearing in a journal frequently has different numbers, and the changes are not random — they tend to be in the direction of a smaller effect and a more careful claim.

0 likes in reply to #20 6mo
ER
eire_readerTL2Regional · IE15 Jan 2026#25
footnote_entry, post #15: Always label it as a preprint in any discussion. A preprint is not a published trial and it is not settled knowledge. Use it for hypothesis generation and for understanding emerging evidence, not for drawing definitive conclusions. Go to post

How to cite a preprint: author last name, first initial, et al. Title. Server name [preprint]. Posted date. Doi. Include the server name and note that it is a preprint.

29 likes in reply to #15 6mo
FH
f.haddadTL216 Jan 2026#26
PN
p.novotnyTL2Regular17 Jan 2026#27

Worth separating two things that post #23 runs together.

Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing.

The correction was fair and I had been repeating something I had not checked carefully enough.

2 likes 6mo
MB
m.balogunTL2 Moderator18 Jan 2026#28
f.haddad, post #26: Peer review as a filter: published papers have survived a review process that rejects many submissions. Preprints have not. Neither guarantees correctness, but publication history is a difference worth noting. Go to post

post #27 is right about the mechanism and I think understates the practical bit.

Discussing preprints in this community: bring them in for early discussion, label them clearly as preprints, invite peer critique, and be prepared for the discussion to differ if the paper is later published differently.

0 likes in reply to #26 6mo
CP
citation_peakTL3Regular19 Jan 2026#29

Two things before anyone answers the substance.

First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.

10 likes 6mo
FY
f.yildizTL2 Moderator20 Jan 2026#30

Picking up post #27: that is the part I would want checked first.

Do not build anything on a preprint that you would mind rebuilding: if the preprint later changes substantially in revision or shows different results when published, your reasoning based on the preprint needs to be revised.

3 likes 6mo