alchemy2u
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So the strong majority of studies are published- and those with extramural funding provided by industry are more likely to not be published (although the majority are). My direct experience with studies that don't get published is they usually fall into one (or more) of a few categories:
1) the study added nothing to the known literature and/or was redundant
2) the study was full of design flaws negating any ability to derive conclusions from it
3) the study was a negative study and failed to expand the approved uses of a drug or medical device beyond their current approval
Also, the study you reference has no way of determining if the unpublished studies in its sample had ever been subjected to review by a medical journal and rejected- which I believe would account for a great many (especially the ones without industry funding ) of the unpublished studies in your article.
So true, not everything is a conspiracy. If the design turns out to be flawed or is of no value, it will not be published.