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Special Issue: Scientific failure and uncertainty in the health domain

  • 14 September 2025
  • 15 articles

15 articles

All articles
Editorial

The case for embracing trial-and-error in health research: Rethinking failure and uncertainty as foundations of progress

Stefan Gaillard, Stefan van Geelen, Elvire Landstra & Arno Hoes

Uncertainty is a daily reality in the health domain. Clinicians routinely face it when diagnosing patients, predicting outcomes, and selecting treatments in partnership with patients. Patients and their families, in turn, experience uncertainty about their condition and what the future may hold.…

doi:10.36850/20fe-47b2Read
Reflection

In the era of whole transcriptome sequencing: Reflections on the Molecular Genetic Effect of Prenatal Sildenafil for Fetal Growth Restriction

Carsten F.J. Bakhuis & Marcel A.G. van der Heyden

In this reflection article, we evaluate a sub study of the STRIDER trial by Terstappen et al., which investigated the molecular effects of prenatal sildenafil administration in pregnancies complicated by fetal growth restriction (FGR). Unfortunately, this trial revealed no clinical benefit and even…

doi:10.36850/44b9-4bf3Read
Reflection

Reflection on the PENTACON Trial: Lessons learned from an unpublished study

Robert P. L. Wisse

As a clinician-scientist, the journey through the PENTACON trial, a multicenter randomized clinical study comparing two surgical techniques for corneal transplantation in keratoconus patients, was both enlightening and challenging. The study, which served as the centerpiece of my PhD research in…

doi:10.36850/431d-44ebRead
Empirical

Partial Endothelial Trepanation versus Deep Anterior Lamellar Keratoplasty in keratoconus patients: Results of the PENTACON trial

Robert P.L. Wisse, Cathrien A. Eggink, Bart T.H. van Dooren & Allegonda van der Lelij

The purpose of this research was to report on the surgical safety and outcomes of two distinct techniques of anterior lamellar corneal surgery: the Big Bubble Deep Anterior Lamellar Keratoplasty (DALK) versus Busin’s Partial ENdothelial Trepanation (PET) in addition to anterior lamellar keratoplasty…

doi:10.36850/0550-4e9cRead
Editorial

How to fail successfully

Berent Prakken

“Boys we were - but good boys. If I may say so myself. We’re much smarter now, so smart it’s pathetic.” (Nescio, 2012)

doi:10.36850/b7f0-4fb1Read
Reflection

On the Significance of Place: Vaccination Refusal as a Situated Phenomenon

Martijn van der Meer

Expert endorsement seems a promising tool in countering vaccine hesitancy. Yet findings from an experiment in the United Kingdom, published in this journal, found that repeated expert‐backed “debunking” messages had little effect on vaccination intentions or behaviors. At the same time, a similar…

doi:10.36850/dfab-4bcfRead
Empirical

Cognitive Functions, Mood and Sleep Quality after Two Months of Intermittent Fasting

Maja Batorek & Ivana Hromatko

Intermittent fasting is being popularized as a method beneficial not only for weight loss, but also for overall psychological functioning and well-being. However, there is only a handful of studies examining the latter claims. The aim of this open-label study was to contribute to the understanding…

doi:10.36850/e71f-5cffRead
Empirical

Smile, You’re on Camera: Investigating the Relationship between Selfie Smiles and Distress

Monika N. Lind, Michelle L. Byrne, Sean Devine & Nicholas B. Allen

Background : This study examined the relationship between (1) participant smiling in daily “selfie” videos and (2) self-reported distress. Given the extensive use of digital devices for sharing expressions of non-verbal behavior, and some speculation that these expressions may reveal psychological…

doi:10.36850/8716-5abeRead
Meta-Research

Issues in Clinical Studies Leading to Medical Research Ethics Committee (MREC) Negative Decisions

Sigrid E. M. Heinsbroek, Vincent Bontrop, Rutger P. Chorus & C. Michel Zwaan

The rationale behind a Medical Research Ethics Committee (MREC) negative decision is always shared directly with the applicants. However, insight into the review process and common reasons for a negative decision may also be valuable for other researchers, clinical research organizations and people…

doi:10.36850/21gx-cy60Read
Empirical

Prenatal Sildenafil and Fetal-placental Programming in Human Pregnancies Complicated by Fetal Growth Restriction: A Retrospective Gene Expression Analysis

Fieke Terstappen, Torsten Plösch, Jorg J.A. Calis, Wessel Ganzevoort, Anouk Pels, Nina D. Paauw, Sanne J. Gordijn, Bas B. van Rijn, Michal Mokry & A. Titia Lely

Objective: Fetal growth restricted (FGR) offspring are more susceptible to develop cardiovascular and renal disease. The potential therapeutic value of sildenafil to improve fetal growth has recently been evaluated in several randomized clinical trials. Here we investigate whether administration of…

doi:10.36850/e16Read
Empirical

Medical Expert Endorsement Fails to Reduce Vaccine Hesitancy in U.K. Residents

Folco Panizza, Piero Ronzani, Carlo Martini, Lucia Savadori & Matteo Motterlini

In this report we outline the null findings of a pre-registered experiment on vaccine hesitancy in the United Kingdom. The experiment targeted vaccine misconceptions common among participants by presenting a correction to such claims endorsed by a group of medical experts. The experiment had the aim…

doi:10.36850/e15Read