Protocol publication in evidence synthesis: structural incentives and pathways to sustainable adoption
DOI:
https://doi.org/10.62741/ahrj.v3iSuppl.141Keywords:
Evidence synthesis, Review protocol, Transparency, Free science publishing, Research IntegrityAbstract
In response to Seixas (2026), we endorse prospective protocol publication as a core mechanism for transparency and accountability in evidence synthesis. We argue, however, that persistently low uptake reflects not only cultural and educational gaps but also structural disincentives: the financial burden of APCs and the bibliometric “citation penalty” that discourages journals from hosting protocols. Drawing on the Portuguese/Southern European context, we highlight the strategic role of diamond open access journals in sustaining protocol publication where APC-based models create inequities. We propose actionable pathways to normalize protocol publication, including earmarked funder support for protocol costs, metric reforms that avoid penalizing protocols, a pragmatic complementarity between registry-based and journal-based protocols, and investment in diamond OA infrastructure. Aligning funding, evaluation, and editorial incentives is essential to move protocol publication from normative ideal to routine practice.
References
Seixas A. Prospective protocols in evidence synthesis: build-ing transparency and accountability. Athena Health Res J. 2026;3(Suppl). Accessed February 11, 2026. https://athena.ess.fernandopessoa.pt/index.php/athena/article/view/137
van der Braak K, Ghannad M, Orelio C, et al. The score after 10 years of registration of systematic review protocols. Syst Rev. 2022;11(1):191. doi:10.1186/s13643-022-02053-9
Allers K, Hoffmann F, Mathes T, Pieper D. Systematic re-views with published protocols compared to those without: more effort, older search. J Clin Epidemiol. 2018;95:102-110. doi:10.1016/j.jclinepi.2017.12.005
Woo BFY, Tam WWS, Williams MY, et al. Characteristics, methodological, and reporting quality of scoping reviews published in nursing journals: A systematic review. J Nurs Scholarsh Off Publ Sigma Theta Tau Int Honor Soc Nurs. 2023;55(4):874-885. doi:10.1111/jnu.12861
Saloojee H, Pettifor JM. Maximizing Access and Minimizing Barriers to Research in Low- and Middle-Income Countries: Open Access and Health Equity. Calcif Tissue Int. 2024;114(2):83-85. doi:10.1007/s00223-023-01151-7
Mekonnen A, Downs C, Effiom EO, et al. Can I afford to publish? A dilemma for African scholars. Ecol Lett. 2022;25(4):711-715. doi:10.1111/ele.13949
Minh LHN, Le HH, Tawfik GM, et al. Factors associated with successful publication for systematic review protocol registration: an analysis of 397 registered protocols. Syst Rev. 2023;12(1):93. doi:10.1186/s13643-023-02210-8
Rombey T, Allers K, Mathes T, Hoffmann F, Pieper D. A descriptive analysis of the characteristics and the peer re-view process of systematic review protocols published in an open peer review journal from 2012 to 2017. BMC Med Res Methodol. 2019;19(1):57. doi:10.1186/s12874-019-0698-8
Montori VM, Wilczynski NL, Morgan D, Haynes RB, Hedges Team. Systematic reviews: a cross-sectional study of loca-tion and citation counts. BMC Med. 2003;1:2. doi:10.1186/1741-7015-1-2
Royle P, Kandala NB, Barnard K, Waugh N. Bibliometrics of systematic reviews: analysis of citation rates and journal impact factors. Syst Rev. 2013;2:74. doi:10.1186/2046-4053-2-74
Becerril A, Bosman J, Bjørnshauge L, et al. OA Diamond Journals Study. Part 2: Recommendations. Zenodo; 2021. doi:10.5281/ZENODO.4562790
Peter SG. Made in Latin America. Open Access, Scholarly Journals, and Regional Innovations by Juan Pablo Alperin and Gustavo Fischman (Eds.) (2015). Crit Rev Lat Am Res - CROLAR. 2016;5(1). Accessed February 11, 2026. https://www.crolar.org/index.php/crolar/article/view/255
Diamond Open Access | UNESCO. Accessed February 11, 2026. https://www.unesco.org/en/diamond-open-access
Hines S, Ho H. Protocols for systematic and scoping re-views: why is my registration not enough? JBI Evid Synth. 2025;23(7):1283. doi:10.11124/JBIES-25-00208
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