COVID-19 and the Generation of Novel Scientific Knowledge in a Dangerous
Time.
Abstract
Rationale, Aims and Objectives: One of the sectors challenged by the
COVID-19 pandemic is medical research. COVID-19 originates from a novel
coronavirus (SARS-CoV-2) and the scientific community is faced with the
daunting task of creating a novel model for this pandemic or, in other
words, creating novel science. This paper aims to explore the intricate
relationship between the different challenges that have hindered
biomedical research and the generation of scientific knowledge during
the COVID-19 pandemic. Methods: During the early stages of the pandemic,
research conducted on hydroxychloroquine (HCQ) was chaotic and sparked
several heated debates with respect to the scientific methods used and
the quality of knowledge generated. Research on HCQ is used as a case
study in this paper. The authors explored biomedical databases,
peer-reviewed journals, pre-print servers and media articles to identify
relevant literature on HCQ and COVID-19, and examined philosophical
perspectives on medical research in the context of this pandemic and
previous global health challenges. Results: This paper demonstrates that
a lack of prioritization among research questions and therapeutics was
responsible for the duplication of clinical trials and the dispersion of
precious resources. Study designs, aimed at minimizing biases and
increasing objectivity, were, instead, the subject of fruitless
oppositions. These two issues combined resulted in the generation of
fleeting and inconsistent evidence that complicated the development of
public health guidelines. The reporting of scientific findings
highlighted the difficulty of finding a balance between accuracy and
speed. Conclusions: The COVID-19 pandemic presented challenges in terms
of (1) finding and prioritizing relevant research questions, (2)
choosing study designs that are appropriate for a time of emergency, (3)
evaluating evidence for the purpose of making evidence-based decisions
and (4) sharing scientific findings with the rest of the scientific
community. This paper demonstrates that these challenges have often
compounded each other.