Journal editors are often unpopular, and one of the key reasons is the complex issue of retractions. Retraction usually indicates research misconduct—either explicit or implied. At times, it may arise from omissions such as failure to declare conflicts of interest or inadequate quality control. Research misconduct is rarely black and white; it exists in shades of grey.

Intense publication pressure and academic competition have further encouraged questionable research and publication practices, making editorial decisions increasingly challenging. Flawed research can contaminate medical literature, misguide society and researchers, and potentially cause immediate or future harm. Plagiarism, duplicate publication, and self-plagiarism are clear publication malpractices that unfairly inflate academic metrics and warrant prompt retraction. The Committee on Publication Ethics provides guidance…