Annals requires that all authors complete the International Committee of Journal Editors uniform disclosure form, which asks them to disclose relationships that present potential conflicts of interest (8). When making editorial decisions, we consider those relationships. When we think conflicts are present, we make judgments about how they might affect both the possibility of bias and the credibility of the published paper. If we publish such a paper, it is because we believe it contains enough information for our readers to make their own judgments, in part because each article is accompanied by links to the actual disclosure forms that each author completed. If readers think that author relationships undermine the article's credibility, they can skip the article altogether, take its conclusions with a grain of salt, post their concerns as a comment, or combine these options.