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Association of Compensation From the Surgical and Medical Device Industry to Physicians and Self-declared Conflict of Interest
JAMA Surgery ( IF 16.9 ) Pub Date : 2018-11-01 , DOI: 10.1001/jamasurg.2018.2576
Kasra Ziai 1 , Alessio Pigazzi 1 , Brian R. Smith 1 , Roxana Nouri-Nikbakht 1 , Helene Nepomuceno 1 , Joseph C. Carmichael 1 , Steven Mills 1 , Michael J. Stamos 1 , Mehraneh D. Jafari 1
Affiliation  

Importance Surgical and medical device manufacturers have a cooperative relationship with clinicians. When evaluating published works, one should assess the integrity and academic credentials of the authors, who serve as putative experts. A relationship with a relevant manufacturer may increase the potential risk for bias in relevant studies.

Objective To characterize the association of industrial payments by device manufacturers, self-declared conflict of interest (COI), and relevance of publications among physicians receiving the highest compensation.

Design, Setting, and Participants This population-based bibliometric analysis identified 10 surgical and medical device manufacturing companies and the 10 physicians receiving the highest compensation from each company using the 2015 Open Payments Database (OPD) general payments data. For each of the 100 physicians, the total amount of general payments, number of payments, institution type, and academic rank were recorded. Royalty or license payments were excluded. A search of PubMed identified articles published by each physician from January 1 through December 31, 2016, and their associated COI declaration. Scopus was used to identify bibliometric data reported as the h index (number of papers by a researcher with at least h citations each).

Main Outcomes and Measures Discrepancy between self-declared COI and industry payments.

Results The 100 physicians included in the sample population (88% men) were paid a total of $12 446 969, with a median payment of $95 993. Fifty physicians (50.0%) were faculty at academic institutions. The mean (SD) h index was 18 (18; range, 0-75) for the authors. In 2016, 412 articles were published by these physicians, with a mean (SD) of 4 (6) publications (range, 0-25) and median of 1 (36 physicians had no publications). Of these articles, 225 (54.6%) were relevant to the general payments received by the authors. Only in 84 of the 225 relevant publications (37.3%) was the potential COI declared by the authors.

Conclusions and Relevance A high level of inconsistency was found between self-declared COI and the OPD among the physicians receiving the highest industry payments. Therefore, a policy of full disclosure for all publications, regardless of relevance, is proposed. No statistically significant association was demonstrated between academic rank or productivity and industrial payments.



中文翻译:

从外科和医疗器械行业到医师的赔偿协会与自我声明的利益冲突

重要性 外科和医疗设备制造商与临床医生有着合作关系。在评估已发表的作品时,应该评估作为公认专家的作者的完整性和学术信誉。与相关制造商的关系可能会增加相关研究中存在偏见的潜在风险。

目的 描述设备制造商的工业支付关联,自我声明的利益冲突(COI)以及获得最高报酬的医师之间出版物的相关性。

设计,设置和参与者 这项基于人群的文献计量分析使用2015年开放付款数据库(OPD)的一般付款数据,确定了10家外科和医疗设备制造公司以及10家从各公司获得最高薪酬的医生。对于100位医生中的每位,记录总费用,付款次数,机构类型和学术等级的总数。特许权使用费不包括在内。搜索PubMed识别的每位医师于2016年1月1日至2016年12月31日发表的文章及其相关的COI声明。Scopus用于识别以h指数报告的文献计量数据(研究人员每篇论文被h引用至少h)。

主要成果和衡量指标 自我申报的COI与行业付款之间存在差异。

结果 样本人群中包括100名医师(男性88%),他们的总薪酬为12 446 969美元,中位数为95 993美元。其中50名医师(50.0%)在学术机构任教。作者的平均(SD)h指数为18(18;范围为0-75)。在2016年,这些医生发表了412篇文章,平均(SD)为4(6)种出版物(范围为0-25),中位数为1(36名医生没有出版物)。在这些文章中,有225条(54.6%)与作者收取的一般款项有关。在225种相关出版物中,只有84种(占37.3%)是作者宣布的潜在COI。

结论与相关性 在获得最高行业报酬的医师中,自我申报的COI与OPD之间存在高度的不一致。因此,提出了对所有出版物进行全面披露的政策,无论其相关性如何。在学术等级或生产率与工业支付之间没有显示出统计学上的显着关联。

更新日期:2018-11-24
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