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在一个医学专业协会的会议上,制药研究的资金与研究结果之间的关联。

Association of funding and findings of pharmaceutical research at a meeting of a medical professional society.

作者信息

Finucane Thomas E, Boult Chad E

机构信息

Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland 21224, USA.

出版信息

Am J Med. 2004 Dec 1;117(11):842-5. doi: 10.1016/j.amjmed.2004.05.029.

Abstract

PURPOSE

To evaluate the association between funding and findings of pharmaceutical research presented at an annual meeting of a medical professional society.

METHODS

We reviewed the abstracts of all papers and posters presented at the annual meeting of a medical professional society. Two independent raters classified each study of a drug (n = 48) as either positive (favoring the drug studied) or negative, and as either funded by a pharmaceutical company or not. We computed kappa and chi-squared statistics to evaluate the agreement between the raters, as well as the association between the results and the sponsorship of the study.

RESULTS

Thirty studies of drugs (63%) were supported by pharmaceutical companies, all of which reported positive results. Of the 18 studies (37%) not supported by pharmaceutical companies, 67% reported positive results. The association between pharmaceutical funding and positive findings was statistically significant (P = 0.0007).

CONCLUSION

At this scientific meeting, research funding from pharmaceutical companies was associated with study findings that supported the use of drugs marketed by pharmaceutical sponsors. We emphasize further study of this relation and suggest three principles--full disclosure, policies against "outcome bias," and educational opportunities--that may help manage industry-academia conflicts of interest that could otherwise jeopardize the credibility of pharmaceutical research presented at scientific meetings.

摘要

目的

评估医学专业学会年会上所展示的制药研究的资金支持与研究结果之间的关联。

方法

我们审查了在一个医学专业学会年会上展示的所有论文和海报的摘要。两名独立评估者将每项药物研究(n = 48)分类为阳性(支持所研究药物)或阴性,以及是否由制药公司资助。我们计算了kappa和卡方统计量,以评估评估者之间的一致性,以及结果与研究赞助之间的关联。

结果

30项药物研究(63%)得到了制药公司的支持,所有这些研究都报告了阳性结果。在18项未得到制药公司支持的研究(37%)中,67%报告了阳性结果。制药公司资金支持与阳性结果之间的关联具有统计学意义(P = 0.0007)。

结论

在本次科学会议上,制药公司的研究资金支持与支持制药赞助商所销售药物使用的研究结果相关联。我们强调对这种关系进行进一步研究,并提出三项原则——充分披露、反对“结果偏倚”的政策以及教育机会——这可能有助于管理可能损害在科学会议上展示的制药研究可信度的产学研利益冲突。

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