Massachusetts General Hospital Cancer Center, 55 Fruit St, Yawkey 9A, Boston, MA 02114, USA.
J Clin Oncol. 2013 Jul 20;31(21):2678-84. doi: 10.1200/JCO.2012.46.6375. Epub 2013 Jun 17.
Little is known about the effects of financial relationships between biomedical researchers and industry (financial conflicts of interest [FCOIs]) on research prominence. We examined the prevalence of FCOIs in oncology and associations between FCOIs and research prominence among abstracts presented at American Society of Clinical Oncology (ASCO) annual meetings.
We analyzed 20,718 abstracts presented at ASCO meetings in 2006 and 2008 to 2011. Measures included the following: financial relationships, peer review score (PRS), and meeting placement prominence (descending order of prominence: plenary session, clinical science symposium, oral presentation, poster discussion, general posters, and publish only).
Of 20,718 abstracts, 36% reported at least one author with an FCOI. The proportion of abstracts with any FCOI increased from 33% in 2006 to 38% in 2011 (P < .001). Abstracts with FCOIs had significantly higher meeting prominence compared with publish only and general poster abstracts. The odds ratios compared with general posters were 7.3 for plenary session, 2.2 for clinical science symposium, 1.9 for oral presentation, and 1.7 for poster discussion (P < .001). Abstracts with FCOIs had significantly better PRSs compared with those without FCOIs. For all abstracts, PRS was 2.76 (95% CI, 2.75 to 2.77) with FCOIs compared with 3.01 (95% CI, 3.001 to 3.02) without FCOIs (P < .001). Omitting publish-only abstracts, PRS was 2.62 (95% CI, 2.61 to 2.63) with FCOIs compared with 2.73 without FCOIs (95% CI, 2.71 to 2.73).
Abstracts with FCOIs had more prominent meeting placement and better PRSs. FCOIs were reported more frequently by year, suggesting an increasing influence of industry on cancer research, greater disclosure, or both.
我们尚不清楚生物医学研究人员与行业之间的财务关系(财务利益冲突[FCOI])对研究声誉的影响。我们研究了肿瘤学中 FCOI 的流行情况,以及 FCOI 与美国临床肿瘤学会(ASCO)年会摘要研究声誉之间的关联。
我们分析了 2006 年至 2011 年 ASCO 年会上提交的 20718 篇摘要。研究措施包括以下内容:财务关系、同行评审评分(PRS)和会议安排知名度(从高到低依次为:全体会议、临床科学研讨会、口头报告、海报讨论、普通海报和仅发表)。
在 20718 篇摘要中,36%的摘要至少有一位作者存在 FCOI。2006 年有 33%的摘要存在任何 FCOI,2011 年这一比例上升至 38%(P<0.001)。与仅发表和普通海报摘要相比,存在 FCOI 的摘要具有更高的会议知名度。与普通海报相比,全体会议、临床科学研讨会、口头报告和海报讨论的优势比分别为 7.3、2.2、1.9 和 1.7(P<0.001)。与不存在 FCOI 的摘要相比,存在 FCOI 的摘要的 PRS 显著更高。对于所有摘要,存在 FCOI 的 PRS 为 2.76(95%CI,2.75 至 2.77),不存在 FCOI 的 PRS 为 3.01(95%CI,3.001 至 3.02)(P<0.001)。排除仅发表的摘要后,存在 FCOI 的 PRS 为 2.62(95%CI,2.61 至 2.63),不存在 FCOI 的 PRS 为 2.73(95%CI,2.71 至 2.73)。
存在 FCOI 的摘要具有更突出的会议安排和更好的 PRS。FCOI 的报告频率逐年增加,这表明行业对癌症研究的影响越来越大,或者是披露程度更高,或者两者兼而有之。