Stain Steven C, Schwarz Erin, Shadduck Phillip P, Shah Paresh C, Ross Sharona B, Hori Yumi, Sylla Patricia
Departments of Surgery, Albany Medical College, 50 New Scotland Ave, MC 194, Albany, NY, 12208-3479, USA,
Surg Endosc. 2015 Jun;29(6):1334-40. doi: 10.1007/s00464-014-3571-1. Epub 2014 May 24.
The relationship between the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and its industry partners has been longstanding, productive technologically, and beneficial to patient care and education. In order to both maintain this important relationship to honor its responsibility to society for increasing transparency, SAGES established a Conflict of Interest Task Force (CITF) and charged it with identifying and managing potential conflicts of interest (COI) and limiting bias at the SAGES Annual Scientific Meetings. The CITF developed and implemented a comprehensive process for reporting, evaluating, and managing COI in accordance with (and exceeding) Accreditation Council for Continuing Medical Education guidelines.
From 2011 to 2013, all presenters, moderators, and session chairs received proactive and progressively increasing levels of education regarding the CITF rationale and processes and were required to disclose all relationships with commercial interests. Disclosures were reviewed and discussed by multiple layers of reviewers, including moderators, chairs, and CITF committee members with tiered, prescribed actions in a standardized, uniform fashion. Meeting attendees were surveyed anonymously after the annual meeting regarding perceived bias. The CITF database was then analyzed and compared to the reports of perceived bias to determine whether the implementation of this comprehensive process had been effective.
In 2011, 68 of 484 presenters (14 %) disclosed relationships with commercial interests. In 2012, 173 of 523 presenters (33.5 %) disclosed relationships, with 49 having prior review (9.4 %), and eight required alteration. In 2013, 190 of 454 presenters disclosed relationships (41.9 %), with 93 presentations receiving prior review (20.4 %), and 20 presentations were altered. From 2008 to 2010, the perceived bias among attendees surveyed was 4.7, 6.2, and 4.4 %; and in 2011-2013, was 2.2, 1.2, and 1.5 %.
It is possible to have a surgical meeting that includes participation of speakers that have industry relationships, and minimize perceived bias.
美国胃肠与内镜外科医师协会（SAGES）与其行业合作伙伴之间的关系由来已久，在技术方面富有成效，对患者护理和教育有益。为了维持这一重要关系，履行其对社会提高透明度的责任，SAGES成立了利益冲突特别工作组（CITF），并责成其识别和管理潜在的利益冲突（COI），并在SAGES年度科学会议上限制偏见。CITF根据（并超越）继续医学教育认证委员会的指导方针，制定并实施了一个全面的利益冲突报告、评估和管理流程。
2011年至2013年，所有演讲者、主持人和会议主席都接受了关于CITF基本原理和流程的积极且逐步深入的教育，并被要求披露与商业利益的所有关系。披露信息由多层审核人员进行审核和讨论，包括主持人、主席以及CITF委员会成员，他们会按照标准化、统一的方式采取分级规定行动。年会结束后，对参会者进行了关于感知偏见的匿名调查。然后对CITF数据库进行分析，并与感知偏见报告进行比较，以确定这一全面流程的实施是否有效。
2011年，484名演讲者中有68名（14%）披露了与商业利益的关系。2012年，523名演讲者中有173名（33.5%）披露了关系，其中49名进行了事先审核（9.4%），8名需要修改。2013年，454名演讲者中有190名（41.9%）披露了关系，93场演讲进行了事先审核（20.4%），20场演讲被修改。2008年至2010年，接受调查的参会者中感知偏见分别为4.7%、6.2%和4.4%；2011年至2013年分别为2.2%、1.2%和1.5%。
举办一场有与行业有关系的演讲者参与的外科会议，并将感知偏见降至最低是有可能的。
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