Fonseca Nuno Moreira
Serviço de Nefrologia. Hospital Curry Cabral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
Acta Med Port. 2017 Sep 29;30(9):652-655. doi: 10.20344/amp.8458.
Scientific medical publications are considered to be a source of unbiased and independent information. Authors are required to disclose relationships with the pharmaceutical industry for transparency purposes. The aim of this work was to assess conflict of interest disclosure in a Portuguese top-tier medical journal by comparing authors' self-reported conflicts of interest with payments listed in the official database of Portuguese Ministry of Health.
All articles published in the Portuguese Journal of Cardiology from December 2015 to May 2016 were reviewed. Articles based on clinical images, with authors affiliated to foreign institutions, editorials, letters to the editor, or submitted before January 1st 2015 were excluded. Authors were categorized on concordance between self-reported disclosures and payments listed in the database. Authors who authored multiple articles were counted as new authors, since each paper offered a new opportunity for financial disclosure.
Of the 155 authors surveyed, 82 (53%) were in perfect concordance with the sunshine database, while 73 authors (47%) had one or more undisclosed payments. Undisclosed payments totaled over € 210 000. Four (17%) articles mentioned a conflict of interest, 24 articles (96%) had at least one author with undisclosed payments.
None of the payments listed in the database was acknowledged in self-reported conflicts of interest. This might indicate that authors do not consider their financial relationships with the industry to be relevant.
The lack of concordance between self-reported conflicts of interest and payments found in the database raises concerns about incomplete disclosure.
科学医学出版物被视为公正和独立信息的来源。为确保透明度，要求作者披露与制药行业的关系。本研究旨在通过比较作者自我报告的利益冲突与葡萄牙卫生部官方数据库中列出的报酬，评估葡萄牙一本顶级医学期刊中的利益冲突披露情况。
回顾了2015年12月至2016年5月在《葡萄牙心脏病学杂志》上发表的所有文章。排除基于临床图像的文章、作者隶属于外国机构的文章、社论、给编辑的信或2015年1月1日前提交的文章。根据自我报告的披露与数据库中列出的报酬之间的一致性对作者进行分类。撰写多篇文章的作者被计为新作者，因为每篇论文都提供了一个新的财务披露机会。
在接受调查的155名作者中，82名（53%）与阳光数据库完全一致，而73名作者（47%）有一笔或多笔未披露的报酬。未披露的报酬总计超过21万欧元。4篇（17%）文章提到了利益冲突，24篇文章（96%）至少有一名作者有未披露的报酬。
数据库中列出的报酬在自我报告的利益冲突中均未得到承认。这可能表明作者认为他们与该行业的财务关系无关紧要。
自我报告的利益冲突与数据库中发现的报酬之间缺乏一致性，引发了对披露不完整的担忧。
