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整形外科学术会议中的利益冲突:这有意义吗?

Conflict of Interest at Plastic Surgery Conferences: Is It Significant?

机构信息

From the Division of Plastic and Reconstructive Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell; and the Division of Plastic and Reconstructive Surgery, Northwell Health.

出版信息

Plast Reconstr Surg. 2019 Aug;144(2):308e-313e. doi: 10.1097/PRS.0000000000005877.

DOI:10.1097/PRS.0000000000005877
PMID:31348372
Abstract

BACKGROUND

The Physician Payment Sunshine Act requires biomedical companies to disclose financial relationships between themselves and physicians. The authors compared the amount of money received by speakers at the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery annual conferences with that received by the average plastic surgeon.

METHODS

General payments data were gathered from the Open Payments database for physicians listed as a presenter, moderator, panelist, lecturer, or instructor at the 2017 annual American Society of Plastic Surgeons and American Society for Aesthetic Plastic Surgery conferences. Means and medians of payments to speakers were calculated for each conference. One-tail t tests were used to evaluate differences.

RESULTS

The mean and median for general payments made to conference speakers at American Society for Aesthetic Plastic Surgery (n = 75) and American Society of Plastic Surgeons (n = 249) meeting were $75,577 and $861 and $27,562 and $1021, respectively. In comparison with the average general payment received by plastic surgeons (mean, $4788; median, $3209), these differences were significant (American Society for Aesthetic Plastic Surgery, p = 0.015; American Society of Plastic Surgeons, p = 0.0004).

CONCLUSIONS

The significant difference in payments to speakers at conferences compared with the average plastic surgeon suggests that biomedical companies may have influence over some of the conference content. Speakers must make clear the full extent of industry relationships that could potentially bias their presentations.

摘要

背景

医师薪酬阳光法案要求生物医学公司披露其与医师之间的财务关系。作者比较了美国整形外科学会和美国美容整形外科学会年会的演讲者所获得的报酬与普通整形医师的报酬。

方法

从开放支付数据库中收集了 2017 年美国整形外科学会和美国美容整形外科学会年会被列为演讲者、主持人、小组成员、讲师或指导员的医生的一般支付数据。为每个会议计算了演讲者的支付金额的平均值和中位数。使用单尾 t 检验评估差异。

结果

美国美容整形外科学会(n = 75)和美国整形外科学会(n = 249)会议的演讲者的一般支付的平均和中位数为 75577 美元和 861 美元以及 27562 美元和 1021 美元。与普通整形医师收到的平均一般支付(平均为 4788 美元,中位数为 3209 美元)相比,这些差异具有统计学意义(美国美容整形外科学会,p = 0.015;美国整形外科学会,p = 0.0004)。

结论

与普通整形医师相比,会议演讲者的报酬差异显著,这表明生物医学公司可能对某些会议内容具有影响力。演讲者必须明确说明可能影响其演讲的行业关系的全部程度。

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