From the Zucker School of Medicine at Hofstra/Northwell Orthopaedic Surgery Residency Program, Plainview, NY (Dr. Braithwaite, Dr. Frane, Dr. Partan, Dr. White, and Dr. Bitterman), the Department of Orthopaedic Surgery, Northwell Health Huntington Hospital, Huntington, NY (Dr. Braithwaite, Dr. Frane, Dr. Partan, Dr. White, Dr. Iturriaga, and Dr. Bitterman), Nova Southeastern University (Mr. Gruber).
J Am Acad Orthop Surg Glob Res Rev. 2021 May 7;5(5):e21.00060. doi: 10.5435/JAAOSGlobal-D-21-00060.
The Physician Payments Sunshine Act was placed into law in 2010 in an effort to create transparency between physicians and industry. Along with many other specialties, orthopaedic surgeons have long worked intimately with medical industry companies. This study aimed to evaluate trends in industry payments to general orthopaedic surgeons from 2014 to 2019.
A retrospective review of the Center of Medicare and Medicaid Services' Open Payments Database was done to identify all industry payments to all general orthopaedic surgeons (ie, not subspecialty affiliated) from 2014 to 2019. The researchers analyzed total payments and subtype payments for yearly trends, and a regional analysis was done. The primary outcome was the overall trend in total median payments, which was assessed through the Jonckheere-Terpstra test. Descriptive statistics include medians with interquartile ranges. P < 0.05 was considered statistically significant.
Between 2014 and 2019, a total of 1,330,543 payments totaling $1.79 billion dollars was paid to 108,041 general orthopaedic surgeons. During this time, the number of surgeons receiving payments increased with a significant uptrend in median payments per surgeon (P < 0.001; Table 1). The top 25% percentile of general orthopaedic surgeons received >95% of payments, whereas the bottom 25% received <0.1%. The general payment types all saw significant increases (P < 0.001) between 2014 and 2019, with the exception of "Ownership or Investment Interests" (P = 0.657) and "Royalty or License" (P = 0.517). Significant regional uptrends in median industry payments were also seen in the Midwest, Northeast, South, and West (P < 0.001). Four of the top five orthopaedic industry companies made payment increases between 2014 and 2019.
Industry payments to general orthopaedic surgeons between 2014 and 2019 have increased with a considerable disparity in payments among the top-paid orthopaedic surgeons.
为了在医生和行业之间建立透明度，《医师支付阳光法案》于 2010 年颁布实施。与许多其他专业一样，矫形外科医生长期以来一直与医疗行业公司密切合作。本研究旨在评估 2014 年至 2019 年期间普通矫形外科医生从行业获得的支付趋势。
对医疗保险和医疗补助服务中心的公开支付数据库进行回顾性分析，以确定 2014 年至 2019 年期间所有普通矫形外科医生（即非专业附属）从行业获得的所有支付。研究人员分析了每年的总支付和子类型支付趋势，并进行了区域分析。主要结果是通过 Jonckheere-Terpstra 检验评估总中位数支付的总体趋势。描述性统计包括中位数和四分位距。P<0.05 被认为具有统计学意义。
在 2014 年至 2019 年期间，共有 1330543 笔支付，总额为 17.9 亿美元，支付给了 108041 名普通矫形外科医生。在此期间，收到付款的外科医生人数增加，每位外科医生的中位数付款呈显著上升趋势（P<0.001；表 1）。前 25%的普通矫形外科医生收到了超过 95%的付款，而最后 25%的医生收到的不到 0.1%。除了“所有权或投资权益”（P=0.657）和“版税或许可证”（P=0.517）外，2014 年至 2019 年间所有一般支付类型都显著增加（P<0.001）。中西部、东北部、南部和西部也出现了中位数行业支付的显著上升趋势（P<0.001）。在 2014 年至 2019 年间，前五大骨科行业公司中有四家的支付额有所增加。
2014 年至 2019 年期间，普通矫形外科医生从行业获得的支付增加，支付差距较大，顶尖矫形外科医生获得的支付较高。
