From the Division of Plastic and Reconstructive Surgery, Department of Surgery, University Hospitals Cleveland Medical Center; and Case Western Reserve University School of Medicine.
Plast Reconstr Surg. 2022 Jan 1;149(1):253-261. doi: 10.1097/PRS.0000000000008678.
The Open Payments database was created to increase transparency of industry payment relationships within medicine. The current literature often examines only 1 year of the database. In this study, the authors use 5 years of data to show trends among industry payments to plastic surgeons from 2014 to 2018. In addition, the authors lay out the basics of conflict-of-interest reporting for the new plastic surgeon. Finally, the authors suggest an algorithm for the responsible management of industry relationships.
This study analyzed nonresearch payments made to plastic surgeons from January 1, 2014, to December 31, 2018. Descriptive statistics were calculated using R Statistical Software and visualized using Tableau.
A total of 304,663 payments totaling $140,889,747 were made to 8148 plastic surgeons; 41 percent ($58.28 million) was paid to 50 plastic surgeons in the form of royalty or license payments. With royalties excluded, average and median payments were $276 and $25. The average yearly total per physician was $2028. Of the 14 payment categories, 95 percent of the total amount paid was attributable payments in one of six categories. Seven hundred thirty companies reported payments to plastic surgeons from 2014 to 2018; 15 companies (2 percent) were responsible for 80 percent ($66.34 million) of the total sum paid. Allergan was responsible for $24.45 million (29.6 percent) of this amount.
Although discussions on the proper management of industry relationships continue to evolve, the data in this study illustrate the importance of managing industry relationships. The simple guidelines suggested create a basis for managing industry relationships in the career of the everyday plastic surgeon.
创建公开支付数据库是为了提高医学领域内行业支付关系的透明度。目前的文献通常只检查数据库中的 1 年数据。在这项研究中，作者使用 5 年的数据来展示 2014 年至 2018 年期间行业向整形外科医生支付款项的趋势。此外，作者为新整形外科医生制定了利益冲突报告的基本准则。最后，作者提出了一种负责任地管理行业关系的算法。
本研究分析了 2014 年 1 月 1 日至 2018 年 12 月 31 日期间支付给整形外科医生的非研究性款项。使用 R 统计软件计算描述性统计数据，并使用 Tableau 可视化。
共向 8148 名整形外科医生支付了 304663 笔款项，总计 140889747 美元；41%（5828 万美元）以版税或许可证支付的形式支付给 50 名整形外科医生。排除版税后，平均和中位数支付额分别为 276 美元和 25 美元。每位医生的年平均总收入为 2028 美元。在 14 个付款类别中，总付款额的 95%归因于六个类别中的一个类别。从 2014 年到 2018 年，有 730 家公司向整形外科医生报告了付款情况；15 家公司（2%）负责支付总额的 80%（6634 万美元）。Allergan 负责其中的 2445 万美元（29.6%）。
尽管关于管理行业关系的适当方法的讨论仍在继续，但本研究中的数据说明了管理行业关系的重要性。所建议的简单准则为日常整形外科医生的职业生涯中管理行业关系奠定了基础。
