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观点:审视 2020 年膳食指南咨询委员会专业服务中的利益冲突。

Perspective: Examining Conflicts of Interest for Professional Service within the 2020 Dietary Guidelines Advisory Committee.

机构信息

Department of Human Nutrition, Foods, and Exercise, Virginia Polytechnic Institute and State University (Virginia Tech), Blacksburg, VA, United States.

出版信息

Adv Nutr. 2023 May;14(3):432-437. doi: 10.1016/j.advnut.2023.03.009. Epub 2023 Mar 28.

DOI:10.1016/j.advnut.2023.03.009
PMID:36997092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10201810/
Abstract

Judgments and integrity uphold professionalism. Failure to manage professional conflicts of interest (COIs) may undermine trust in an individual, practitioner, or institution. This perspective article examines standards for nutrition researchers and practitioners to manage COIs for the Dietary Guidelines for Americans (DGA) process. Thereafter, this article analyzes a study published by Mialon et al. that raised concerns about the expert advisory committee selection process and management of COIs for 20 professionals appointed by the Department of Health and Human Services (HHS) and the USDA, who served on a federal government advisory committee to review evidence for the Dietary Guidelines Advisory Committee (DGAC) 2020 scientific report. The analysis found that Mialon et al. enumerated COIs for each DGAC member with industry, removed from the original context, which prevented readers from assessing the COI risk. Moreover, the USDA ethics office concluded that "the 20 committee members were in full compliance with the federal ethics rules applicable to special government employees." I conclude that Mialon et al. could use institutional mechanisms to encourage the USDA and HHS to strengthen future COI policies and procedures, aligned with the 2022 National Academies of Sciences, Engineering and Medicine report recommendations to improve the DGA 2025 to 2030 process.

摘要

判断和诚信维护专业性。未能管理专业利益冲突(COI)可能会破坏对个人、从业者或机构的信任。本文从营养研究人员和从业者的角度出发,探讨了《美国人膳食指南》(DGA)流程中管理 COI 的标准。接着,本文分析了 Mialon 等人发表的一项研究,该研究对 HHS 和 USDA 任命的 20 名专家在联邦政府顾问委员会中审查膳食指南咨询委员会(DGAC)2020 年科学报告证据的过程提出了利益冲突问题。分析发现,Mialon 等人将每位 DGAC 成员的行业 COI 从原始背景中罗列出来,这使得读者无法评估 COI 风险。此外,美国农业部道德办公室的结论是,“20 名委员会成员完全遵守适用于特殊政府雇员的联邦道德规则”。我认为,Mialon 等人可以利用机构机制,鼓励 USDA 和 HHS 加强未来的 COI 政策和程序,以符合 2022 年美国国家科学院、工程院和医学研究院报告中关于改进 DGA 2025 至 2030 流程的建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10c9/10201810/b4bd0d14c1f1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10c9/10201810/b4bd0d14c1f1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10c9/10201810/b4bd0d14c1f1/gr1.jpg

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Babies before business: protecting the integrity of health professionals from institutional conflict of interest.商业之前先顾婴儿:保护医疗专业人员的诚信不受机构利益冲突影响。
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Constructive and obsessive criticism in science.
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An Updated Framework for Industry Funding of Food and Nutrition Research: Managing Financial Conflicts and Scientific Integrity.更新的食品与营养研究产业资助框架:管理财务冲突和科学诚信
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Dietary Guidelines for Americans, 2020-2025: Understanding the Scientific Process, Guidelines, and Key Recommendations.《2020 - 2025年美国膳食指南:理解科学过程、指南及关键建议》
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