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“一次性”皮肤科出版物中的利益冲突:开放支付数据库分析

Conflicts of Interest in "Throwaway" Dermatology Publications: Analysis of the Open Payments Database.

作者信息

Roman Jorge, Elpern David J

机构信息

The Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York, NY, United States.

The Skin Clinic, Williamstown, MA, United States.

出版信息

JMIR Dermatol. 2021 Jul 22;4(2):e30126. doi: 10.2196/30126.

Abstract

BACKGROUND

Dermatology journals, periodicals, editorials, and news magazines are influential resources that are not uniformly regulated and subject to influence from the pharmaceutical industry. This study evaluates industry payments to physician editorial board members of common dermatology publications, including "throwaway" publications.

OBJECTIVE

The aim of this study was to characterize the extent and nature of industry payments to editorial board members of different dermatologic publications in order to ascertain differences in payments between different types of publications.

METHODS

A list of editorial board members was compiled from a collection of clinical dermatology publications received over a 3-month period. Data from the Open Payments database from 2013 to 2019 were collected, and analysis of payments data was performed.

RESULTS

Ten publications were evaluated, and payments data for 466 physicians were analyzed. The total compensation across all years was US $75,622,369.64. Consulting, services other than consulting, and travel or lodging payments constituted most of the payments. A fraction of dermatologists received the majority of payments. The top payers were manufacturers of biologic medications. Payment amounts were higher for throwaway publications compared to peer-reviewed journals.

CONCLUSIONS

Editorial board members of dermatology publications received substantial payments from the pharmaceutical industry. A minority of physicians receive the lion's share of payments from industry. "Throwaway" publications have more financial conflict of interest than do peer-reviewed journals. The impact of these conflicts of interest on patient care, physicians' practice patterns, and patient perception of physicians is noteworthy.

摘要

背景

皮肤科期刊、杂志、社论和新闻杂志是有影响力的资源,但它们没有统一的规范,且受到制药行业的影响。本研究评估了制药行业向常见皮肤科出版物(包括“一次性”出版物)的医师编辑委员会成员支付款项的情况。

目的

本研究的目的是描述制药行业向不同皮肤科出版物的编辑委员会成员支付款项的程度和性质,以确定不同类型出版物之间支付款项的差异。

方法

从三个月内收到的一系列临床皮肤科出版物中编制编辑委员会成员名单。收集2013年至2019年开放支付数据库的数据,并对支付数据进行分析。

结果

评估了10种出版物,分析了466名医生的支付数据。历年的总薪酬为75,622,369.64美元。咨询、咨询以外的服务以及差旅或住宿支付构成了大部分支付款项。一小部分皮肤科医生获得了大部分支付款项。支付金额最高的是生物药物制造商。与同行评审期刊相比,“一次性”出版物的支付金额更高。

结论

皮肤科出版物的编辑委员会成员从制药行业获得了大量款项。少数医生获得了制药行业支付款项的大部分。与同行评审期刊相比,“一次性”出版物存在更多的利益冲突。这些利益冲突对患者护理、医生的执业模式以及患者对医生的看法的影响值得关注。

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本文引用的文献

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Top companies and drugs by sales in 2019.2019年按销售额排名的顶级公司和药品。
Nat Rev Drug Discov. 2020 Apr;19(4):228. doi: 10.1038/d41573-020-00047-7.
2
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