Jafar Uzair, Usama Muhammad, Hase Niklas E, Yaseen Haris, Nayyar Apoorve, Rabinowitz Judy B, Aziz Hassan
From the Department of Surgery, King Edward Medical University, Lahore, Pakistan (Jafar, Usama, Yaseen).
Department of Surgery, Tufts School of Medicine, Boston, MA (Hase, Rabinowitz).
J Am Coll Surg. 2024 Jan 1;238(1):54-60. doi: 10.1097/XCS.0000000000000871. Epub 2023 Oct 23.
Industry payments to physicians represent a potential conflict of interest (COI) and can influence the study conclusions. This study aimed to evaluate the accuracy of the COIs reported in major surgical journals.
Studies with at least one American author published between 2016 and 2021 that discussed observational and intervention studies assessing robotic surgery were included in the analysis. The Centers for Medicare & Medicaid Services' Open Payments database was used to collect the industry payments. A COI is defined as receiving funding from a robotics company while publishing research directly related to the company's products. A COI statement was defined as disclosed (or accurate) if the disclosure statement for the study in question acknowledged funding from the robotics companies. A COI was defined as undisclosed (or inaccurate) if the disclosure statement for the study in question did not acknowledge funding from the robotics companies.
A total of 314 studies and 1978 authors were analyzed. Only 13.6% of the studies had accurate COI statements, whereas the majority (86.4%) had inaccurate COI disclosures. Additionally, 48.9% of the authors who received funding of $10,000 to $100,000 failed to report this amount in their disclosures, and 18% of the authors who received funding of $100,000 or more did not report it in their disclosures.
There was a significant discordance between the self-reported COI in gastrointestinal and abdominal wall surgeries. This study calls for continued efforts to improve the definitions of what constitutes a relevant COI and encourages a standardized reporting process. It is imperative for investigators to make accurate disclosure statements.
行业向医生支付报酬存在潜在利益冲突（COI），并可能影响研究结论。本研究旨在评估主要外科期刊报道的利益冲突的准确性。
分析2016年至2021年间发表的、至少有一位美国作者且讨论了评估机器人手术的观察性和干预性研究的文献。利用医疗保险和医疗补助服务中心的公开支付数据库收集行业支付信息。利益冲突定义为在发表与机器人公司产品直接相关的研究时接受该公司的资助。如果相关研究的披露声明承认接受了机器人公司的资助，则利益冲突声明被定义为已披露（或准确）。如果相关研究的披露声明未承认接受机器人公司的资助，则利益冲突被定义为未披露（或不准确）。
共分析了314项研究和1978位作者。只有13.6%的研究有准确的利益冲突声明，而大多数（86.4%）的利益冲突披露不准确。此外，接受10,000美元至100,000美元资助的作者中有48.9%未在其披露中报告该金额，接受100,000美元或以上资助的作者中有18%未在其披露中报告。
胃肠和腹壁手术中自我报告的利益冲突存在显著不一致。本研究呼吁继续努力完善相关利益冲突的定义，并鼓励采用标准化的报告流程。研究人员必须做出准确的披露声明。
