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医师作者撰写 ACR 适宜性标准的财务利益冲突。

Financial Conflicts of Interest Among Physician Authors of ACR Appropriateness Criteria.

机构信息

Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut, USA.

Yale University, New Haven, Connecticut, USA.

出版信息

Acad Radiol. 2024 Jun;31(6):2562-2566. doi: 10.1016/j.acra.2024.02.038. Epub 2024 Mar 26.

DOI:10.1016/j.acra.2024.02.038
PMID:38538510
Abstract

BACKGROUND

The accuracy and completeness of self-disclosures by authors of imaging guidelines are not well known.

OBJECTIVE

The aim of this study was to assess the accuracy of financial disclosures by US authors of ACR appropriateness criteria.

METHODS

We reviewed financial disclosures provided by US-based authors of all ACR-AC published in 2019, 2021 and 2023. For each US- based author, payment reports were extracted from the Open Payments Database (OPD) in the previous 36 months related to general category and research payments categories. We analyzed each author individually to determine if the reported disclosures matched results from OPD.

RESULTS

A total of 633 authorships, including 333 unique authors were included from 38 ACR AC articles in 2019, with 606 authorships (387 unique authors) from 35 ACR-AC articles published in 2021, and 540 authorships (367 unique authors) from 32 ACR AC articles published in 2023. Among authors who received industry payments, failure to disclose any financial relationship was seen in 125/147 unique authors in 2019, 142/148 authors in 2021 and 95/125 unique authors in 2023. The proportion of nondisclosed total value of payments was 86.1% in 2019, 88.6% in 2021 and 56.7% in 2023. General category payments were nondisclosed in 94.1% in 2019, 89.7% in 2021 and 94.4% in 2023 by payment value.

CONCLUSION

Industry payments to authors of radiology guidelines are common and frequently undisclosed.

摘要

背景

作者在影像学指南中的自我披露的准确性和完整性尚不清楚。

目的

本研究旨在评估美国作者撰写的 ACR 适宜性标准中财务披露的准确性。

方法

我们回顾了 2019 年、2021 年和 2023 年发表的所有 ACR-AC 中美国作者的财务披露信息。对于每一位美国作者,我们从过去 36 个月的开放支付数据库(OPD)中提取了一般类别和研究支付类别的支付报告。我们单独分析了每一位作者,以确定报告的披露是否与 OPD 的结果相符。

结果

在 2019 年的 38 篇 ACR-AC 文章中,共有 633 次署名,其中包括 333 位独立作者,2021 年的 35 篇 ACR-AC 文章中有 606 次署名(387 位独立作者),2023 年的 32 篇 ACR-AC 文章中有 540 次署名(367 位独立作者)。在收到行业支付的作者中,2019 年有 125/147 位独立作者未披露任何财务关系,2021 年有 142/148 位作者,2023 年有 95/125 位作者。2019 年未披露支付总额的比例为 86.1%,2021 年为 88.6%,2023 年为 56.7%。2019 年,94.1%的一般类别支付未披露,2021 年为 89.7%,2023 年为 94.4%。

结论

放射科指南作者从行业获得报酬的情况很常见,而且经常不披露。

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