Lee Chris, Khunte Mihir, Tegtmeyer Kyle, Futela Dheeman, Bajaj Suryansh, Payabvash Seyedmehdi, Gandhi Dheeraj, Malhotra Ajay
Yale University, New Haven, CT, USA.
Warren Alpert Medical School of Brown University, Providence, RI, USA.
Curr Probl Diagn Radiol. 2025 Mar-Apr;54(2):206-209. doi: 10.1067/j.cpradiol.2024.07.020. Epub 2024 Jul 24.
To identify characteristics of interventional radiologists receiving more than $100,000 in general industry payments over a 5-year period (2017-2021).
The Open Payments database was queried to identify interventional radiologists who received more than $100,000 in consulting fees, speaker fees, education, and/or gifts over a 5-year period from 2017 to 2021. The national provider identifier registry, Scopus, and a web-based search were used to identify physician characteristics, such as demographics, research profile, leadership positions, and social media presence.
From 2017-2021, 125 interventional radiologists received cumulative payments greater than $100,000 in consulting fees, speaker fees, education, and gifts. For this subset of physicians, the median (IQR) cumulative payment value was $214,380 ($141,812 - $383,740), and the total payment value was $40 million. While the highest-paid subset of physicians represented only 3 % (125/4272) of all US interventional radiologists paid by industry, the total payment value represented 66 % ($40,039,610.08/$60,859,025) of the total payment value among all interventional radiologists. 47 % (59/125) had faculty appointments and 30 % (37/125) had hospital leadership positions. 22 % (27/125) were clinical practice guideline authors, while 18 % (23/125) served on journal editorial boards and 12 % (15/125) had positions in specialty association leadership. Castle Connolly recognized 26 % (32/125) as top doctors. Among the 96 % (120/125) with published research in the past 5 years, the median (IQR) H-index was 17 (7-31). 38 % (48/125) had a presence on Twitter with a median (IQR) Kardashian index of 2.03 (0.48-6.16).
A small subset of interventional radiologists receive large payments from drug and medical device companies. These physicians are leaders in their field with influence in hospitals, research, associations, and social media. Further work is needed to understand how the concentration of these payments affects decisions in clinical practice and policy.
确定在5年期间（2017 - 2021年）从一般行业获得超过10万美元报酬的介入放射科医生的特征。
查询公开支付数据库，以确定在2017年至2021年的5年期间从咨询费、演讲费、教育费用和/或礼品中获得超过10万美元的介入放射科医生。使用国家提供者标识符注册表、Scopus以及基于网络的搜索来确定医生的特征，如人口统计学、研究概况、领导职位和社交媒体活跃度。
在2017 - 2021年期间，125名介入放射科医生在咨询费、演讲费、教育费用和礼品方面的累计报酬超过10万美元。对于这一子集的医生，累计报酬的中位数（四分位间距）为214,380美元（141,812 - 383,740美元），总报酬价值为4000万美元。虽然报酬最高的这一子集医生仅占美国所有接受行业报酬的介入放射科医生的3%（125/4272），但其总报酬价值占所有介入放射科医生总报酬价值的66%（40,039,610.08/60,859,025）。47%（59/125）有教职任命，30%（37/125）担任医院领导职位。22%（27/125）是临床实践指南的作者，18%（23/125）在期刊编辑委员会任职，12%（15/125）在专业协会领导层任职。卡斯尔·康诺利将26%（32/125）评为顶级医生。在过去5年有发表研究成果的96%（120/125）的医生中，H指数的中位数（四分位间距）为17（7 - 31）。38%（48/125）在推特上有账号，卡戴珊指数的中位数（四分位间距）为2.03（0.48 - 6.16）。
一小部分介入放射科医生从制药和医疗器械公司获得高额报酬。这些医生是其领域的领导者，在医院、研究、协会和社交媒体方面具有影响力。需要进一步开展工作，以了解这些报酬的集中情况如何影响临床实践和政策决策。
