Analyzing the Patterns of Industry Payments in Urology: A Benchmark Comparison With Other Surgical Specialties

IF 2 3区医学 Q2 UROLOGY & NEPHROLOGY

Urology Pub Date : 2025-09-01 DOI:10.1016/j.urology.2025.05.043

Daniel Salevitz , Madison Ransdell , Chung-Yon Lin , Gwen Grimsby

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引用次数: 0

Abstract

Objective

To examine differences in industry payments across multiple surgical specialties and to examine differences in payments to pediatric urologists (PU) with other urologic subspecialists (UO).

Methods

The 2022 Open Payments dataset was downloaded from the Center for Medicare and Medicaid website. Industry payments were collected for urologists, otolaryngologists (ENT), orthopedic (Ortho), and plastic (Plastics) surgeons for comparison. Descriptive statistics with Kruskal-Wallis and chi-square tests were performed to evaluate payment distributions across these specialties and between PU and OU.

Results

In 2022, industry payments were reported to 9686 urologists. Ortho received the highest number and dollar amount of payments, with 315,664 payments valuing nearly $600 million. Urologists received 207,961 payments at $33.5 million, Plastics with 58,446 at $93 million, and ENT with 70,006 payments and $13.7 million. The specialties had statistically significantly different distribution of payments in total number and amount of money paid (P <.0001). PU received 906 payments and $162,826, versus OU with 207,055 payments valuing $33.4 million, and the distribution of these payments was also significantly different (P <.0001).

Conclusion

The distribution of payments differed significantly across the surgical sub-specialties examined. There was also a staggering difference in industry payments between PU and other urologists, which highlights a disparity in interactions between medical device and pharmaceutical companies even within the specialty of urology.

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分析泌尿外科的行业支付模式：与其他外科专业的基准比较。

目的：研究多个外科专科的行业支付差异，以及儿科泌尿科（PU）与其他泌尿科专科（UO）的支付差异。方法：从医疗保险和医疗补助中心网站下载2022年开放支付数据集。收集泌尿科医生、耳鼻喉科医生（ENT）、骨科医生（Ortho）和整形外科医生（Plastics）的行业报酬进行比较。使用Kruskal-Wallis和卡方检验进行描述性统计，以评估这些专业之间以及PU和OU之间的支付分布。结果：2022年共向9686名泌尿科医生报告了行业支付情况。骨科收到的付款数量和金额最高，有315,664笔付款，价值近6亿美元。泌尿科共收到207,961笔付款，金额为3,350万美元；塑胶科收到58,446笔付款，金额为9,300万美元；耳鼻喉科收到70,000笔付款，金额为1,370万美元。各专科在支付总次数和支付金额上的支付分布差异有统计学意义(p)结论：各外科亚专科的支付分布差异有统计学意义。儿科泌尿科医生和其他泌尿科医生之间的行业报酬也存在惊人的差异，这凸显了医疗设备和制药公司之间的互动差异，即使在泌尿科专业范围内也是如此。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Urology 医学-泌尿学与肾脏学

CiteScore

3.30

自引率

9.50%

发文量

716

审稿时长

59 days

期刊介绍： Urology is a monthly, peer–reviewed journal primarily for urologists, residents, interns, nephrologists, and other specialists interested in urology The mission of Urology®, the "Gold Journal," is to provide practical, timely, and relevant clinical and basic science information to physicians and researchers practicing the art of urology worldwide. Urology® publishes original articles relating to adult and pediatric clinical urology as well as to clinical and basic science research. Topics in Urology® include pediatrics, surgical oncology, radiology, pathology, erectile dysfunction, infertility, incontinence, transplantation, endourology, andrology, female urology, reconstructive surgery, and medical oncology, as well as relevant basic science issues. Special features include rapid communication of important timely issues, surgeon''s workshops, interesting case reports, surgical techniques, clinical and basic science review articles, guest editorials, letters to the editor, book reviews, and historical articles in urology.