美国关节置换手术文献中的利益冲突披露

IF 1.5 Q3 ORTHOPEDICS

Arthroplasty Today Pub Date : 2024-10-12 DOI:10.1016/j.artd.2024.101493

Robert T. Tisherman MD , Richard A. Wawrose MD , Aditya M. Mittal BS , Stephen R. Chen MD , Joseph Chen BS , Christopher J. Como MD , Malcolm Dombrowski MD , Jeremy D. Shaw MD

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引用次数: 0

摘要

背景工业界与医生之间的关系对于关节置换手术领域的创新至关重要。然而，这些关系会给医学研究带来利益冲突（COI），大多数期刊都要求披露这些关系。方法从 MEDLINE 获取 2014 年至 2018 年期间在《关节成形术杂志》和《今日关节成形术》上发表文章的所有作者姓名。财务披露声明来自期刊网站，并与 Open Payments 进行人工比对。统计比较采用卡方检验，显著性定义为 P < .05.Results2014-2018年间，共发表了3147篇文章，4038位作者符合纳入标准。在披露财务信息的作者中，2298 位（57%）作者正确披露了财务信息。已披露的利益冲突总价值为 17.1 亿美元。未披露的利益冲突总价值为 3.34 亿美元。对于 100 万美元的付款，86% 的医生都准确披露了。对于 100 美元至 9999 美元的付款，医生有 26% 的时间准确披露。高级作者正确披露的比例为 72%，明显高于中级作者和第一作者。结论在关节置换手术领域，披露不准确的情况非常普遍，这表明有必要进一步教育早期职业医师什么是COI。披露表格的标准化和与公开支付数据库的验证有助于提高披露的准确率。

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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Conflict of Interest Disclosure in American Arthroplasty Surgical Literature

Background

Relationships between industry and physicians are critical for innovation in the field of arthroplasty surgery. However, these relationships can present a conflict of interest (COI) for medical research and are required to be disclosed by most journals. The rate of accurate disclosures by physicians has not been studied in arthroplasty surgery.

Methods

The names of all authors publishing in The Journal of Arthroplasty and Arthroplasty Today between 2014 and 2018 were obtained from MEDLINE. Financial disclosure statements were obtained from the journal websites and manually compared against Open Payments. Statistical comparisons were made using chi-square testing with significance defined as P < .05.

Results

From 2014-2018, 3147 articles were published with 4038 authors meeting inclusion criteria. Of authors with financial disclosures, 2298 (57%) authors correctly disclosed. The total value of disclosed COI equaled $1.71 billion. The total value of undisclosed conflicts of interest equaled $334 million. For payments >$1,000,000 physicians disclosed accurately 86% of the time. For payments between $100 and $9999 physicians accurately disclosed 26% of the time. Senior authors disclosed correctly 72% of the time, which was significantly higher compared to middle and first authors.

Conclusions

There is a high prevalence of inaccurate disclosures in the field of arthroplasty surgery. This suggests a need to further educate early-career physicians on what constitutes a COI. Standardization of disclosure forms and verifications with the Open Payments Database can help increase the rate of accurate disclosures.

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来源期刊

Arthroplasty Today Medicine-Surgery

CiteScore

2.90

自引率

0.00%

发文量

258

审稿时长

40 weeks

期刊介绍： Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.