Purpose
Accurate financial disclosure is essential to prevent bias in scientific reporting.
We aimed (1) to document the extent of industry financial payments to hand surgery
literature authors and (2) to uncover discrepancies in author self-declared conflict
of interest (COI).
Methods
We screened all scientific and review articles published in 2017 from the American
editions of 4 peer-reviewed journals (Journal of Hand Surgery [JHS], Journal of Bone and Joint Surgery [JBJS], Plastic and Reconstructive Surgery [PRS], and Journal of the American Academy of Orthopaedic Surgeons [JAAOS]) to identify authors of hand, wrist, elbow, and peripheral nerve topics. We compared
self-reported disclosures with industry-reported payments on the Centers for Medicare
and Medicaid Services’ Open Payments Database (OPD) for 3 years prior to publication
or per journal policy. We individually examined each for relevance of the corporate
payer to the article’s subject matter.
Results
We found 630 eligible authors from 395 articles. The total amount of industry-reported
payments over 3 years prior to publication was $24,396,607.80. The median total payments
per author per year was $118.40, with interquartile range from $0 to $1,364; 68% of
authors received some industry payment; the most common being food and beverage (66%
of authors). Senior authors received significantly more industry payments (median,
$2,985.67/y) than first and middle authors ($70.27 and $113.17, respectively). Of
all authors examined, 58% had undisclosed payments, but only 14% were relevant to
the article subject matter. Authors in JAAOS & JBJS, senior authors, and those receiving more than $500,000 from industry were less likely
to accurately report all payments.
Conclusions
Industry payments to hand surgery authors were lower than those reported to other
orthopedic specialties and tended to be concentrated in a few authors receiving large
amounts. Relevant COI disclosure inaccuracies are infrequent within hand surgery literature.
Uniform policies of complete disclosure across journals may remove author judgment
regarding payment relevance to published material and help eliminate remaining COI
errors. Authors may reference the OPD prior to submitting disclosures to prevent potential
discrepancies and identify errors within the database.
Clinical relevance
Relationships with industry offer opportunities for innovation, education, and research,
but overlooking COI self-reporting may erode confidence in the academic integrity
of the hand surgery literature.
Key words
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References
- A national survey of physician–industry relationships.NEngl J Med. 2007; 356: 1742-1750
- Association of compensation from the surgical and medical device industry to physicians and self-declared conflict of interest.JAMA Surg. 2018; 153: 997-1002
- Conflict of Interest in Medical Research, Education, and Practice.National Academies Press, Washington, DC2009
- Accuracy between AJSM author-reported disclosures and the Centers for Medicare and Medicaid Services Open Payments database.Am J Sports Med. 2018; 46: 969-976
- An evaluation of industry relationships among contributors to AAOS clinical practice guidelines and appropriate use criteria.J Bone Joint Surg Am. 2018; 100: e10
- Academic influence and its relationship to industry payments in orthopaedic surgery.J Bone Joint Surg Am. 2018; 100: e59
The Patient Protection and Affordable Care Act. PL, §6002: Transparency reports and reporting of physician ownership or investment interests. 2010. Available at: https://www.congress.gov/111/plaws/publ148/PLAW-111publ148.pdf. Accessed March 11, 2020.
- Open Payments. 2019.(Available at:)https://www.cms.gov/OpenPayments/index.htmlDate accessed: February 28, 2019
- Discordance of conflict of interest self-disclosure and the Centers of Medicare and Medicaid Services.J Surg Res. 2017; 218: 18-22
- Assessment of conflicts of interest in robotic surgical studies: validating author's declarations with the open payments database.Ann Surg. 2018; 268: 86-92
- An analysis of the Open Payment Database in neurotology.Otolaryngol Head Neck Surg. 2018; 158: 319-322
Centers for Medicare & Medicaid Service. Open Payments Data. Available at: https://openpaymentsdata.cms.gov/. Accessed February 28, 2019.
- ICMJE Form for Disclosure of Potential Conflicts of Interest. 2019.(Available at:)http://www.icmje.org/recommendations/browse/roles-and-responsibilities/author-responsibilities--conflicts-of-interest.htmlDate accessed: January 27, 2019
- Instructions for Authors. 2019.(Available at:)https://journals.lww.com/jbjsjournal/Pages/Instructions-for-Authors.aspxDate accessed: March 19, 2019
- The Journal of Hand Surgery Guide for Authors. 2019.(Available at:)https://www.elsevier.com/journals/the-journal-of-hand-surgery/03635023/guide-for-authorsDate accessed: March 19, 2019
- Information for Authors: Plastic and Reconstructive Surgery. 2019.(Available at:)https://journals.lww.com/plasreconsurg/Pages/InformationforAuthors.aspxDate accessed: March 19, 2019
- AAOS Disclosure Program. 2019.(Available at)http://www7.aaos.org/education/disclosureDate accessed: March 19, 2019
- Conflict-of-interest disclosures to the Journal of Bone & Joint Surgery: The relevance of industry-reported payments.J Bone Joint Surg Am. 2018; 100: e51
- Industry financial relationships in orthopaedic surgery: analysis of the sunshine act open payments database and comparison with other surgical subspecialties.J Bone Joint Surg Am. 2015; 97: 1288-1295
- Plastic surgeons’ perceptions of financial conflicts of interest and the Sunshine Act.Plast Reconstr Surg Glob Open. 2018; 6: e1733
- Pharmaceutical industry-sponsored meals and physician prescribing patterns for Medicare beneficiaries.JAMA Intern Med. 2016; 176: 1114-1122
- Cash interests taint drug advice.Nature. 2005; 437: 1070-1071
- Disclosure of financial conflicts of interest in plastic and reconstructive surgery.Plast Reconstr Surg. 2017; 140: 635-639
- Accuracy of conflict-of-interest disclosures reported by physicians.N Engl J Med. 2009; 361: 1466-1474
Article Info
Publication History
Published online: April 01, 2020
Accepted:
February 25,
2020
Received:
April 5,
2019
Footnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
Identification
Copyright
© 2020 by the American Society for Surgery of the Hand. All rights reserved.
