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 b...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Arthroplasty Today |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S235234412400178X |
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| author | 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 |
| author_facet | 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 |
| author_sort | Robert T. Tisherman, MD |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-1c3fa1aa3a3f41ecb58efecc8b3713b1 |
| institution | OA Journals |
| issn | 2352-3441 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj-art-1c3fa1aa3a3f41ecb58efecc8b3713b12025-08-20T02:35:00ZengElsevierArthroplasty Today2352-34412024-12-013010149310.1016/j.artd.2024.101493Conflict of Interest Disclosure in American Arthroplasty Surgical LiteratureRobert T. Tisherman, MD0Richard A. Wawrose, MD1Aditya M. Mittal, BS2Stephen R. Chen, MD3Joseph Chen, BS4Christopher J. Como, MD5Malcolm Dombrowski, MD6Jeremy D. Shaw, MD7Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA; Pittsburgh Orthopaedic Spine Research (POSR) Group, Pittsburgh, PA, USADepartment of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA; Pittsburgh Orthopaedic Spine Research (POSR) Group, Pittsburgh, PA, USADepartment of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA; Pittsburgh Orthopaedic Spine Research (POSR) Group, Pittsburgh, PA, USADepartment of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA; Pittsburgh Orthopaedic Spine Research (POSR) Group, Pittsburgh, PA, USADepartment of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA; Pittsburgh Orthopaedic Spine Research (POSR) Group, Pittsburgh, PA, USADepartment of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA; Pittsburgh Orthopaedic Spine Research (POSR) Group, Pittsburgh, PA, USA; Corresponding author. Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, 3471 Fifth Avenue, Suite 1010, Pittsburgh, PA, 15213, USA. Tel.: +1 412 605 3241.Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA; Pittsburgh Orthopaedic Spine Research (POSR) Group, Pittsburgh, PA, USADepartment of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA; Pittsburgh Orthopaedic Spine Research (POSR) Group, Pittsburgh, PA, USABackground: 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.http://www.sciencedirect.com/science/article/pii/S235234412400178XConflict of interestArthroplastyFinancial paymentsResearch integrityIndustry partnership |
| spellingShingle | 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 Conflict of Interest Disclosure in American Arthroplasty Surgical Literature Arthroplasty Today Conflict of interest Arthroplasty Financial payments Research integrity Industry partnership |
| title | Conflict of Interest Disclosure in American Arthroplasty Surgical Literature |
| title_full | Conflict of Interest Disclosure in American Arthroplasty Surgical Literature |
| title_fullStr | Conflict of Interest Disclosure in American Arthroplasty Surgical Literature |
| title_full_unstemmed | Conflict of Interest Disclosure in American Arthroplasty Surgical Literature |
| title_short | Conflict of Interest Disclosure in American Arthroplasty Surgical Literature |
| title_sort | conflict of interest disclosure in american arthroplasty surgical literature |
| topic | Conflict of interest Arthroplasty Financial payments Research integrity Industry partnership |
| url | http://www.sciencedirect.com/science/article/pii/S235234412400178X |
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