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Area of Science:

  • Medical Informatics
  • Healthcare Transparency
  • Physician-Industry Relations

Background:

  • The Centers for Medicare & Medicaid Services launched the Open Payments Database (OPD) in 2014 to track physician-industry interactions.
  • No prior studies have assessed the accuracy of the OPD for neurosurgeons or any medical specialty.

Purpose of the Study:

  • To evaluate the accuracy of neurosurgeon identification and the scope of reported industry relationships within the OPD.
  • To analyze the completeness and potential discrepancies in neurosurgeon data in the OPD.

Main Methods:

  • Searched 4.3 million (2013) and 11.41 million (2014) records in the OPD for board-certified neurosurgeons.
  • Utilized Delimit software for data condensation, Microsoft Access for database queries, and STATA for descriptive analyses.

Main Results:

  • In 2013, only 62% of neurosurgeons were correctly identified in the OPD; this rose to 68% in 2014.
  • The database contained 72,066 records for neurosurgeons in 2013 and 160,563 in 2014.
  • Total payments to neurosurgeons reached $61.8 million in 2013 and $117.1 million in 2014.

Conclusions:

  • The OPD contains significant inaccuracies regarding neurosurgeon data and industry interactions.
  • Inaccurate public data can damage individual physician reputations and erode professional credibility.
  • Ensuring data accuracy in public healthcare databases is crucial for maintaining trust and informed public discourse.