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Conflicts of Interest in Clinical Practice Guidelines: Accelerating an Evolution. An Endocrine Society Consensus
Christopher R McCartney1, Clifford J Rosen2
1University of Virginia School of Medicine, Charlottesville, Virginia.
The Journal of Clinical Endocrinology and Metabolism
|October 23, 2018
Summary
The Endocrine Society largely meets National Academy of Medicine (NAM) financial conflict of interest standards for clinical practice guidelines (CPGs). Recent Society revisions enhance CPG objectivity and value for patients and providers.
Area of Science:
- Endocrinology
- Clinical Practice Guidelines
- Medical Ethics
Background:
- A recent analysis evaluated the Endocrine Society's adherence to National Academy of Medicine (NAM) standards for financial conflicts of interest (COI) in clinical practice guidelines (CPGs) published between 2010 and 2017.
- The analysis suggested the Society met five of seven NAM standards regarding COI.
Purpose of the Study:
- To provide additional context on NAM standards and industry support in medicine.
- To comment on industry support for CPG authors based on the Open Payments database analysis.
- To outline the Endocrine Society's efforts to improve CPG value and objectivity.
Main Methods:
- Review of the Endocrine Society's CPGs (2010-2017) concerning NAM COI standards.
- Analysis of the Centers for Medicare and Medicaid Services' Open Payments database for industry support.
- Examination of the Endocrine Society's revised COI rules (2016) and CPG development processes.
Main Results:
- The Endocrine Society met five of seven NAM COI standards.
- Industry support for CPG authors was analyzed via the Open Payments database.
- The Society implemented revised COI rules in 2016, enhancing objectivity.
Conclusions:
- The Endocrine Society demonstrates a strong commitment to high-quality, evidence-based CPGs.
- Ongoing efforts enhance transparency and reduce COI, aligning with CPG best practices.
- These initiatives ultimately benefit patient care and provider decision-making.
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