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Disclosures Undisclosed.

Cory F Janney1,2, Kiya Shazadeh Safavi1, Gregory J Schneider1

  • 1Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, Texas.

The Journal of Bone and Joint Surgery. American Volume
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Summary
This summary is machine-generated.

Discrepancies exist between physician conflict-of-interest (COI) disclosures in journals and the CMS Open Payments database. This study found variations in COI disclosure accuracy across medical journals, impacting transparency in research.

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Area of Science:

  • Medical ethics
  • Scientific publishing
  • Healthcare transparency

Background:

  • The Centers for Medicare & Medicaid Services (CMS) Open Payments database enhances transparency of financial relationships between physicians and pharmaceutical manufacturers.
  • Physician-reported conflict-of-interest (COI) disclosures in academic journals are crucial for interpreting study findings.
  • This study aimed to identify discrepancies between author-reported COIs and data in the CMS Open Payments database.

Purpose of the Study:

  • To compare physician-reported COI disclosures in journal articles with the CMS Open Payments database.
  • To determine the extent and variation of disclosure discrepancies across different medical journals.

Main Methods:

  • Analysis of COIs reported by authors in Foot & Ankle International (FAI), The Journal of Bone & Joint Surgery (JBJS), and The Journal of Arthroplasty (JOA) from 2014-2016.
  • Cross-referencing author disclosure statements with payment data in the CMS Open Payments database.
  • Quantifying disclosure discrepancies at the authorship and article levels.

Main Results:

  • A total of 3,465 authorship positions (1,932 unique authors) across 1,770 articles were reviewed.
  • 7.1% of authorships exhibited an undisclosed COI compared to the CMS database.
  • Significant variation in disclosure discrepancies was observed among journals, with FAI showing 23.7%, JOA 3.6%, and JBJS 2.3%.

Conclusions:

  • Discrepancies between author disclosures and the CMS Open Payments database are present.
  • The prevalence of these discrepancies varies widely among orthopaedic journals.
  • Inconsistent COI disclosure criteria across journals create uncertainty regarding reporting obligations.