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  11. Industry Payments To Foot And Ankle-trained Orthopedic Surgeons: An Analysis Of The Open Payments Database From 2014 To 2019

Industry Payments to Foot and Ankle-Trained Orthopedic Surgeons: An Analysis of the Open Payments Database From 2014 to 2019

John M Tarazi1,2, Nicholas Frane3, Alain E Sherman1,4

  • 1Department of Orthopaedic Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, USA.

Cureus
|April 1, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Industry payments to orthopedic foot and ankle surgeons increased significantly from 2014-2019, with notable rises in education and royalties. This trend indicates greater surgeon involvement in the industry, contrary to transparency expectations.

Area of Science:

  • Orthopedic Surgery
  • Health Economics
  • Medical Device Industry

Background:

  • Transparency in financial relationships between healthcare providers and industry is crucial.
  • The Centers for Medicare and Medicaid Services (CMS) Open Payments Database (OPD) tracks these financial interactions.
  • Previous assumptions suggested increased transparency might decrease industry payments to surgeons.

Purpose of the Study:

  • To investigate the impact of transparency in industry payments on foot and ankle orthopedic surgeons.
  • To analyze changes in median general payments, payment trends across subcategories, and regional payment distributions.
  • To assess the financial relationship between foot and ankle surgeons and the medical industry post-OPD release.

Main Methods:

  • A retrospective review of CMS and OPD data from January 1, 2014, to December 31, 2019.
Keywords:
foot and ankle reconstructionfoot and ankle surgeonindustry paymentopen payments database

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  • Inclusion of 3,835 orthopedic surgeons specializing in foot and ankle procedures.
  • Descriptive statistics and trend analyses of payment amounts, number of payments, subtypes, and regional data.

    • Main Results:

    • A total of 53,280 payments amounting to $53,454,850.56 were made to foot and ankle orthopedic surgeons.
    • A statistically significant increase in the number of payments to surgeons was observed over the six-year period (r = 0.97, p < 0.001).
    • The greatest increases in median individual payments were for gifts (277.1%), education (250.6%), and royalties/licensing (72.1%).
    • Statistically significant increasing trends in median payments were observed in the Northeast and South regions.

    Conclusions:

    • Contrary to expectations, no decrease in financial relationships was observed after the OPD release; instead, an increase occurred.
    • There is a discernible shift in payment types from speaker fees and entertainment towards education, gifts, honoraria, royalties, and consulting.
    • The growing involvement of foot and ankle surgeons in industry-related activities, such as education and consulting, suggests a dynamic partnership that may foster innovation in orthopedics.
    orthopaedic surgery