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Conflict of Interest Disclosure in American Arthroplasty Surgical Literature

  • 0Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Arthroplasty Today +

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February 17, 2025

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February 17, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

Physicians in arthroplasty surgery often inaccurately disclose financial conflicts of interest (COI). Improving disclosure accuracy requires better education and standardized verification processes for industry relationships.

Area Of Science

  • Orthopedic Surgery
  • Medical Ethics
  • Health Policy

Background

  • Industry-physician relationships are vital for innovation in arthroplasty surgery.
  • These relationships can create conflicts of interest (COI) requiring disclosure.
  • The accuracy of physician COI disclosures in arthroplasty has not been previously studied.

Purpose Of The Study

  • To evaluate the accuracy of financial conflict of interest disclosures by authors in arthroplasty surgery publications.
  • To quantify the prevalence and financial impact of undisclosed conflicts of interest.

Main Methods

  • Authors from The Journal of Arthroplasty and Arthroplasty Today (2014-2018) were identified.
  • Financial disclosures were compared against the Open Payments Database.
  • Chi-square testing was used for statistical analysis.

Main Results

  • 57% of authors with financial disclosures accurately disclosed their COI.
  • Undisclosed COI totaled $334 million, compared to $1.71 billion disclosed.
  • Disclosure accuracy varied significantly by payment amount and author seniority.

Conclusions

  • A high rate of inaccurate COI disclosures exists in arthroplasty surgery.
  • Enhanced education on COI for early-career physicians is recommended.
  • Standardizing disclosure forms and utilizing the Open Payments Database can improve accuracy.

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