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Conflicts of interest in hand surgery: recognizing risks, navigating challenges and promoting integrity.

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Conflicts of interest (COI) are common in hand surgery, affecting clinical practice and research. Addressing these requires transparency and standardized policies to maintain scientific integrity and patient trust.

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Area of Science:

  • Orthopedic Surgery
  • Medical Ethics
  • Biomedical Research

Background:

  • Conflicts of interest (COI) are prevalent in hand surgery due to industry intersections.
  • COIs extend beyond financial ties to include research, personal, social media, and royalty-based influences.

Purpose of the Study:

  • To highlight the pervasive nature of COI in hand surgery.
  • To discuss the various forms and impacts of COI in the field.
  • To propose mitigation strategies for COI.

Main Methods:

  • Review of existing evidence on COI in hand surgery.
  • Analysis of disclosure inaccuracies and hidden biases.
  • Synthesis of multi-level mitigation approaches.

Main Results:

  • A significant percentage of authors (up to 81%) inaccurately disclose COIs.
  • Social media and mentorship can obscure biases.
  • COIs can influence clinical decisions, research outcomes, and educational content.

Conclusions:

  • Effective COI mitigation requires transparency, adherence to guidelines, and institutional policies.
  • A culture of integrity is crucial for ethical industry collaboration and patient care in hand surgery.