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Discordance of conflict of interest self-disclosure and the Centers of Medicare and Medicaid Services.


ABSTRACT:

Background

The Open Payments Database (OPD) discloses financial transactions between manufacturers and physicians. The concordance of OPD versus self-reported conflicts of interest (COI) is unknown.

Materials and methods

Our objectives were to compare (1) industry and self-disclosed COI in clinical literature, (2) payments within each disclosure level, and (3) industry- and self-disclosed COI and payments by specialty. This was an observational study. PubMed was searched for clinical studies accepted for publication from January 2014 to June 2016. Author and OPD-disclosed COIs were compared. Articles and authors were divided into full disclosure, incomplete industry disclosure, incomplete self-disclosure, and no COI. Primary outcome (differences in reported COI per article) was assessed using McNemar's test. Payment differences were compared using Kruskal-Wallis test.

Results

OPD- and self-disclosed COI differed (65.0% discordance rate by article, P < 0.001). Percentages of authors within each disclosure category differed between specialties (P < 0.001). Hematology articles exhibited the highest discordance rate (79.0%) and received the highest median payment for incomplete self-disclosure ($30,812).

Conclusions

Significant discordance exists between self- and OPD-reported COI. Additional research is needed to determine reasons for these differences.

SUBMITTER: Cherla DV 

PROVIDER: S-EPMC5643021 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature

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Publications

Discordance of conflict of interest self-disclosure and the Centers of Medicare and Medicaid Services.

Cherla Deepa V DV   Olavarria Oscar A OA   Holihan Julie L JL   Viso Cristina Perez CP   Hannon Craig C   Kao Lillian S LS   Ko Tien C TC   Liang Mike K MK  

The Journal of surgical research 20170515


<h4>Background</h4>The Open Payments Database (OPD) discloses financial transactions between manufacturers and physicians. The concordance of OPD versus self-reported conflicts of interest (COI) is unknown.<h4>Materials and methods</h4>Our objectives were to compare (1) industry and self-disclosed COI in clinical literature, (2) payments within each disclosure level, and (3) industry- and self-disclosed COI and payments by specialty. This was an observational study. PubMed was searched for clini  ...[more]

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