Discrepancies in Financial Conflicts of Interest in Robotic Cardiothoracic Surgery Studies.


Journal

The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R

Informations de publication

Date de publication:
03 Jun 2023
Historique:
received: 23 01 2022
revised: 12 04 2023
accepted: 24 04 2023
pubmed: 5 6 2023
medline: 5 6 2023
entrez: 4 6 2023
Statut: aheadofprint

Résumé

In academic surgery publications, self-reporting of conflicts of interest (COI) has often proved to be inaccurate. Here, we review the accuracy of COI disclosures for studies related to the use of robotic technology in cardiothoracic surgery and evaluate factors associated with increased discrepancies. A literature search identified robotic surgery-related studies with at least 1 American author published between January 2015 and December 2020 from 3 major American cardiothoracic surgery journals (The Journal of Thoracic and Cardiovascular Surgery, The Annals of Thoracic Surgery, and Annals of Cardiothoracic Surgery). Industry payments from Intuitive Surgical (Intuitive) were collected with use of the Centers for Medicare and Medicaid Open Payments database. COI discrepancies were identified by comparing author declaration statements with payments found for the year of publication and the year prior (24-month period). A total of 144 studies (764 authors) were identified. At least 1 author of 112 studies (78%) had received payments from Intuitive. At least 1 author of 98 studies (68%) had received an undeclared payment from Intuitive. Authors who accurately disclosed payments received significantly higher median payments compared with authors who did not ($16,511 [interquartile range, $6389-$159,035] vs $1762 [interquartile range, $338-$7500]; P < .0001). Last authors were significantly more likely to have a COI discrepancy compared with middle and first authors (P = .018; P = .0015). Most studies investigating the use of robotic technology in cardiothoracic surgery did not accurately declare COI with Intuitive. This study highlights the need for improved accuracy of reporting industry sponsorship by publishing authors.

Sections du résumé

BACKGROUND BACKGROUND
In academic surgery publications, self-reporting of conflicts of interest (COI) has often proved to be inaccurate. Here, we review the accuracy of COI disclosures for studies related to the use of robotic technology in cardiothoracic surgery and evaluate factors associated with increased discrepancies.
METHODS METHODS
A literature search identified robotic surgery-related studies with at least 1 American author published between January 2015 and December 2020 from 3 major American cardiothoracic surgery journals (The Journal of Thoracic and Cardiovascular Surgery, The Annals of Thoracic Surgery, and Annals of Cardiothoracic Surgery). Industry payments from Intuitive Surgical (Intuitive) were collected with use of the Centers for Medicare and Medicaid Open Payments database. COI discrepancies were identified by comparing author declaration statements with payments found for the year of publication and the year prior (24-month period).
RESULTS RESULTS
A total of 144 studies (764 authors) were identified. At least 1 author of 112 studies (78%) had received payments from Intuitive. At least 1 author of 98 studies (68%) had received an undeclared payment from Intuitive. Authors who accurately disclosed payments received significantly higher median payments compared with authors who did not ($16,511 [interquartile range, $6389-$159,035] vs $1762 [interquartile range, $338-$7500]; P < .0001). Last authors were significantly more likely to have a COI discrepancy compared with middle and first authors (P = .018; P = .0015).
CONCLUSIONS CONCLUSIONS
Most studies investigating the use of robotic technology in cardiothoracic surgery did not accurately declare COI with Intuitive. This study highlights the need for improved accuracy of reporting industry sponsorship by publishing authors.

Identifiants

pubmed: 37271443
pii: S0003-4975(23)00573-8
doi: 10.1016/j.athoracsur.2023.04.047
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Auteurs

Manish M Karamchandani (MM)

Department of Surgery, Tufts Medical Center, Boston, Massachusetts.

Tina Tian (T)

Department of Surgery, Tufts Medical Center, Boston, Massachusetts.

Ryan Hall (R)

Department of Surgery, Tufts Medical Center, Boston, Massachusetts.

Ian Nickel (I)

Department of Surgery, Tufts Medical Center, Boston, Massachusetts.

Jeffrey Aalberg (J)

Tufts University School of Medicine, Boston, Massachusetts.

Antonio D Lassaletta (AD)

Division of Thoracic Surgery, Department of Surgery, Tufts Medical Center, Boston, Massachusetts.

Abhishek Chatterjee (A)

Division of Plastic and Reconstructive Surgery, Department of Surgery, Tufts Medical Center, Boston, Massachusetts.

Dustin M Walters (DM)

Division of Thoracic Surgery, Department of Surgery, Tufts Medical Center, Boston, Massachusetts. Electronic address: dwalters3@tuftsmedicalcenter.org.

Classifications MeSH