Home > Article Index > Alkalosis > Articles

• Go Back

Reprinted from:

Most Doctors Who Set Guidelines Have Industry Ties

By Jacqueline Stenson, The Journal of AMA

February 05 , 2002 [Reuters]

Most Doctors Who Set Guidelines
Have Industry Ties

By Jacqueline Stenson

NEW YORK (Reuters Health) - The vast majority of doctors involved in establishing national guidelines on disease treatment have financial ties to the pharmaceutical industry that could potentially sway their recommendations and inappropriately influence thousands of other physicians, a new study concludes.

Eighty-seven percent of guideline authors had some type of relationship with drug companies, yet these often were not disclosed, according to survey responses from 100 authors of guidelines published from 1991 to 1999 for common diseases such as diabetes, high blood pressure and asthma.

More specifically, 38% of respondents said they had served as employees or consultants for pharmaceutical companies and 58% had received financial support for medical research. In addition, 59% had links with drug companies whose medications were considered in the particular guidelines they authored, according to the report in the February 6th issue of The Journal of the American Medical Association.

"The findings show that people who work on committees who write practice guidelines have lots of financial relationships with companies whose products theyīre assessing," study author Dr. Allan Detsky, physician-in-chief at Mount Sinai Hospital in Toronto, told Reuters Health.

And these figures may underestimate the problem, the researchers said, because only 52% of the authors contacted for the survey responded. Some may have declined to participate because they did not want to disclose their industry relationships, the report indicates. Though the investigators did not name names, the survey did not explicitly guarantee anonymity.

While industry ties donīt necessarily mean that a doctor canīt provide an objective opinion, "itīs a potential problem," Detsky said.

In the study, the researchers did not actually search for concrete examples in which industry ties translated into improper treatment recommendations. But when respondents were asked whether relationships with drug companies influenced guideline recommendations, 19% said they thought their co-authorsī recommendations were swayed by their relationships and 7% said they thought their own relationships influenced recommendations.

Detsky pointed out that industry relationships are often an essential part of doing business for doctors. Many of the nationīs top medical researchers at prestigious academic institutions--the same ones sought for guideline authorship--have industry relationships because it is the pharmaceutical companies who finance most of the nationīs drug research. Detsky himself has received honoraria for speeches, consulting fees and research grant money from drug companies.

So how much industry involvement should disqualify a doctor from participation in clinical guidelines? "Thatīs the $64,000 question," Detsky said. "Any cut point would be considered arbitrary with the possible exception of zero involvement."

The researchers specifically recommended the disqualification of authors who own equity in a company whose products are being reviewed in the guidelines.

Beyond that, each medical group that sets guidelines should devise their own ways for identifying and dealing with potential conflicts of interest within their specialty--"ways we can preclude these conflicts from harming the consumer," Detsky said.

In the survey, 55% of respondents said the guidelines they worked on had no formal process for declaring relationships with drug companies. And just 2 of the 44 guidelines evaluated in the study listed the authorsī industry relationships in print.

The Journal of the American Medical Association 2002;287:612-617.

Reprinted from:

Homeopathy, Economics, and Government  Aug 23 2003
Raw Milk Vs. Pasteurized Milk  Jun 06 2003
Mercury fillings may be affecting dentists - study  Apr 19 2003
How I treated myself for Amalgam Illness  Apr 18 2003
The Most Interesting Stories from CureZone  Apr 18 2003
The Bowen Technique  Apr 18 2003
_BOB's Quick Cleanse  Apr 18 2003
Parasites? Me? Are you Kidding?  Apr 18 2003
Liver Flush - Quackery or Valuable Remedy  Apr 18 2003
Robert C. Atkins, M.D. Dies at 72  Apr 18 2003
Why You Don’t Want to Drink Pasteurized Milk  Mar 30 2003
Fish Farms Become Feedlots of the Sea  Dec 28 2002
What is Maggot Therapy?  Nov 22 2002
The Grisanti Report  Aug 30 2002
Autism 'Linked to Mercury Vaccine'  Aug 16 2002
Autism and Mercury  Aug 16 2002
Death By Lethal Vaccine Injection  Aug 09 2002
Conventional vs. Alternative Medicine  Aug 06 2002
When Healing Becomes a Crime  Jul 29 2002
The cruelty of sucking gallbladder juice (bile) from live bears in China  Jul 23 2002
Bear's Bile - Big Business that may save bears  Jul 23 2002
Tibetan Herbal Medicine, Interview with Dr. Sonam Wangdu Changbhar  Jul 23 2002
Agreement reached to phase out bear farming in China  Jul 23 2002
China's bile bears finding sanctuary  Jul 23 2002
This is what you will bring into your life  May 29 2002
12 Plants that have no purpose  May 26 2002
Pesticides and the Immune System: The Public Health Risks  May 23 2002
Caffeine, even in small doses, may hurt arteries  May 18 2002
Mother’s love “helps keep kids off drugs”   May 18 2002
The Truth is Out There   May 16 2002
Moving Toward a Cashless Society  May 16 2002
Do Killer Microbes Cause Breast Cancer?  May 15 2002
Why Do Pharmaceutical Drugs Injure and Kill?  May 15 2002
Are Vaccines Causing More Disease Than They are Curing?  May 15 2002
COLORADO bill to add Hepatitis A Vaccine  May 02 2002
Crib Death - Infection May Cause SIDS  May 02 2002
Exercise Can Lower Risk of Death from Stroke  May 01 2002
Safety of New Drugs Cannot Be Known for Many Years  May 01 2002
Mercury fillings are affecting dentists  May 01 2002
Biological clock starts ticking in late 20s: study  Apr 30 2002
Ulcer surgery linked to risk of pancreatic cancer  Apr 30 2002
British group says patients can refuse treatment  Apr 30 2002
Vegetarians Face Child Abuse Charge  Apr 30 2002
The Signs of Inner Peace  Apr 30 2002
WHO announces urgent meeting on new food cancer scare  Apr 29 2002
A Simple Guide To Herbs  Apr 26 2002
Diet, Aging, and Muscle by Joe Friel  Apr 26 2002

Back To Top

Google Advertisement

Google Advertisement

Google Advertisement

Google Advertisement


Donate to CureZone

0.1133 sec