CureZone.com
   Home > Article Index > Anemia > Cardiovascular Disease

• Go Back

Reprinted from:
www.ama-assn.org

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.

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

Reprinted from:
www.ama-assn.org

Related
News
Liver Flush - Quackery or Valuable Remedy  Apr 18 2003
HOW TO LOWER YOUR CHOLESTEROL  Aug 30 2002
New cholesterol guidelines for converting healthy people into patients  Jun 15 2002
The Cholesterol Myths  Jun 15 2002
My husband's full recovery from lung tumor and massive heart attack without drugs/chemo/surgery  Jun 07 2002
Hospital Drug-Error Trends Continue  May 29 2002
This is what you will bring into your life  May 29 2002
Raw Eating - A book by A.T. Hovannessian (Aterhov)  May 21 2002
Caffeine, even in small doses, may hurt arteries  May 18 2002
Want a Healthy Heart? Drink Water  May 16 2002
Fluoride and Aluminum - toxic combination of fluoroaluminum complex   May 15 2002
The Nocebo Effect: Placebo's Evil Twin  May 15 2002
HYPERTHERMIA - The "COLD SHEET" Treatment   May 05 2002
Ailments & Herbal remedies - Dr. Richard Schulze  May 04 2002
Incurables Program - Dr. Richard Schulze  May 04 2002
Herbal Formulas - Dr. Richard Schulze  May 04 2002
Patient Handbook - Dr. Richard Schulze  May 04 2002
Study: Folk remedy used in India cuts cholesterol  May 03 2002
Excitotoxins - MSG and Aspartame  May 03 2002
Exercise Can Lower Risk of Death from Stroke  May 01 2002
Mercury fillings are affecting dentists  May 01 2002
British group says patients can refuse treatment  Apr 30 2002
Minnesota - the first US State to offer Freedom of Choice  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
Cooked tomatoes 'better for you than raw'  Apr 26 2002
Angry Young Men At Greater Risk Of Heart Disease  Apr 26 2002
Dr. Atkins suffered cardiac arrest  Apr 25 2002
Understanding the Healing Crisis  Apr 25 2002
Virgin Olive Oil May Reduce Cholesterol Damage  Apr 24 2002
Fish Oil Cuts Risk of Sudden Death  Apr 24 2002
Beans and Peas Can Cut Heart Disease Risk  Dec 15 2001

Back To Top




 
Google Advertisement



 
Google Advertisement



 
Google Advertisement



 
Google Advertisement


 

Donate to CureZone

0.1719 sec
IP 18.207.136.189