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Trends, Frequency, and Nature of Surgeon-Reported Conflicts of Interest in Plastic Surgery

Lopez, Joseph, M.D., M.B.A.; Musavi, Leila, B.S.; Quan, Amy, M.P.H.; Calotta, Nicholas, B.A.; Juan, Ilona, B.S.; Park, Angela; Tufaro, Anthony P., D.D.S., M.D.; May, James W. Jr, M.D.; Dorafshar, Amir H., F.A.C.S., F.A.A.P.

Plastic and Reconstructive Surgery: October 2017 - Volume 140 - Issue 4 - p 852-861
doi: 10.1097/PRS.0000000000003683
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Discussion

Background: The purpose of this study was to identify types and trends in industry sponsorship of plastic surgery research since the establishment of conflict-of-interest reporting policies in plastic surgery.

Methods: The authors analyzed the frequency and types of self-reported conflicts of interest in the plastic surgery literature since the adoption of reporting policies in 2007. All original articles that met the authors’ inclusion criteria and were published in the following three journals from 2008 to 2013 were included: Annals of Plastic Surgery, Plastic and Reconstructive Surgery, and Journal of Plastic, Reconstructive & Aesthetic Surgery. A multivariate regression analysis was performed to determine what study-specific variables were associated with conflict-of-interest disclosures.

Results: A total of 3722 articles were analyzed. The incidence of conflicts of interest increased from 14 percent in 2008 to 24 percent in 2009. However, thereafter, the incidence of conflicts of interest decreased steadily from 21 percent in 2010 to 9 percent in 2013. Furthermore, the authors’ analysis revealed that from 2008 to 2013, industry decreased direct research support but steadily increased the rate of consultantships (p < 0.001). A multivariate regression analysis revealed that, after adjusting for potential confounders, self-reported conflicts of interest have decreased since 2008 (p = 0.03) and the prevalence of conflicts of interest differs by plastic surgery subspecialty (p < 0.0001), country of origin (p < 0.0001), and journal of publication (p = 0.05).

Conclusions: If self-reporting of conflicts of interest is assumed to be accurate, the number of surgeon-reported conflicts of interest in plastic surgery declined overall. Although the absolute number of consultantships did not change, the rate of consultantships rather than direct research support increased over this period.

Baltimore, Md.; and Boston, Mass.

From the Department of Plastic and Reconstructive Surgery, The Johns Hopkins Hospital; and the Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital.

Received for publication November 16, 2016; accepted March 31, 2017.

Presented at the 33rd Annual Meeting of the Northeastern Society of Plastic Surgeons, in Baltimore, Maryland, October 14 through 16, 2016; and poster presentation at the 96th Annual Meeting of the American Association of Plastic Surgeons, in Austin, Texas, March 25 through 28, 2017.

Disclosure:Dr. James W. May, Jr., is a scientific consultant for Integra and an educational consultant for Johnson-Johnson–Mentor. Dr. Amir Dorafshar receives research support and royalties from KLS Martin and research support from De Puy Synthes. There was no external funding for this article.

Joseph Lopez, M.D., M.B.A., Department of Plastic Surgery, The Johns Hopkins Hospital/University of Maryland Medical Center, 1780 East Fayette Street, Bloomberg 7th Floor, Room 7314, Baltimore, Md. 21231, jlopez37@jhmi.edu

Copyright © 2017 by the American Society of Plastic Surgeons