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Cross-sectional analysis of financial relationships between board certified allergists and the pharmaceutical industry in Japan.
Murayama, Anju; Senoo, Yuki.
Afiliación
  • Murayama A; School of Medicine, Tohoku University, 2-1 Seiryo-machi, Aoba ward, Sendai City, Miyagi, 980-0872, Japan. anju.murayama.s8@dc.tohoku.ac.jp.
  • Senoo Y; Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York City, NY, USA. anju.murayama.s8@dc.tohoku.ac.jp.
BMC Med Ethics ; 25(1): 22, 2024 02 20.
Article en En | MEDLINE | ID: mdl-38378633
ABSTRACT

BACKGROUND:

Financial interactions between pharmaceutical companies and physicians lead to conflicts of interest. This study examines the extent and trends of non-research payments made by pharmaceutical companies to board-certified allergists in Japan between 2016 and 2020.

METHODS:

A retrospective analysis of disclosed payment data from pharmaceutical companies affiliated with the Japanese Pharmaceutical Manufacturers Association was conducted. The study focused on non-research payments for lecturing, consulting, and manuscript drafting made to board-certified allergists from 2016 to 2020. We performed descriptive analyses on payment data. Trends were analyzed using generalized estimating equation models.

RESULTS:

Of the 3,943 board-certified allergists, 2,398 (60.8%) received non-research payments totaling $43.4 million over five years. Lecturing fees comprised 85.7% ($37.2 million) of the total payment amounts. For allergists who received at least one payment, the median amount per allergist was $3,106 (interquartile range $966 - $12,124), in contrast to a mean of $18,092 (standard deviation $49,233) over the five-year span. The top 1% and 10% of these allergists accounted for 20.8% and 68.8% of all non-research payments, respectively. The annual payment amounts significantly increased by 7.2% annual increase (95% CI 4.4 - 10.0%, p < 0.001) each year until 2019, but saw a significant decrease in 2020 amid the COVID-19 pandemic.

CONCLUSION:

The majority of allergists received non-research payments, with a notable concentration among a small group. Payments increased annually until the pandemic's onset, which coincided with a substantial decrease. Further research is needed to explore the implications of these financial interactions on clinical practice and patient care in Japan.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pandemias / Alergólogos Límite: Humans País/Región como asunto: Asia Idioma: En Revista: BMC Med Ethics Asunto de la revista: ETICA Año: 2024 Tipo del documento: Article País de afiliación: Japón

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pandemias / Alergólogos Límite: Humans País/Región como asunto: Asia Idioma: En Revista: BMC Med Ethics Asunto de la revista: ETICA Año: 2024 Tipo del documento: Article País de afiliación: Japón