Current trends in the relationship between orthopaedic surgeons and industry

Rajaratnam, Annie

doi:10.1302/0301-620x.91b10.22743

Cited by 11 publications

(5 citation statements)

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“…However, as with any financial relationships with industry, there are risks for conflicts of interest and bias [2,5,6,20,22,25,30,38,43]. As a result, increased transparency in these relationships has been stressed.…”

Section: Introductionmentioning

confidence: 99%

Orthopaedic Surgeons Receive the Most Industry Payments to Physicians but Large Disparities are Seen in Sunshine Act Data

Samuel

Webb

Lukasiewicz

et al. 2015

Clin Orthop Relat Res

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Background Industry payments made to physicians by drug and device manufacturers or group purchasing organizations are now reported to the Centers for Medicare and Medicaid Services (CMS) as a part of the Physician Payments Sunshine Act. Initial reports from the program show that orthopaedic surgeons lead all physician specialties in total and average industry payments. However, before further discussion of these payments and their implications can take place, it remains to be seen whether these figures are a true reflection of the field of orthopaedic surgery in general, rather than the result of a few outlier physicians in the field. In addition, the nature and sources of these funds should be determined to better inform the national dialogue surrounding these payments.

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Section: Introductionmentioning

confidence: 99%

Orthopaedic Surgeons Receive the Most Industry Payments to Physicians but Large Disparities are Seen in Sunshine Act Data

Samuel

Webb

Lukasiewicz

et al. 2015

Clin Orthop Relat Res

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“…Nevertheless, within this era of everincreasing financial transparency, relationships between orthopaedic surgeons and the medical device industry have come into increasing focus as a source of potential conflict of interest and bias. 2,[12][13][14][15] Prior attempts to disclose industry relationships among physicians have relied on self-disclosure and have therefore been subject to significant reporting inaccuracies among orthopaedic surgeons [2][3][4] and also physicians across other specialties. 3 Although several authors have described the financial relationships between orthopaedic surgeons and private industry by using the first year of publicly available data, 6,7 the long-term trends of these relationships have not been well described.…”

mentioning

confidence: 99%

“…Nevertheless, within this era of ever-increasing financial transparency, relationships between orthopaedic surgeons and the medical device industry have come into increasing focus as a source of potential conflict of interest and bias. 2,12-15 Prior attempts to disclose industry relationships among physicians have relied on self-disclosure and have therefore been subject to significant reporting inaccuracies among orthopaedic surgeons 2-4 and also physicians across other specialties. 3…”

mentioning

confidence: 99%

Industry Payment Trends to Orthopaedic Surgeons From 2014 to 2018: An Analysis of the First 5 Years of the Open Payments Database

Heckmann

Mayfield

Chung

et al. 2022

J Am Acad Orthop Surg

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Introduction:The Open Payments Database (OPD) provides transparent reporting of all payments made to physicians from private industry. Previous studies have described the nature of these financial relationships using the first year of publicly available data. However, long-term trends of these relationships have not been well described. Therefore, we report on the value and distribution of payments within the OPD and analyze trends of payments made to orthopaedic surgeons from 2014 to 2018. Methods:The OPD was queried from 2014 to 2018. Payments within the database were categorized into (1) general payments, (2) research interests, and (3) ownership interests. We report on the number, value, and payment trends between private industry and all licensed orthopaedic surgeons who have completed residency training.Results: A total of 631,000 physicians and 23,859 orthopaedic surgeons were included, representing 79.8% of US board-certified orthopaedic surgeons (n = 29,908). Although orthopaedic surgeons received an average of 2.9% of the number of payments made annually, payments to orthopaedic surgeons represented 10.0% of the value of payments made to all physicians. From 2014 to 2018, payments to orthopaedic surgeons increased in both number and value, from 313,194 separate payments ($883.8 million) in 2014 to 335,815 separate payments ($958.6 million) in 2018. In 2018, the top 1% of orthopaedic surgeons (n = 239) accounted for 58.0% ($265.8 million) of all payments to the field. Despite representing only 2.4% of the number of general payments, royalties represented 68.9% ($290.4 million) of the value of general payments to orthopaedic surgeons. Payments for research and education both increased.Discussion: Industry payments to orthopaedic surgeons represent 10.0% of all physician payments, with increases in payments for

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“…Relevant disclosures should be publicly available, so patients may choose their surgeon or hospital with confidence and trust. 8 The federal government's OpenPayments website maintains a publicly searchable database, and most individual health systems and academic journals have internal compliance and reporting standards. In addition, we argue that surgeons should voluntarily disclose research conflicts directly to their patients.…”

Section: Industry Influencesmentioning

confidence: 99%

Ethical Considerations in Total Joint Arthroplasty

Tarwala,

Mercuri,

Iorio

et al. 2023

J Am Acad Orthop Surg

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Hip and knee arthroplasty surgeries have excellent outcomes and notably improve quality of life. However, ethical issues permeate the practice of adult reconstruction, and as economics and technology evolve, these issues have become increasingly important. This article will review the currently published literature on ethical issues including industry influences, implants and instrumentations, surgical innovation, new technology adoptions, and healthcare policy–relevant issues, including patient cost sharing and bundled care programs. In addition, the direct marketing of implants from the manufacturer to the general public may falsely raise patient expectations concerning the long-term clinical outcome and performance of newer devices in the absence of long-term studies. This article will also focus on relevant contemporary ethical issues that do not necessarily have preexisting published literature or guidelines but, nonetheless, are crucial for adult reconstruction surgeons to address. These issues include access to care and challenges with orthopaedic resident and fellow education. Surgeons must understand the ethical issues that can arise in their clinical practice and how those issues affect patients. Clinicians are tasked with making the best-reasoned judgment possible to optimize their patients' outcomes. Still, the ability to standardize treatment while optimizing individual outcomes for unique patients remains a challenge.

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Current trends in the relationship between orthopaedic surgeons and industry

Cited by 11 publications

References 0 publications

Orthopaedic Surgeons Receive the Most Industry Payments to Physicians but Large Disparities are Seen in Sunshine Act Data

Orthopaedic Surgeons Receive the Most Industry Payments to Physicians but Large Disparities are Seen in Sunshine Act Data

Industry Payment Trends to Orthopaedic Surgeons From 2014 to 2018: An Analysis of the First 5 Years of the Open Payments Database

Ethical Considerations in Total Joint Arthroplasty

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