Increasing Industry Involvement in Otolaryngology: Insights from 3 Years of the Open Payments Database

Morse, Elliot; Fujiwara, Rance J T; Mehra, Saral

doi:10.1177/0194599818778502

Cited by 26 publications

(38 citation statements)

References 17 publications

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“…8,[11][12][13] We had previously identified a trend of increasing compensation in otolaryngology from 2014 to 2016, to a high of $14.5 million in 2016, that was not seen in the overall database or in other surgical and nonsurgical subspecialties. 8 In contrast to this, we found here that overall payment decreased from $14.5 million in 2016 to $11.2 million in 2017; however, that is still higher than $9.9 million in 2015. During this period, the value of general payments in the overall database was relatively constant, decreasing only slightly to $8.4 billion in 2017 from $8.8 billion in 2016 and $8.4 billion in 2015.…”

Section: Discussionmentioning

confidence: 99%

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Industry Involvement in Otolaryngology: Updates from the 2017 Open Payments Database

Morse¹,

Berson²,

Mehra

2019

Otolaryngol.--head neck surg.

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Objective To characterize drug and device industry payments to otolaryngologists in 2017 and compare them with payments from 2014 to 2016. Study Design Retrospective cross-sectional analysis. Setting 2017 Open Payments Database. Subjects and Methods We identified otolaryngologists in the Open Payments Database receiving nonresearch industry payments in 2017. We determined the total number and value of payments and the mean and median payments per compensated otolaryngologist. We characterized payments by census region, nature of payment, and sponsor subspecialty. Results A total of 8131 otolaryngologists received 66,414 payments totaling to $11.2 million in industry compensation in 2017. This is decreased from $14.5 million in 2016. The mean and median payment per compensated otolaryngologist was $1383 ($10,459) and $159 ($64-$420), respectively. Of the total compensation, 85% was received by the top 10th percentile of otolaryngologists. Speaking fees accounted for $3.1 million (28% of total payments), and food and beverage was the most common payment type (57,691 payments; 87%). Consulting fees decreased by $1 million from 2016 to 2017, and ownership interests decreased by $1.2 million from 2016 to 2017. The south had the highest total compensation value ($4.2 million), while the west had the highest mean payment value ($1561). Rhinology accounted for the highest proportion of payments of all otolaryngology subspecialties at $3.9 million (34%). Conclusion Industry payments to otolaryngologists decreased to $11.2 million in 2017 from $14.5 million in 2016. Much of the decrease can be attributed to decreases in consulting fees and ownership payments. It is important that otolaryngologists remain aware of changes in industry funding with each release of the Open Payments Database.

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Section: Discussionmentioning

confidence: 99%

“…Although limited to 3 years of data, we speculated that this may represent an overall trend of increased physician-industry interaction within otolaryngology. 8…”

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confidence: 99%

Industry Involvement in Otolaryngology: Updates from the 2017 Open Payments Database

Morse¹,

Berson²,

Mehra

2019

Otolaryngol.--head neck surg.

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“…Orthopaedic surgeons have long maintained close relationships with industry, perhaps because of the importance of implants and surgical tools to orthopaedic procedures. Previous studies have assessed OPD payments in the surgical fields of cardiothoracic surgery, 6 neurosurgery, 7 otolaryngology, 13,14,17,18 plastic surgery, 19 and urology. 20,21…”

Section: Discussionmentioning

confidence: 99%

“…13-15 For instance, in urology, it was found that the number of surgeons with industry relationships stayed similar, but total payments went down between 2014 and 2016. 13 Additionally, an evaluation of the OPD in plastic surgery showed a decrease in the number of plastic surgeons holding industry ties and a reduction in total payment from 2013 to 2014. 16 It has been hypothesized that increased public scrutiny afforded by the OPD was at least in part responsible for the reported trend.…”

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confidence: 99%

Orthopaedic Foot and Ankle Surgeon Industry Compensation Reported by the Open Payments Database

Pathak

Galivanche

Lukasiewicz

et al. 2020

Foot & Ankle Specialist

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Background. The current study aims to characterize and explore trends in Open Payments Database (OPD) payments reported to orthopaedic foot and ankle (F&A) surgeons. OPD payments are classified as General, Ownership, or Research. Methods. General, Ownership, and Research payments to orthopaedic F&A surgeons were characterized by total payment sum and number of transactions. The total payment was compared by category. Payments per surgeon were also assessed. Median payments for all orthopaedic F&A surgeons and the top 5% compensated were calculated and compared across the years. Medians were compared through Mann-Whitney U tests. Results. Over the period, industry paid over $39 million through 29,442 transactions to 802 orthopaedic F&A surgeons. The majority of this payment was General (64%), followed by Ownership (34%) and Research (2%). The median annual payments per orthopaedic F&A surgeon were compared to the 2014 median ($616): 2015 ($505; P = .191), 2016 ($868; P = .088), and 2017 ($336; P = .084). Over these years, the annual number of compensated orthopaedic F&A surgeons increased from 490 to 556. Averaged over 4 years, 91% of the total orthopaedic F&A payment was made to the top 5% of orthopaedic F&A surgeons. The median payment for this group increased from $177 000 (2014) to $192 000 (2017; P = .012). Conclusion. Though median payments to the top 5% of orthopaedic F&A surgeons increased, there was no overall change in median payment over four years for all compensated orthopaedic F&A surgeons. These findings shed insight into the orthopaedic F&A surgeon-industry relationship. Levels of Evidence: III, Retrospective Study

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“…Multiple studies have looked at payments to otolaryngologists since the induction of the CMS Open Payments database [6][7][8][9] ; however, no study has performed an in-depth investigation of these payments based on product type. Morse et al classified payments to otolaryngology subspecialties by reviewing the companies' website for products they generally produce.…”

Section: Introductionmentioning

confidence: 99%

Financial Transactions from Manufacturers to Otolaryngologists in 2018

et al. 2020

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Objective To characterize in depth non‐research and research payments from industry to otolaryngologists in 2018 with an emphasis on product types. Methods Centers for Medicare and Medicaid Services Open Payments program was used for data collection: payment amount, the nature of payments, products associated with the payments, date of the payments, and companies making the payments were studied. Products associated with the payments were classified by categorical type. Descriptive statistics were used to analyze the data. Results There were 70,172 payments for a total of $11,001,875 made to otolaryngologists in 2018 with a median payment of $19. Food and beverage had the highest number of payments made (89.96%). Consulting fees (33.46%) composed the highest total payment amount. The two companies that contributed the highest amount were Stryker Corporation and Intersect ENT Inc. Sinus conditions had the most products within the top 25 products associated with payments. The top five products with the highest payments received were for balloon sinus dilation, nasal spray, sinus implant, Botox, and cochlear implant. There was a bimodal payment distribution demonstrating a higher number of payments made in the spring and fall. Conclusion Our study is the first to review payments to otolaryngologists in 2018 and classify these payments into product types. The products and companies that contributed the highest payments were associated with sinus conditions. The products that dominated in each subspecialty of otolaryngology coincide with clinical practice trends and emerging technologies. Level of Evidence 4 Laryngoscope, 131:E388–E394, 2021

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Increasing Industry Involvement in Otolaryngology: Insights from 3 Years of the Open Payments Database

Cited by 26 publications

References 17 publications

Industry Involvement in Otolaryngology: Updates from the 2017 Open Payments Database

Industry Involvement in Otolaryngology: Updates from the 2017 Open Payments Database

Orthopaedic Foot and Ankle Surgeon Industry Compensation Reported by the Open Payments Database

Financial Transactions from Manufacturers to Otolaryngologists in 2018

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