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Sunshine Act: shedding light on inaccurate disclosures at a gynecologic annual meeting

American Journal of Obstetrics and Gynecology, In Press, Uncorrected Proof, Available online 16 June 2016, Available online 16 June 2016

Background

Physicians and hospital systems often have relationships with biomedical manufacturers to develop new ideas, products, and further education. Because this relationship can influence medical research and practice, reporting disclosures are necessary to reveal any potential bias and inform consumers. The Sunshine Act was created to develop a new reporting system of these financial relationships called the Open Payments database. Currently all disclosures submitted with research to scientific meetings are at the discretion of the physician. We hypothesized that financial relationships between authors and the medical industry are underreported.

Objectives

We aimed to describe concordance between physicians’ financial disclosures listed in the abstract book from the 41st annual scientific meeting of the Society of Gynecologic Surgeons to physician payments reported to the Center for Medicaid and Medicare Services Open Payments database for the same year.

Study Design

Authors and scientific committee members responsible for the content of the 41st annual scientific meeting of the Society of Gynecologic Surgeons were identified from the published abstract book; each abstract listed disclosures for each author. Abstract disclosures were compared with the transactions recorded on the Center for Medicaid and Medicare Services Open Payments database for concordance. Two authors reviewed each nondisclosed Center for Medicaid and Medicare Services listing to determine the relatedness between the company listed on the Center for Medicaid and Medicare Services and abstract content.

Results

Abstracts and disclosures of 335 physicians meeting inclusion criteria were reviewed. A total of 209 of 335 physicians (62%) had transactions reported in the Center for Medicaid and Medicare Services, which totaled $1.99 million. Twenty-four of 335 physicians (7%) listed companies with their abstracts; 5 of those 24 physicians were concordant with the Center for Medicaid and Medicare Services. The total amount of all nondisclosed transactions was $1.3 million. Transactions reported in the Center for Medicaid and Medicare Services associated with a single physician ranged from $11.72 to $405,903.36. Of the 209 physicians with Center for Medicaid and Medicare Services transactions that were not disclosed, the majority (68%) had at least 1 company listed in the Center for Medicaid and Medicare Services that was determined after review to be related to the subject of their abstract.

Conclusion

Voluntary disclosure of financial relationships was poor, and the majority of unlisted disclosures in the abstract book were companies related to the scientific content of the abstract. Better transparency is needed by physicians responsible for the content presented at gynecological scientific meetings.

Key words: financial disclosures, Open Payments database, Sunshine Act.

Footnotes

a Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, NM

b Division of Urogynecology, and Clinical and Translational Science Center, University of New Mexico, Albuquerque, NM

Corresponding author: Rebecca G. Rogers, MD.

The views expressed herein are those of the authors and do not necessarily represent the official views of the National Institutes of Health.

This study was supported by the National Center for Research Resources and the National Center for Advancing Translational Sciences of the National Institutes of Health through grant UL1 TR000041.

Dr Dunivan receives research support from Pelvalon, Inc unrelated to the submitted work. Dr Jeppson received a general payment from American Medical Systems listed on the Centers for Medicare and Medicaid Services unrelated to the submitted work. Dr Komesu reports grants from National Institutes of Health–funded grant PA11-260, nonfinancial support from the National Center for Research Resources and the National Center for Advancing Translational Sciences of the National Institutes of Health through grant 8UL1TR000041, The University of New Mexico Clinical and Translational Science Center, and grants from the National Institutes of Health: U grant funding the Pelvic Floor Support Disorders Network via the Eunice Kennedy Shriver National Institute of Child Health and Human Development (institute): general payment through uroplasty listed on the Centers for Medicare and Medicaid Services; all of which are unrelated to the submitted work. Dr Cichowski received a general payment from American Medical Systems listed on the Centers for Medicare and Medicaid Services unrelated to the submitted work. Dr Rogers is DSMB chair for the TRANSFORM trial sponsored by American Medical Systems and receives royalties for scientific writings from UptoDate and McGraw-Hill. The other authors report no conflict of interest.

Cite this article as: Thompson JC, Volpe KA, Bridgewater LK, et al. Sunshine Act: shedding light on inaccurate disclosures at a gynecologic annual meeting. Am J Obstet Gynecol 2016;xxx:xx-xx.