Industry Payments to Foot and Ankle Surgeons and Their Effect on Total Ankle Arthroplasty Outcomes.

Autor:	Donoughe JS; Department of Orthopaedic Surgery, Naval Medical Center San Diego, San Diego, CA, USA., Safavi KS; School of Medicine, The University of Texas Medical Branch, Galveston, TX, USA., Rezvani A; Texas A&M College of Medicine, College Station, TX, USA., Healy N; Department of Orthopaedic Surgery, Naval Medical Center San Diego, San Diego, CA, USA., Jupiter DC; Department of Preventive Medicine and Population Health, The University of Texas Medical Branch, Galveston, TX, USA.; Department of Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch, Galveston, TX, USA., Panchbhavi VK; Department of Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch, Galveston, TX, USA., Janney CC; Department of Orthopaedic Surgery, Naval Medical Center San Diego, San Diego, CA, USA.
Jazyk:	angličtina
Zdroj:	Foot & ankle orthopaedics [Foot Ankle Orthop] 2021 Sep 14; Vol. 6 (3), pp. 24730114211034519. Date of Electronic Publication: 2021 Sep 14 (Print Publication: 2021).
DOI:	10.1177/24730114211034519
Abstrakt:	Background: The Centers for Medicare & Medicaid Services (CMS) Open Payments public database provides a means for increased transparency of physicians' financial relationships with industry. Total ankle arthroplasty is a procedure with long-term clinical implications and variable outcomes. We compared physician-reported conflict-of-interest (COI) disclosures in the journal Foot & Ankle International ( FAI ) to CMS database information to evaluate for discrepancies. Methods: Articles published in FAI reporting clinical outcomes of total ankle arthroplasty from 2015 and 2019 were reviewed. Payment information in the CMS database was cross-referenced with disclosure statements and International Committee of Medical Journal Editors (ICMJE) forms associated with the manuscript. Statistical analysis was performed to determine if industry payments were appropriately disclosed or influenced outcomes. Results: We reviewed 173 articles pertaining to ankle arthroplasty, with 27 meeting inclusion criteria. Of 120 total authors with 98 unique authors, 114 (95%) disclosed appropriately in disclosure statements. Twenty-two studies (82%) had appropriate declarations for the entire manuscript. For the 27 senior authors, only 2 discrepancies between manuscript disclosure and the Open Payments public database were noted, showing 13 total disclosures in the Open Payments public database vs 11 disclosed in the manuscript. There was no relationship between industry payments and the outcome of the manuscript ( P = .725). Conclusion: The majority of author disclosure statements accurately reflected the Open Payments public data. Additionally, payments were not significantly associated with positive outcomes reported for the specific implant. Overall, authors publishing on ankle arthroplasty in FAI are disclosing appropriately. Level of Evidence: Level IV, systematic review; survey study; literature review. Competing Interests: Declaration of Conflicting Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Vinod K. Panchbhavi, MD, FACS, reports Consulting fees, consultant for Stryker Orthopaedics. ICMJE forms for all authors are available online. (© The Author(s) 2021.)
Databáze:	MEDLINE
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