Evidence map›Paper›PMID 19341315›Full record

ArticleThe American journal of managed care2009

Pharmaceutical company influence on nonsteroidal anti-inflammatory drug prescribing behaviors.

Anand D Naik, Aaron L Woofter, Jessica M Skinner, Neena S Abraham

Abstract read
In one paragraph

Article in The American journal of managed care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Anand D NaikGastroenterology Outcomes-Geriatrics Unit of the Health Services Research and Development Center of Excellence, Michael E. DeBakey VA Medical Center (152), 2002 Holcombe Blvd, Houston, TX 77030, USA. anaik@bcm.tmc.edu
Aaron L Woofter
Jessica M Skinner
Neena S Abraham

Funding

Goal-Setting for Older Persons with Multiple Morbid ConditionsK23AG027144 · NIA · BAYLOR COLLEGE OF MEDICINE · PI NAIK, AANAND D. · 2006 to 2010
$681k
NIA NIH HHS 5K23AG027144NIA NIH HHS K23 AG027144
6 · The paper itself

Abstract

objectivesTo describe the taxonomy of methods used by pharmaceutical companies to influence physicians' nonsteroidal anti-inflammatory drug (NSAID) prescribing behaviors and to elicit physicians' perceptions of and counterbalances to these influences. STUDY

designIn-depth interviews analyzed using the constant comparative method of qualitative data analysis.

methodsQualitative interviews were conducted with physicians representing various clinical specialties. Interviews were transcribed and coded inductively using grounded theory. Recruitment was stopped at 25 participants after the attainment of thematic saturation, when no new concepts emerged from ongoing analysis of consecutive interviews.

resultsPhysicians described a variety of influences that shaped their NSAID prescribing behaviors, including detailing and direct contact with pharmaceutical representatives, requests from patients inspired by direct-to-consumer advertisements, and marketing during medical school and residency training. Physicians described practice guidelines, peer-reviewed evidence, and opinions of local physician experts as important counterweights to pharmaceutical company influence. Local physician experts interpreted and provided context for new clinical evidence, practice guidelines, and NSAID-related marketing.

conclusionsThe social and communicative strategies used by pharmaceutical companies can be adapted to improve physicians' adoption of guidelines for safer NSAID prescribing. Communicative interactions between local experts and other physicians who prescribe NSAIDs may be the critical target for future interventions to promote safer NSAID prescribing.

Indexed as

Drug IndustryAdultAnti-Inflammatory Agents, Non-SteroidalDrug PrescriptionsFemaleHumansInterviews as TopicMaleMiddle AgedPractice Guidelines as TopicPractice Patterns, Physicians'Anti-Inflammatory Agents, Non-Steroidal

Identifiers

PMID19341315
PMCPMC2860532

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.