Evidence map›Paper›PMID 22891187›Full record

SynthesisCanadian respiratory journal

The nature and influence of pharmaceutical industry involvement in asthma trials.

Ken Bond, Carol Spooner, Lisa Tjosvold, Catherine Lemière, Brian H Rowe

Abstract readSystematic Review
In one paragraph

Synthesis in Canadian respiratory journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Industry sponsorship and research outcome.The Cochrane database of systematic reviews · 2017
    Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. 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

5 authors.

Ken BondInstitute of Health Economics, University of Alberta, Edmonton, Alberta.
Carol Spooner
Lisa Tjosvold
Catherine Lemière
Brian H Rowe

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPharmaceutical industry-sponsored research has been shown to be biased toward reporting positive results. Frequent industry participation in trials assessing the efficacy of inhaled corticosteroid (ICS) and long-acting beta<span style="vertical-align: sub">2<⁄span>-agonist (LABA) combination treatment makes assessing industry influence difficult and warrants an assessment of specific potential publication bias in this area.

objectiveTo describe the frequency of industry involvement in ICS⁄LABA trials and explore associations among significant outcomes, type of industry involvement and type of primary outcome.

methodsA systematic review of trials comparing ICS⁄LABA combination therapy with ICS monotherapy for asthma was conducted. Data concerning the type of industry sponsorship, primary outcome and statistical results were collected. Comparisons between type of sponsorship and significant results were analyzed using Pearson's chi squared&nbsp;test and relative risk.

resultsOf 91 included studies (median year of publication 2005 [interquartile range 1994 to 2008]), 86 (95%) reported pharmaceutical involvement. Author affiliation was reported in 49 of 86 (57%), and 19 of 86 (22%) were industry-reported trials without full publications. The remainder were published journal articles. Studies with a first or senior author affiliated with industry were 1.5 times more likely to report statistically significant results for the primary outcome compared with studies with other types of industry involvement. Pulmonary measures were 1.5 times more likely to be statistically significant than were measures of asthma control.

conclusionsThe potential biases identified were consistent with other research focused on author role and industry involvement, and suggest that degree of bias may vary with type of affiliation.

Indexed as

Clinical Trials as TopicConflict of InterestDrug IndustryAdministration, InhalationAdrenal Cortex HormonesAdrenergic beta-1 Receptor AgonistsAsthmaDrug Therapy, CombinationHumansAdrenal Cortex HormonesAdrenergic beta-1 Receptor Agonists

Identifiers

PMID22891187
PMCPMC3411392

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.