Evidence map›Paper›PMID 24155870›Full record

ArticlePloS one2013

Conflicts of interest among authors of clinical practice guidelines for glycemic control in type 2 diabetes mellitus.

Susan L Norris, Haley K Holmer, Lauren A Ogden, Brittany U Burda, Rongwei Fu

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 3% of its field
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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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  6. Article
  7. Article
  8. Review
  9. Financial Conflicts of Interest in Clinical Practice Guidelines: A Systematic Review.Mayo Clinic proceedings. Innovations, quality & outcomes · 2021
    Review
  10. Article
  11. Article
  12. Observational
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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 at 2 institutions in 1 country.

Susan L NorrisDepartment of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon, United States of America.
Haley K Holmer
Lauren A Ogden
Brittany U Burda
Rongwei Fu
Oregon Health & Science University · USKaiser Permanente Center for Health Research · US

Funding

Conflict of Interest in Clinical Practice Guideline DevelopmentR01HS018500 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI NORRIS, SUSAN LEE · 2009 to 2010
$610k
AHRQ HHS HS018500-01AHRQ HHS R01 HS018500
6 · The paper itself

Abstract

backgroundConflict of interest (COI) is an important potential source of bias in the development of clinical practice guidelines (CPGs).

objectivesTo examine rates of disclosure of COI, including financial interests in companies that manufacture drugs that are recommended in CPGs on glycemic control in type 2 diabetes mellitus, and to explore the relationship between recommendations for specific drugs in a guideline and author COI.

methodsWe identified a cohort of relevant guidelines from the National Guideline Clearinghouse (NGC) and abstracted COI disclosures from all guideline authors for this observational, cross-sectional study. We determined which hypoglycemic drugs were recommended in each guideline, and explored the relationship between specific disclosures and whether a drug was recommended.

resultsAmong 13 included guidelines, the percentage of authors with one or more financial disclosures varied from 0 to 94% (mean 44.2%), and was particularly high for two US-based guidelines (91% and 94%). Three guidelines disclosed no author financial COI. The percentage of authors with disclosures of financial interests in manufacturers of recommended drugs was also high (mean 30%). On average, 56% of manufacturers of patented drugs recommended in each guideline had one or more authors with a financial interest in their company. We did not find a significant relationship between financial interests and whether a drug was recommended in our sample; US-based guidelines were more likely to make recommendations for a specific drug compared to non-US based guidelines. DISCUSSION: Authors of this cohort of guidelines have financial interests directly related to the drugs that they are recommending. Although we did not find an association between author COI and drugs recommended in these guidelines and we cannot draw conclusions about the validity of the recommendations, the credibility of many of these guidelines is in doubt.

Indexed as

Conflict of InterestPractice Guidelines as TopicDiabetes Mellitus, Type 2Drug IndustryHumansHyperglycemiaHypoglycemic AgentsHypoglycemic Agents

Identifiers

PMID24155870
PMCPMC3796568
OpenAlexW2123099274

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.