Evidence map›Paper›PMID 28182596›Full record

ArticleAnnals of plastic surgery2017

The Dawn of Transparency: Insights from the Physician Payment Sunshine Act in Plastic Surgery.

Rizwan Ahmed, Joseph Lopez, Sunjae Bae, Allan B Massie, Eric K Chow, Karan Chopra, Babak J Orandi, Bonnie E Lonze, James W May, Justin M Sacks and 1 more

Abstract readComparative Study
In one paragraph

Article in Annals of plastic surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

11 authors.

Rizwan AhmedFrom the Departments of *Surgery, and †Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine; ‡Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, MD; and §Division of Plastic Surgery, Department of Surgery, Massachusetts General Hospital, Boston, MA.
Joseph Lopez
Sunjae Bae
Allan B Massie
Eric K Chow
Karan Chopra
Babak J Orandi
Bonnie E Lonze
James W May
Justin M Sacks
Dorry L Segev

Funding

Patient Oriented Research in Kidney Disease and Transplant SurgeryK24DK101828 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI SEGEV, DORRY L. · 2014 to 2018
$922k
NIDDK NIH HHS K24 DK101828
6 · The paper itself

Abstract

backgroundThe Physician Payments Sunshine Act (PSSA) is a government initiative that requires all biomedical companies to publicly disclose payments to physicians through the Open Payments Program (OPP). The goal of this study was to use the OPP database and evaluate all nonresearch-related financial transactions between plastic surgeons and biomedical companies.

methodsUsing the first wave of OPP data published on September 30, 2014, we studied the national distribution of industry payments made to plastic surgeons during a 5-month period. We explored whether a plastic surgeon's scientific productivity (as determined by their h-index), practice setting (private versus academic), geographic location, and subspecialty were associated with payment amount.

resultsPlastic surgeons (N = 4195) received a total of US $5,278,613. The median (IQR) payment to a plastic surgeon was US $115 (US $35-298); mean, US $158. The largest payment to an individual was US $341,384. The largest payment category was non-CEP speaker fees (US $1,709,930) followed by consulting fees (US $1,403,770). Plastic surgeons in private practice received higher payments per surgeon compared with surgeons in academic practice (median [IQR], US $165 [US $81-$441] vs median [IQR], US $112 [US $33-$291], rank-sum P < 0.001). Among academic plastic surgeons, a higher h-index was associated with 77% greater chance of receiving at least US $1000 in total payments (RR/10 unit h-index increase = 1.47 1.772.11, P < 0.001). This association was not seen among plastic surgeons in private practice (RR = 0.89 1.091.32, P < 0.4).

conclusionsPlastic surgeons in private practice receive higher payments from industry. Among academic plastic surgeons, higher payments were associated with higher h-indices.

Indexed as

Financial SupportLegislation, MedicalConflict of InterestDatabases, FactualDisclosureDrug IndustryGift GivingHealth Care SectorHumansSurgeonsSurgery, PlasticUnited States

Identifiers

PMID28182596
PMCPMC5308560

What OpenQuestion holds

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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.