Evidence map›Paper›PMID 28700443›Full record

ArticleAnnals of surgery2018

Assessment of Conflicts of Interest in Robotic Surgical Studies: Validating Author's Declarations With the Open Payments Database.

Sunil V Patel, David Yu, Basheer Elsolh, Ben M Goldacre, Garrett M Nash

Abstract read
In one paragraph

Article in Annals of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  8. Observational
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  14. Observational
  15. Next-generation robotics in gastrointestinal surgery.Nature reviews. Gastroenterology & hepatology · 2020
    Review
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  17. Article
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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.

Sunil V PatelDivision of General Surgery, Kingston General Hospital, Kingston, Canada.
David YuDivision of General Surgery, Kingston General Hospital, Kingston, Canada.
Basheer ElsolhSchool of Medicine, Queen's University, Kingston, Canada.
Ben M GoldacreCenter for Evidence Based Medicine, University of Oxford, Oxford, United Kingdom.
Garrett M NashDepartment of Surgery, Colorectal Surgery Service, Memorial Sloan Kettering Cancer Center, New York, NY.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundAccurate conflict of interest (COI) statements are important, as a known COI may invalidate study results due to the potential risk of bias.

objectiveTo determine the accuracy of self-declared COI statements in robotic studies and identify risk factors for undeclared payments.

methodsRobotic surgery studies were identified through EMBASE and MEDLINE and included if published in 2015 and had at least one American author. Undeclared COI were determined by comparing the author's declared COI with industry reported payments found in the "Open Payments" database for 2013 and 2014. Undeclared payments and discrepancies in the COI statement were determined. Risk factors were assessed for an association with undeclared payments at the author and study level.

resultsA total of 458 studies (2253 authors) were included. Approximately, 240 (52%) studies had 1 or more author receive undeclared payments and included 183 where "no COI" was explicitly declared, and 57 with no declaration statement present. Moreover, 21% of studies and 18% of authors with a COI declared it so in a COI statement. Studies that had undeclared payments from Intuitive were more likely to recommend robotic surgery compared with those that declared funding (odds ratio 4.29, 95% confidence interval 2.55-7.21).

conclusionsWe found that it was common for payments from Intuitive to be undeclared in robotic surgery articles. Mechanisms for accountability in COI reporting need to be put into place by journals to achieve appropriate transparency to those reading the journal article.

Indexed as

Biomedical ResearchConflict of InterestDatabases, FactualDisclosureHumansLogistic ModelsReproducibility of ResultsResearch Support as TopicRisk FactorsRobotic Surgical ProceduresSelf ReportSocial ResponsibilityUnited States

Identifiers

PMID28700443
PMCPMC6003408

What OpenQuestion holds

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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.