Evidence map›Paper›PMID 29961019›Full record

ArticleBMJ open2018

Conflict of interest among Italian medical oncologists: a national survey.

Andrea DeCensi, Gianmauro Numico, Enzo Ballatori, Fabrizio Artioli, Mario Clerico, Luisa Fioretto, Virginia Livellara, Benedetta Ruggeri, Maurizio Tomirotti, Claudio Verusio and 2 more

Abstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. 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

12 authors.

Andrea DeCensiDivision of Medical Oncology, Galliera Hospital, Genova, Italy.
Gianmauro NumicoDivision of Medical Oncology, SS Antonio e Biagio Hospital, Alessandria, Italy.
Enzo BallatoriMedical Statistics, University of l'Aquila, Italy.
Fabrizio ArtioliDepartment of Oncology, Carpi and Mirandola Hospitals, Carpi e Mirandola, Italy.
Mario ClericoDepartment of Medical Oncology, Hospital of Biella, Biella, Italy.
Luisa FiorettoDepartment of Oncology, SM Annunziata Hospital, Florence, Italy.
Virginia LivellaraDivision of Medical Oncology, Galliera Hospital, Genova, Italy.
Benedetta RuggeriClinical Governance, Area Vasta 5, ASUR Marche, Ascoli Piceno, Italy.
Maurizio TomirottiCIPOMO, Milan, Italy.
Claudio VerusioDivision of Medical Oncology, ASST Valle Olona, Saronno, Italy.
Fausto RoilaDivision of Medical Oncology, Ospedale Santa Maria, Terni, Italy.
Italian College of Chief Medical Oncologists (CIPOMO)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess Italian medical oncologists' opinion on the implications of conflict of interest (COI) on medical education, care and research, and to evaluate their direct financial relationships.

designNational cross-sectional survey conducted between March and April 2017 among Italian oncologists.

settingOnline survey sponsored by the Italian College of Medical Oncology Chiefs through its website.

participantsItalian oncologists who filled out an anonymous questionnaire including 19 items and individual and working characteristics.

main outcome measureThe proportion of medical oncologists perceiving COI as an outstanding issue and those receiving direct payments from industry.

resultsThere were 321 respondents, representing 13% of Italian tenured medical oncologists. Overall, 62% declared direct payments from the pharmaceutical industry in the last 3 years. Sixty-eight per cent felt the majority of Italian oncologists have a COI with industry, but 59% suppose this is not greater than that of other specialties. Eighty-two per cent consider that most oncology education is supported by industry. More than 75% believe that current allocation of industry budget on marketing and promotion rather than research and development is unfair, but 75% consider it appropriate to receive travel and lodging hospitality from industry. A median net profit margin of €5000 per patient enrolled in an industry trial was considered appropriate for the employee institution. Sixty per cent agree to receive a personal fee for patients enrolled in industry trials, but 79% state this should be reported in the informed consent. Over 90% believe that scientific societies should publish a financial report of industry support. Finally, 79% disagree to being a coauthor of an article written by a medical writer when no substantial scientific contribution is made.

conclusionsAmong Italian oncologists COI is perceived as an important issue influencing costs, education, care and science. A more rigorous policy on COI should be implemented.

Indexed as

Conflict of InterestAdultAgedCross-Sectional StudiesDisclosureDrug IndustryFemaleFinancial SupportHumansInternetItalyMaleMedical OncologyMiddle AgedOncologistsSurveys and Questionnairescancer drug pricesconflict of interestghost writingphysician industry relationshipsurvey oncologist

Identifiers

PMID29961019
PMCPMC6042593

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.