Evidence map›Paper›PMID 31541096›Full record

ArticleNature communications2019

Open data on industry payments to healthcare providers reveal potential hidden costs to the public.

Jorge Mejia, Amanda Mejia, Franco Pestilli

Abstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Trends in Industry Payments to Cardiologists From 2014 to 2019.Circulation. Cardiovascular quality and outcomes · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. In Reply to Halperin.International journal of radiation oncology, biology, physics · 2021
    Article
  12. Article
  13. Review
  14. Observational
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

3 authors.

Jorge MejiaKelley School of Business, Indiana University, Bloomington, IN, 47405, USA.ORCID http://orcid.org/0000-0002-4479-1209
Amanda MejiaDepartment of Statistics, Indiana University, Bloomington, IN, 47408, USA. afmejia@iu.edu.ORCID http://orcid.org/0000-0002-4312-8974
Franco PestilliProgram in Neuroscience, Indiana University, Bloomington, IN, 47405, USA. franpest@indiana.edu.ORCID http://orcid.org/0000-0002-2469-0494

Funding

Quality Assurance and Quality Control Project Management: Improving Submissions and Study Conduct in the Human Subjects Research Prior Approval ProcessUL1TR002529 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI MOE, SHARON M, WIEHE, SARAH ELIZABETH · 2018 to 2022
$27.2M
Bayesian methods for cortical surface neuroimaging dataR01EB027119 · NIBIB · TRUSTEES OF INDIANA UNIVERSITY · PI MEJIA, AMANDA · 2019 to 2022
$1.8M
NCATS NIH HHS UL1 TR002529NIBIB NIH HHS R01 EB027119
6 · The paper itself

Abstract

Healthcare industry players make payments to medical providers for non-research expenses. While these payments may pose conflicts of interest, their relationship with overall healthcare costs remains largely unknown. In this study, we linked Open Payments data on providers' industry payments with Medicare data on healthcare costs. We investigated 374,766 providers' industry payments and healthcare costs. We demonstrate that providers receiving higher amounts of industry payments tend to bill higher drug and medical costs. Specifically, we find that a 10% increase in industry payments is associated with 1.3% higher medical and 1.8% higher drug costs. For a typical provider, for example, a 10% or $25 increase in annual industry payments would be associated with approximately $1,100 higher medical costs and $100 higher drug costs. Furthermore, the association between payments and healthcare costs varies markedly across states and correlates with political leaning, being stronger in more conservative states.

Indexed as

Conflict of InterestCosts and Cost AnalysisHealth Care CostsDelivery of Health CareDrug CostsDrug IndustryEthics, MedicalHealth ExpendituresHealth PersonnelHealth ServicesHumansMedicareModels, TheoreticalPublic HealthUnited States

Identifiers

PMID31541096
PMCPMC6754508

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.