Evidence map›Paper›PMID 32661741›Full record

ArticleJournal of bioethical inquiry2020

Lessons from Corporate Influence in the Opioid Epidemic: Toward a Norm of Separation.

Jonathan H Marks

Open access · hybridAbstract read
In one paragraph

Article in Journal of bioethical inquiry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
10.1field-weighted citation impact, top 1% 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

30 citing papers in PubMed, 82 citations in OpenAlex.

  1. Article
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  6. Healthcare (Basel, Switzerland) · 2025
    Article
  7. Review
  8. Acting on the Commercial Determinants of Health.Health promotion international · 2024
    Article
  9. Article
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  11. Article
  12. Article
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  15. Socially responsible science: Exploring the complexities.European journal for philosophy of science · 2023
    Article
  16. Article
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  18. 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

1 author at 1 institution in 1 country.

Jonathan H MarksBioethics Program, Pennsylvania State University, 332 Pond Building, University Park, PA, 16802, USA. marks@psu.edu.
Pennsylvania State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is overwhelming evidence that the opioid crisis-which has cost hundreds of thousands of lives and trillions of dollars (and counting)-has been created or exacerbated by webs of influence woven by several pharmaceutical companies. These webs involve health professionals, patient advocacy groups, medical professional societies, research universities, teaching hospitals, public health agencies, policymakers, and legislators. Opioid companies built these webs as part of corporate strategies of influence that were designed to expand the opioid market from cancer patients to larger groups of patients with acute or chronic pain, to increase dosage as well as opioid use, to downplay the risks of addiction and abuse, and to characterize physicians' concerns about the addiction and abuse risks as "opiophobia." In the face of these pervasive strategies, conflict of interest policies have proven insufficient for addressing corporate influence in medical practice, medical research, and public health policy. Governments, the academy, and civil society need to develop counterstrategies to insulate themselves from corporate influence and to preserve their integrity and public trust. These strategies require a paradigm shift-from partnerships with the private sector, which are ordinarily vehicles for corporate influence, to a norm of separation.

Indexed as

Analgesics, OpioidChronic PainBiomedical ResearchHumansOpioid EpidemicPublic HealthAnalgesics, OpioidConflict of interestCorporate influenceInstitutional integrityOpioidsPublic health ethicsPublic-private partnerships

Identifiers

PMID32661741
PMCPMC7357445
OpenAlexW3041287075

What OpenQuestion holds

Textmetadata
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.