Evidence map›Paper›PMID 37962732›Full record

ArticleJournal of general internal medicine2024

Characteristics of Advanced Practice Nurses Receiving Top Industry Payments and Their Practice Settings: a Cross-sectional Study.

Quinn Grundy, Fabian Held, Dana Hart, Christine M Baugh, Elissa Ladd, Eric Campbell, Lisa Bero

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. 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

7 authors.

Quinn GrundyLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada. quinn.grundy@utoronto.ca.ORCID 0000-0002-7640-8614
Fabian HeldOffice of the Deputy Vice-Chancellor (Education), University of Sydney, Sydney, NSW, Australia.
Dana HartLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
Christine M BaughCenter for Bioethics and Humanities, University of Colorado School of Medicine, Aurora, CO, USA.
Elissa LaddSchool of Nursing, MGH Institute of Health Professions, Boston, MA, USA.
Eric CampbellCenter for Bioethics and Humanities, University of Colorado School of Medicine, Aurora, CO, USA.
Lisa BeroCenter for Bioethics and Humanities, University of Colorado School of Medicine, Aurora, CO, USA.

Funding

Greenwall Foundation Making a Difference Grant
6 · The paper itself

Abstract

backgroundThe pharmaceutical industry promotes prescribing through the cultivation of key opinion leaders. Advanced practice nurses (APNs) are a growing and influential group of prescribers across generalist and specialty practice. Public reporting of industry payments to APNs allows for exploration of their influence within practice settings.

objectiveTo understand the characteristics of APNs with top industry payments including their positions of influence and other payment recipients at the same address. DESIGN AND

settingCross-sectional study of US national Open Payments reports of industry payments made between January 1, 2021, and December 31, 2021.

participantsAPNs who received > $50,000 USD in industry payments for speaking, consulting, and honoraria ("personal fees"). MEASURES: Description of top APN recipients' practice setting type, clinical specialty, presence of other payment recipients, value of payments attributed to the same address, and top manufacturers and therapeutic categories associated with payments to top APN recipients. Structured content analysis of public-facing websites for evidence of APNs' clinical, research, and teaching leadership.

resultsA total of 99 APNs received > $50,000 USD in aggregate personal fees and a median $74,080 USD (IQR $57,303-101,702) in aggregate payments. They shared a practice setting with a median of 1 (IQR 0-5) physician and 0 (IQR 0-3) other APN payment recipients and were often the only (39%, 42/109) or the dominant (45%, 30/67) payment recipient in their practice setting. In total, 36% held clinical leadership positions, 25% led scientific research, and 18% had university appointments. Forty-two percent (37/88) owned a clinical practice, including cosmetic clinics (51%, 19/37) and mental/behavioral health clinics (24%, 9/37).

conclusionsTop APN payment recipients attracted high-value payments in practice settings and specialities associated with high-cost drug development; however, there may be little oversight of APNs' industry relationships. Policy development related to industry relationships must be inclusive of and responsive to the activities of interprofessional providers.

Indexed as

Advanced Practice NursingDrug IndustryAdultConflict of InterestCross-Sectional StudiesFemaleHumansMaleMiddle AgedUnited Statesadvanced practice nursesconflict of interestnurse practitionersopen paymentspharmaceutical industry

Identifiers

PMID37962732
PMCPMC11116350

What OpenQuestion holds

Textmetadata
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Registered trials

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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.