Self-declared stock ownership and association with positive trial outcome in randomized controlled trials with binary outcomes published in general medical journals: a cross-sectional study
Item Type
Abstract
Background: Describe the prevalence and types of conflicts of interest (COI) in published randomized controlled trials (RCTs) in general medical journals with a binary primary outcome and assess the association between conflicts of interest and favorable outcome.
Methods: Parallel-group RCTs with a binary primary outcome published in three general medical journals during 2013-2015 were identified. COI type, funding source, and outcome were extracted. Binomial logistic regression model was performed to assess association between COI and funding source with outcome.
Results: A total of 509 consecutive parallel-group RCTs were included in the study. COI was reported in 74% in mixed funded RCTs and in 99% in for-profit funded RCTs. Stock ownership was reported in none of the non-profit RCTs, in 7% of mixed funded RCTs, and in 50% of for-profit funded RCTs. Mixed-funded RCTs had employees from the funding company in 11% and for-profit RCTs in 76%. Multivariable logistic regression revealed that stock ownership in the funding company among any of the authors was associated with a favorable outcome (odds ratio = 3.53; 95% confidence interval = 1.59-7.86; p < 0.01).
Conclusion: COI in for-profit funded RCTs is extensive, because the factors related to COI are not fully independent, a multivariable analysis should be cautiously interpreted. However, after multivariable adjustment only stock ownership from the funding company among authors is associated with a favorable outcome.
Subject
Conflict of interest
Randomized controlled trials
Endowment of research
Industry funding
Authorship
Clinical trials
Conflict of interests
Cross-sectional method
Economic aspects
Employment
Experimental design
Health care industry
Logistic regression analysis
Medical journalism
Multivariate analysis
Newsletters
Odds ratio
Private sector
Questionnaires
Randomized controlled trials (RCT)
Research personnel
Self-disclosure
Stock ownership
Treatment effectiveness
Publication Title
Publication Year
2017
Publication Date
2017-07-26
Journal abreviation
Trials
Source
EBSCOhost
License
ISSN
1745-6215
Physical Description
vol. 18, pp. 1-6
Short Title
Self-declared stock ownership and association with positive trial outcome in randomized controlled trials with binary outcomes published in general medical journals
Citer cette ressource
Self-declared stock ownership and association with positive trial outcome in randomized controlled trials with binary outcomes published in general medical journals: a cross-sectional study,
dans Science & Ignorance,
consulté le 21 Novembre 2024, https://ignorancestudies.inist.fr/s/science-ignorance/item/4916