Effects of Conflicts of Interest on Practice Patterns and Complication Rates in Spine Surgery

Spine
Ralph W CookWellington K Hsu

Abstract

Retrospective cohort study. We sought to determine whether financial relationships with industry had any impact on operative and/or complication rates of spine surgeons performing fusion surgeries. Recent actions from Congress and the Institute of Medicine have highlighted the importance of conflicts of interest among physicians. Orthopedic surgeons and neurosurgeons have been identified as receiving the highest amount of industry payments among all specialties. No study has yet investigated the potential effects of disclosed industry payments with quality and choices of patient care. A comprehensive database of spine surgeons in the United States with compiled data of industry payments, operative fusion rates, and complication rates was created. Practice pattern data were derived from a publicly available Medicare-based database generated from selected CPT codes from 2011 to 2012. Complication rate data from 2009 to 2013 were extracted from the ProPublica-Surgeon-Scorecard database, which utilizes postoperative inhospital mortality and 30-day-readmission for designated conditions as complications of surgery. Data regarding industry payments from 2013 to 2014 were derived from the Open Payments website. Surgeons performing <10 ...Continue Reading

References

Feb 14, 1998·Spine·G R ButtermannJ W Ogilvie
Feb 13, 2004·The New England Journal of Medicine·Richard A DeyoSohail K Mirza
Jun 17, 2005·Spine·Richard A DeyoBrook I Martin
Sep 9, 2005·The Journal of the American Board of Family Practice·John Abramson, Barbara Starfield
Mar 3, 2007·The Journal of Bone and Joint Surgery. American Volume·Kanu OkikeMohit Bhandari
Sep 23, 2008·The Spine Journal : Official Journal of the North American Spine Society·Steven D GlassmanMitchell J Campbell
Apr 28, 2010·Archives of Internal Medicine·Adam LicurseCary Gross
Sep 3, 2010·Clinics in Orthopedic Surgery·Dong Ki AhnSeung Jin Yang
Oct 12, 2010·The Spine Journal : Official Journal of the North American Spine Society·Brian L JuJonathan N Grauer
Oct 16, 2012·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Sunita Sah
Jan 18, 2013·The Journal of Bone and Joint Surgery. American Volume·Mark W CampMartin F McKneally
May 31, 2013·The New England Journal of Medicine·Meredith B Rosenthal, Michelle M Mello
Jul 5, 2013·The Journal of Bone and Joint Surgery. American Volume·Sheila SpragueUNKNOWN P.O.S.I.T.I.V.E. Investigators
Jul 9, 2013·The Spine Journal : Official Journal of the North American Spine Society·Rafael A BuerbaJonathan N Grauer
Aug 3, 2013·BMJ : British Medical Journal·José G Merino
Aug 27, 2013·The Spine Journal : Official Journal of the North American Spine Society·Christian P DiPaolaCharles G Fisher
Oct 4, 2013·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Sunita Sah, Adriane Fugh-Berman
Oct 16, 2013·The Spine Journal : Official Journal of the North American Spine Society·Anand VeeravaguJohn K Ratliff
Jul 10, 2014·Journal of the National Cancer Institute·Charlie Schmidt
Jul 30, 2014·Annals of Internal Medicine·Neil M KirschnerAaron S Kesselheim
Oct 3, 2014·BMJ : British Medical Journal·Duncan JarviesWill Stahl-Timmins
Nov 15, 2014·Neuromodulation : Journal of the International Neuromodulation Society·Bohdan ChopkoMohammad K Khan
Dec 4, 2014·Military Medicine·Dionisio Ortiz, Joel Jenne
Jun 20, 2015·Clinical Orthopaedics and Related Research·Andre M SamuelJonathan N Grauer
Jul 26, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Thomas J ParisiHarry E Rubash

❮ Previous
Next ❯

Citations

Nov 7, 2019·Clinical Spine Surgery : a Spine Publication·Sravisht IyerKern Singh
Dec 22, 2020·The Spine Journal : Official Journal of the North American Spine Society·Kevin A ThomasSerena S Hu

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.