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Better Disclosure Needed for Study Authors Making Big Bucks

要更好地披露醫(yī)藥研究者們是如何賺大錢的

We expect scientists and doctors to be upfront about whether papers they publish may line their purses. But according to a recent study in the Archives of Internal Medicine, nearly half of surgeons who made at least a million dollars from orthopedic device companies did not reveal that fact in their publications.

我們期望科學(xué)家和醫(yī)生能夠坦率地談?wù)撍麄儼l(fā)表的論文是否會(huì)使他們中飽私囊。不過(guò)，根據(jù)《內(nèi)科學(xué)文獻(xiàn)》最近刊登的一項(xiàng)研究，從矯形外科器械公司能拿到至少一百萬(wàn)美元的外科醫(yī)生中，近半數(shù)不會(huì)在其出版物中提及此事。

The study authors searched a public database in which five manufacturing companies disclosed the amounts they paid consultants. The companies shelled out almost $250 million in 2007 for consulting, about 62 percent of which went to only 41 orthopedic surgeons. Each made more than a million dollars.

這項(xiàng)研究的作者在某個(gè)公共數(shù)據(jù)庫(kù)里進(jìn)行搜索，其中有五家制造公司披露了他們向顧問(wèn)醫(yī)生支付的錢數(shù)。這五家公司在2007年所付的咨詢費(fèi)接近2.5億美元，其中62%都流到了矯形外科醫(yī)生的口袋里。這些醫(yī)生每一個(gè)都獲得了一百多萬(wàn)美元的收入。

In 95 articles co-authored by these surgeons - most of which covered a device made by one of the five companies - fewer than half the articles had any financial disclosure. And none reported the size of the payments.

在這些外科醫(yī)生合寫的95篇論文當(dāng)中，只有不到一半的論文里有財(cái)務(wù)披露，而這95篇論文中有極大多數(shù)都涉及到了前述五家公司之一生產(chǎn)的某種器械。當(dāng)然，更不會(huì)有關(guān)于支付款項(xiàng)的報(bào)告了。

The report's authors say that most journals go by the honor system. Journal editors expect physicians to disclose financial conflicts, and they don't check. But now 15 drug and device companies put payments on their Web sites, and all are required to by 2013. The study authors say journals need to peruse these records so the public knows about any potential conflicts of interest.

此項(xiàng)研究報(bào)告的作者稱，大多數(shù)期刊都遵循信用制（榮譽(yù)制度）。期刊編輯們希望醫(yī)生透露其經(jīng)濟(jì)利益沖突，而他們也不會(huì)審查。如今，十五家藥物和設(shè)備公司在其網(wǎng)站上支付咨詢費(fèi)用，而截至2013年，所有的公司都必須如此。該研究的作者表示，期刊編輯們應(yīng)該仔細(xì)查閱這些記錄，這樣才能讓公眾了解任何潛在的利益沖突。

—Cynthia Graber

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