Industry Funding Among Leadership in Medical Oncology and Radiation Oncology in 2015

Stella K. Yoo, Awad A. Ahmed, Jan Ileto, Nicholas G. Zaorsky, Curtiland Deville, Emma B. Holliday, Lynn D. Wilson, Reshma Jagsi, Charles Thomas

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose: To quantify and determine the relationship between oncology departmental/division heads and private industry vis-à-vis potential financial conflict of interests (FCOIs) as publicly reported by the Centers for Medicare and Medicaid Services Open Payments database. Methods and Materials: We extracted the names of the chairs/chiefs in medical oncology (MO) and chairs of radiation oncology (RO) for 81 different institutions with both RO and MO training programs as reported by the Association of American Medical Colleges. For each leader, the amount of consulting fees and research payments received in 2015 was determined. Logistic modeling was used to assess associations between the 2 endpoints of receiving a consulting fee and receiving a research payment with various institution-specific and practitioner-specific variables included as covariates: specialty, sex, National Cancer Institute designation, PhD status, and geographic region. Results: The majority of leaders in MO were reported to have received consulting fees or research payments (69.5%) compared with a minority of RO chairs (27.2%). Among those receiving payments, the average (range) consulting fee was $13,413 ($200-$70,423) for MO leaders and $6463 ($837-$16,205) for RO chairs; the average research payment for MO leaders receiving payments was $240,446 ($156-$1,234,762) and $295,089 ($160-$1,219,564) for RO chairs. On multivariable regression when the endpoint was receipt of a research payment, those receiving a consulting fee (odds ratio [OR]: 5.34; 95% confidence interval [CI]: 2.22-13.65) and MO leaders (OR: 5.54; 95% CI: 2.62-12.18) were more likely to receive research payments. Examination of the receipt of consulting fees as the endpoint showed that those receiving a research payment (OR: 5.41; 95% CI: 2.23-13.99) and MO leaders (OR: 3.06; 95% CI: 1.21-8.13) were more likely to receive a consulting fee. Conclusion: Leaders in academic oncology receive consulting or research payments from industry. Relationships between oncology leaders and industry can be beneficial, but guidance is needed to develop consistent institutional policies to manage FCOIs.

Original languageEnglish (US)
JournalInternational Journal of Radiation Oncology Biology Physics
DOIs
StateAccepted/In press - Dec 27 2016

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consulting
leadership
Radiation Oncology
Medical Oncology
Fees and Charges
Industry
industries
seats
radiation
Research
confidence
Odds Ratio
Confidence Intervals
intervals
Conflict of Interest
Organizational Policy
Centers for Medicare and Medicaid Services (U.S.)
National Cancer Institute (U.S.)
logistics
American Medical Association

ASJC Scopus subject areas

  • Radiation
  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Cancer Research

Cite this

Industry Funding Among Leadership in Medical Oncology and Radiation Oncology in 2015. / Yoo, Stella K.; Ahmed, Awad A.; Ileto, Jan; Zaorsky, Nicholas G.; Deville, Curtiland; Holliday, Emma B.; Wilson, Lynn D.; Jagsi, Reshma; Thomas, Charles.

In: International Journal of Radiation Oncology Biology Physics, 27.12.2016.

Research output: Contribution to journalArticle

Yoo, Stella K. ; Ahmed, Awad A. ; Ileto, Jan ; Zaorsky, Nicholas G. ; Deville, Curtiland ; Holliday, Emma B. ; Wilson, Lynn D. ; Jagsi, Reshma ; Thomas, Charles. / Industry Funding Among Leadership in Medical Oncology and Radiation Oncology in 2015. In: International Journal of Radiation Oncology Biology Physics. 2016.
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abstract = "Purpose: To quantify and determine the relationship between oncology departmental/division heads and private industry vis-{\`a}-vis potential financial conflict of interests (FCOIs) as publicly reported by the Centers for Medicare and Medicaid Services Open Payments database. Methods and Materials: We extracted the names of the chairs/chiefs in medical oncology (MO) and chairs of radiation oncology (RO) for 81 different institutions with both RO and MO training programs as reported by the Association of American Medical Colleges. For each leader, the amount of consulting fees and research payments received in 2015 was determined. Logistic modeling was used to assess associations between the 2 endpoints of receiving a consulting fee and receiving a research payment with various institution-specific and practitioner-specific variables included as covariates: specialty, sex, National Cancer Institute designation, PhD status, and geographic region. Results: The majority of leaders in MO were reported to have received consulting fees or research payments (69.5{\%}) compared with a minority of RO chairs (27.2{\%}). Among those receiving payments, the average (range) consulting fee was $13,413 ($200-$70,423) for MO leaders and $6463 ($837-$16,205) for RO chairs; the average research payment for MO leaders receiving payments was $240,446 ($156-$1,234,762) and $295,089 ($160-$1,219,564) for RO chairs. On multivariable regression when the endpoint was receipt of a research payment, those receiving a consulting fee (odds ratio [OR]: 5.34; 95{\%} confidence interval [CI]: 2.22-13.65) and MO leaders (OR: 5.54; 95{\%} CI: 2.62-12.18) were more likely to receive research payments. Examination of the receipt of consulting fees as the endpoint showed that those receiving a research payment (OR: 5.41; 95{\%} CI: 2.23-13.99) and MO leaders (OR: 3.06; 95{\%} CI: 1.21-8.13) were more likely to receive a consulting fee. Conclusion: Leaders in academic oncology receive consulting or research payments from industry. Relationships between oncology leaders and industry can be beneficial, but guidance is needed to develop consistent institutional policies to manage FCOIs.",
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AU - Ahmed, Awad A.

AU - Ileto, Jan

AU - Zaorsky, Nicholas G.

AU - Deville, Curtiland

AU - Holliday, Emma B.

AU - Wilson, Lynn D.

AU - Jagsi, Reshma

AU - Thomas, Charles

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N2 - Purpose: To quantify and determine the relationship between oncology departmental/division heads and private industry vis-à-vis potential financial conflict of interests (FCOIs) as publicly reported by the Centers for Medicare and Medicaid Services Open Payments database. Methods and Materials: We extracted the names of the chairs/chiefs in medical oncology (MO) and chairs of radiation oncology (RO) for 81 different institutions with both RO and MO training programs as reported by the Association of American Medical Colleges. For each leader, the amount of consulting fees and research payments received in 2015 was determined. Logistic modeling was used to assess associations between the 2 endpoints of receiving a consulting fee and receiving a research payment with various institution-specific and practitioner-specific variables included as covariates: specialty, sex, National Cancer Institute designation, PhD status, and geographic region. Results: The majority of leaders in MO were reported to have received consulting fees or research payments (69.5%) compared with a minority of RO chairs (27.2%). Among those receiving payments, the average (range) consulting fee was $13,413 ($200-$70,423) for MO leaders and $6463 ($837-$16,205) for RO chairs; the average research payment for MO leaders receiving payments was $240,446 ($156-$1,234,762) and $295,089 ($160-$1,219,564) for RO chairs. On multivariable regression when the endpoint was receipt of a research payment, those receiving a consulting fee (odds ratio [OR]: 5.34; 95% confidence interval [CI]: 2.22-13.65) and MO leaders (OR: 5.54; 95% CI: 2.62-12.18) were more likely to receive research payments. Examination of the receipt of consulting fees as the endpoint showed that those receiving a research payment (OR: 5.41; 95% CI: 2.23-13.99) and MO leaders (OR: 3.06; 95% CI: 1.21-8.13) were more likely to receive a consulting fee. Conclusion: Leaders in academic oncology receive consulting or research payments from industry. Relationships between oncology leaders and industry can be beneficial, but guidance is needed to develop consistent institutional policies to manage FCOIs.

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