- Professor of Clinical Neurosurgery, School of Medicine, State University of New York at Stony Brook, New York, and Chief of Neurosurgical Spine and Education, NYU Winthrop Hospital, NYU Winthrop NeuroScience/Neurosurgery, Mineola, New York 11501, United States.
DOI:10.25259/SNI_420_2019Copyright: © 2019 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
How to cite this article: Epstein NE. Professional Medical Associations Exert Undue Influence Despite Conflicts of Interest. Surg Neurol Int 09-Aug-2019;10:163
How to cite this URL: Epstein NE. Professional Medical Associations Exert Undue Influence Despite Conflicts of Interest. Surg Neurol Int 09-Aug-2019;10:163. Available from: http://surgicalneurologyint.com/surgicalint-articles/9567/
Are Professional Medical Associations (PMAs) increasingly failing to disclose conflicts of interest, thus supporting industry, and/or acting in their own self-interest? Here we looked at some of our medical peers’ opinions on this subject.
2008 Robertson: Neurosurgery and Industry
In 2008, Robertson wrote a short article on Neurosurgery and Industry.[
2009 Rothman et al. Wrote About Professional Medical Associations and Their Relationships with Industry
In 2009, Rothman et al. (2009) noted that professional medical associations (PMAs) are often unduly influenced by “extensive funding from pharmaceutical and device companies, (and) it is crucial that their guidelines manage both real and perceived conflict of interests.”[
Two Articles 2016 and 2018 by Ioannidis
Evidence-based Medicine has been Hijacked
In 2016, Ioannidis wrote: “Evidence-based medicine (EBM) has been hijacked”. He observed that, particularly in the US, “ Influential randomized trials are largely done by and for the benefit of the industry. Meta-analyses and guidelines have become a factory, mostly also serving vested interests. “[
2018 Ioannidis: Many Professional Society Documents Written by Insiders
In 2018, Ioannidis et al. wrote: “Cardiovascular Perspective: Many influential professional society documents are written exclusively by insiders.” [
Professional Medical/Surgical Associations should take all necessary measures to ensure they have no conflicts of interest and no ties to industry that unduly impact their actions/decision making processes.
1. Ioannidis JP. Evidence-Based medicine has been hijacked: a report to David Sackett. J Clin Epidemiol. 2016. 73: 82-86
2. Ioannidis JPA.editors. Cardiovascular Perspective: Professional Societies Should Abstain Form Authorship of Guidelines and Disease Definition Statements. Circulation: Cardiovascular Quality and Outcomes. 2018. 11: e004889-
3. Robertson JH. Neurosurgery and Industry. J Neurosurg. 2008. 109: 979-88
4. Rothman DJ, McDonald WJ, Berkowitz CD, Chimonas SC, DeAngelis CD, Hale RW. Professional medical associations and their relationships with industry; a proposal for controlling conflict of interest. JAMA. 2009. 301: 1367-1372