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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Where the Sun shines: Industry's payments to transplant surgeons

TitleWhere the Sun shines: Industry's payments to transplant surgeons
Publication TypeJournal Article
Year of Publication2016
AuthorsAhmed, R, Chow, EK, Massie, AB, Anjum, S, King, EA, Orandi, BJ, Bae, S, Nicholas, LH, Lonze, BE, Segev, DL
JournalAmerican Journal of Transplantation
Volume16
Pagination292-300
Type of ArticleArticle
ISBN Number16006135 (ISSN)
Keywordsarticle, clinical practice, Databases, Factual, drug industry, economics, factual database, geographic distribution, health care cost, health care policy, Health Expenditures, health insurance, human, Humans, interpersonal communication, kidney graft, legislation and jurisprudence, liver graft, medical fee, organ transplantation, Patient Protection and Affordable Care Act, Practice Patterns, Physicians', priority journal, Research, Research Report, surgeon, Surgeons, transplant surgeon, Truth Disclosure, United States
Abstract

The Open Payments Program (OPP) was recently implemented to publicly disclose industry payments to physicians, with the goal of enabling patient awareness of potential conflicts of interests. Awareness of OPP, its data, and its implications for transplantation are critical. We used the first wave of OPP data to describe industry payments made to transplant surgeons. Transplant surgeons (N = 297) received a total of $759 654. The median (interquartile range [IQR]) payment to a transplant surgeon was $125 ($39-1018), and the highest payment to an individual surgeon was $83 520; 122 surgeons received <$100, and 17 received >$10 000. A higher h-index was associated with 30% higher chance of receiving >$1000 (relative risk/10 unit h-index increase = 1.181.301.44, p < 0.001). The highest payment category was consulting fees, with a total of $314 448 paid in this reported category. Recipients of consulting fees had higher h-indices, median (IQR) of 20 (10-35) versus nine (3-17) (p < 0.001). Ten of 122 companies accounted for 62% of all payments. Kidney transplant and liver transplant (LT) centers that received >$1000 had higher center volumes (p < 0.001). LT centers that received payments of >$1000 had a higher percentage of private-insurance/self-pay patients (p < 0.01). Continued surveillance of industry payments may further elucidate the relationship between industry payments and physician practices. In this study, the authors quantify and characterize all industry payments made to transplant surgeons, now publicly available under the Physician Payment Sunshine Act. Copyright © 2015 The American Society of Transplantation and the American Society of Transplant Surgeons.