Sunshine Act: shedding light on inaccurate disclosures at a gynecologic annual meeting


      Physicians and hospital systems often have relationships with biomedical manufacturers to develop new ideas, products, and further education. Because this relationship can influence medical research and practice, reporting disclosures are necessary to reveal any potential bias and inform consumers. The Sunshine Act was created to develop a new reporting system of these financial relationships called the Open Payments database. Currently all disclosures submitted with research to scientific meetings are at the discretion of the physician. We hypothesized that financial relationships between authors and the medical industry are underreported.


      We aimed to describe concordance between physicians’ financial disclosures listed in the abstract book from the 41st annual scientific meeting of the Society of Gynecologic Surgeons to physician payments reported to the Center for Medicaid and Medicare Services Open Payments database for the same year.

      Study Design

      Authors and scientific committee members responsible for the content of the 41st annual scientific meeting of the Society of Gynecologic Surgeons were identified from the published abstract book; each abstract listed disclosures for each author. Abstract disclosures were compared with the transactions recorded on the Center for Medicaid and Medicare Services Open Payments database for concordance. Two authors reviewed each nondisclosed Center for Medicaid and Medicare Services listing to determine the relatedness between the company listed on the Center for Medicaid and Medicare Services and abstract content.


      Abstracts and disclosures of 335 physicians meeting inclusion criteria were reviewed. A total of 209 of 335 physicians (62%) had transactions reported in the Center for Medicaid and Medicare Services, which totaled $1.99 million. Twenty-four of 335 physicians (7%) listed companies with their abstracts; 5 of those 24 physicians were concordant with the Center for Medicaid and Medicare Services. The total amount of all nondisclosed transactions was $1.3 million. Transactions reported in the Center for Medicaid and Medicare Services associated with a single physician ranged from $11.72 to $405,903.36. Of the 209 physicians with Center for Medicaid and Medicare Services transactions that were not disclosed, the majority (68%) had at least 1 company listed in the Center for Medicaid and Medicare Services that was determined after review to be related to the subject of their abstract.


      Voluntary disclosure of financial relationships was poor, and the majority of unlisted disclosures in the abstract book were companies related to the scientific content of the abstract. Better transparency is needed by physicians responsible for the content presented at gynecological scientific meetings.

      Key words

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        • Bekelman J.E.
        • Li Y.
        • Gross C.P.
        Scope and impact of financial conflicts of interest in biomedical research: a systematic review.
        JAMA. 2003; 289: 454-465
      1. Brichacek A, Sellers, LJ. Flexing their budgets: big pharma spend trends. Pharmaceutical Executive 2001:78-86.

        • Campbell E.G.
        • Gruen R.L.
        • Mountford J.
        • Miller L.G.
        • Cleary P.D.
        • Blumenthal D.
        A national survey of physician-industry relationships.
        N Engl J Med. 2007; 356: 1742-1750
        • Chren M.M.
        • Landefeld C.S.
        Physicians’ behavior and their interactions with drug companies. A controlled study of physicians who requested additions to a hospital drug formulary.
        JAMA. 1994; 271: 684-689
        • Lurie N.
        • Rich E.C.
        • Simpson D.E.
        • et al.
        Pharmaceutical representatives in academic medical centers: interaction with faculty and housestaff.
        J Gen Intern Med. 1990; 5: 240-243
        • Bower A.D.
        • Burkett G.L.
        Family physicians and generic drugs: a study of recognition, information sources, prescribing attitudes, and practices.
        J Fam Pract. 1987; 24: 612-616
        • Peay M.Y.
        • Peay E.R.
        The role of commercial sources in the adoption of a new drug.
        Soc Sci Med. 1988; 26: 1183-1189
        • Orlowski J.P.
        • Wateska L.
        The effects of pharmaceutical firm enticements on physician prescribing patterns. There’s no such thing as a free lunch.
        Chest. 1992; 102: 270-273
        • Davidson R.A.
        Source of funding and outcome of clinical trials.
        J Gen Intern Med. 1986; 1: 155-158
        • Steinman M.A.
        • Shlipak M.G.
        • McPhee S.J.
        Of principles and pens: attitudes and practices of medicine housestaff toward pharmaceutical industry promotions.
        Am J Med. 2001; 110: 551-557
        • Madhavan S.
        • Amonkar M.M.
        • Elliott D.
        • Burke K.
        • Gore P.
        The gift relationship between pharmaceutical companies and physicians: an exploratory survey of physicians.
        J Clin Pharm Ther. 1997; 22: 207-215
        • Gibbons R.V.
        • Landry F.J.
        • Blouch D.L.
        • et al.
        A comparison of physicians’ and patients’ attitudes toward pharmaceutical industry gifts.
        J Gen Intern Med. 1998; 13: 151-154
        • Banks 3rd, J.W.
        • Mainous 3rd, A.G.
        Attitudes of medical school faculty toward gifts from the pharmaceutical industry.
        Acad Med. 1992; 67: 610-612
      2. Transparency reports and reporting of physician ownership of investment interests: final rule, Department of Health and Human Services.
        Fed Regist. 2013; 78: 9458-9528
        • Harris P.A.
        • Taylor R.
        • Thielke R.
        • Payne J.
        • Gonzalez N.
        • Conde J.G.
        Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support.
        J Biomed Inform. 2009; 42: 377-381
        • Okike K.
        • Kocher M.S.
        • Wei E.X.
        • Mehlman C.T.
        • Bhandari M.
        Accuracy of conflict-of-interest disclosures reported by physicians.
        N Engl J Med. 2009; 361: 1466-1474
        • Ramm O.
        • Brubaker L.
        Conflicts-of-interest disclosures at the 2010 AUGS Scientific Meeting.
        Female Pelvic Med Reconstr Surg. 2012; 18: 79-81