undisclosed bias

In 2010 the Physician Payment Sunshine Act was passed, requiring pharmaceutical and medical device manufacturers to report all payments to physicians, be it royalties, speaking fees, or the proverbial “free lunch.” The New England Journal of Medicine (NEJM) and the Journal of the American Medical Association (JAMA) share the #1 and 2 spot for impactful journals in the US. The authors of their articles are the thought-leaders in our medical understanding, but as a new study points out, reporting their conflicted interests, at least the financial ones, remains challenging.