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2024 ; 14
(7
): e083445
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Non-research payments to board-certified cardiologists from pharmaceutical
industry in Japan from 2016 to 2019: a retrospective analysis
#MMPMID39089711
Murayama A
; Higuchi K
; Senoo Y
BMJ Open
2024[Jul]; 14
(7
): e083445
PMID39089711
show ga
OBJECTIVES: To evaluate the extent and trends of personal payments from
pharmaceutical companies to cardiologists board-certified by the Japanese
Circulation Society. DESIGN: A retrospective analysis study using data from a
publicly available database. SETTING: The study focused on payments to
cardiologists in Japan. PARTICIPANTS: All 15?048 cardiologists who were
board-certified by the Japanese Circulation Society as of 2021. PRIMARY AND
SECONDARY OUTCOME MEASURES: The primary outcome was the extent of personal
payments to cardiologists in 2016-19. Secondary outcomes included the analysis of
trends in these payments over the same period. RESULTS: Of all 15?048
board-certified cardiologists, 9858 (65.5%) received personal payments totaling
$112?934?503 entailing 165?013 transactions in 2016-19. The median payment per
cardiologist was $2947 (IQR, $1022-$8787), with a mean of $11?456 (SD, $35 876).
The Gini Index was 0.840, indicating a high concentration of payments to a small
number of cardiologists. The top 1%, 5% and 10% of cardiologists received 31.6%,
59.4% and 73.5% of all payments, respectively. There were no significant trends
in the number of cardiologists receiving payments or number of payments per
cardiologist during the study period. CONCLUSIONS: More than 65% of Japanese
cardiologists received personal payments from pharmaceutical companies over the
4-year study period. Although the payment amount was relatively small for the
majority of cardiologists, a small number of cardiologists received the vast
majority of the payments.