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Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 BMJ+Open 2024 ; 14 (7): ä Nephropedia Template TP
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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[]; 14 (7): ä PMID39089711show ga
Abstract: 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.