Conflict of interest in online point-of-care clinical support websites

Kyle T. Amber, Gaurav Dhiman, Kenneth Goodman

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Point-of-care evidence-based medicine websites allow physicians to answer clinical queries using recent evidence at the bedside. Despite significant research into the function, usability and effectiveness of these programmes, little attention has been paid to their ethical issues. As many of these sites summarise the literature and provide recommendations, we sought to assess the role of conflicts of interest in two widely used websites: UpToDate and Dynamed. We recorded all conflicts of interest for six articles detailing treatment for the following conditions: erectile dysfunction, fibromyalgia, hypogonadism, psoriasis, rheumatoid arthritis and Crohn's disease. These diseases were chosen as their medical management is either controversial, or they are treated using biological drugs which are mostly available by brand name only. Thus, we hypothesised that the role of conflict of interest would be more significant in these conditions than in an illness treated with generic medications or by strict guidelines. All articles from the UpToDate articles demonstrated a conflict of interest. At times, the editor and author would have a financial relationship with a company whose drug was mentioned within the article. This is in contrast with articles on the Dynamed website, in which no author or editor had a documented conflict. We offer recommendations regarding the role of conflict of interest disclosure in these point-of-care evidence-based medicine websites.

Original languageEnglish
Pages (from-to)578-580
Number of pages3
JournalJournal of Medical Ethics
Volume40
Issue number8
DOIs
StatePublished - Jan 1 2014

Fingerprint

Point-of-Care Systems
Conflict of Interest
conflict of interest
website
Evidence-Based Medicine
editor
medicine
drug
Disease
evidence
brand name
Hypogonadism
Fibromyalgia
Disclosure
Program Evaluation
Erectile Dysfunction
Psoriasis
Ethics
Crohn Disease
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Health Policy
  • Health(social science)
  • Issues, ethics and legal aspects
  • Arts and Humanities (miscellaneous)

Cite this

Conflict of interest in online point-of-care clinical support websites. / Amber, Kyle T.; Dhiman, Gaurav; Goodman, Kenneth.

In: Journal of Medical Ethics, Vol. 40, No. 8, 01.01.2014, p. 578-580.

Research output: Contribution to journalArticle

Amber, Kyle T. ; Dhiman, Gaurav ; Goodman, Kenneth. / Conflict of interest in online point-of-care clinical support websites. In: Journal of Medical Ethics. 2014 ; Vol. 40, No. 8. pp. 578-580.
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