Trends in Industry-Sponsored Research Payments to Emergency Medicine Principal Investigators.

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Bibliographic Details
Title: Trends in Industry-Sponsored Research Payments to Emergency Medicine Principal Investigators.
Authors: Rizer NW; Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address: nrizer2@jh.edu., Hammadeh Z; The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, Maryland., Han M; The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, Maryland., Hill P; Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Source: The Journal of emergency medicine [J Emerg Med] 2025 Dec; Vol. 79, pp. 21-30. Date of Electronic Publication: 2025 May 03.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Elsevier Country of Publication: United States NLM ID: 8412174 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0736-4679 (Print) Linking ISSN: 07364679 NLM ISO Abbreviation: J Emerg Med Subsets: MEDLINE
Imprint Name(s): Publication: <2010>- : New York : Elsevier
Original Publication: New York : Pergamon Press, c1983-
MeSH Terms: Emergency Medicine*/economics , Emergency Medicine*/trends , Research Support as Topic*/economics , Research Support as Topic*/trends , Research Personnel*/economics , Research Personnel*/statistics & numerical data , Industry*/economics, Humans ; Retrospective Studies ; United States ; Male ; Female
Abstract: Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Background: Industry-sponsored research payments (ISRPs) to physicians through noncovered entities (NCEs) are a widespread practice in the United States. However, there has been limited literature examining this funding mechanism among emergency physicians.
Objectives: To describe the characteristics and trends in ISRPs to emergency physicians in the United States from 2015 to 2023.
Methods: We performed a retrospective analysis on data from the Open Payments database to examine ISRPs to principal investigators (PIs) identified as emergency physicians. Payments were categorized as being made directly to the physician, through a teaching hospital, or an NCE. Descriptive statistics and linear regression using a generalized estimating equation were used to analyze trends in payments.
Results: A total of $585.8 million ISRPs were made to emergency physician PIs between 2015 and 2023. Yearly payments increased from $64.6 million to $113.2 million from 2015 to 2023. Payments to NCEs increased from $54.7 million to $108.2 million. Males represented most PIs receiving funding through NCEs (151/189 in 2023), and among them there was a significant decrease in the number of PIs (-21%, p < 0.01) and significant increases in the total (166%, p < 0.05) and median value of payments (221%, p < 0.001). The 10 largest manufacturer sponsors accounted for more than a half of the ISRPs to NCEs with emergency medicine (EM) PIs.
Conclusion: Between 2015 and 2023, ISRPs to NCEs with EM PIs increased to more than $100 million. A small number of sponsors accounted for the majority of ISRPs to EM PIs.
(Copyright © 2025 Elsevier Inc. All rights reserved.)
Contributed Indexing: Keywords: United States; conflicts of interest; emergency medicine; health policy; industry payments; open payments database
Entry Date(s): Date Created: 20251012 Date Completed: 20251201 Latest Revision: 20251201
Update Code: 20251202
DOI: 10.1016/j.jemermed.2025.04.008
PMID: 41076790
Database: MEDLINE
Description
Abstract:Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.<br />Background: Industry-sponsored research payments (ISRPs) to physicians through noncovered entities (NCEs) are a widespread practice in the United States. However, there has been limited literature examining this funding mechanism among emergency physicians.<br />Objectives: To describe the characteristics and trends in ISRPs to emergency physicians in the United States from 2015 to 2023.<br />Methods: We performed a retrospective analysis on data from the Open Payments database to examine ISRPs to principal investigators (PIs) identified as emergency physicians. Payments were categorized as being made directly to the physician, through a teaching hospital, or an NCE. Descriptive statistics and linear regression using a generalized estimating equation were used to analyze trends in payments.<br />Results: A total of $585.8 million ISRPs were made to emergency physician PIs between 2015 and 2023. Yearly payments increased from $64.6 million to $113.2 million from 2015 to 2023. Payments to NCEs increased from $54.7 million to $108.2 million. Males represented most PIs receiving funding through NCEs (151/189 in 2023), and among them there was a significant decrease in the number of PIs (-21%, p &lt; 0.01) and significant increases in the total (166%, p &lt; 0.05) and median value of payments (221%, p &lt; 0.001). The 10 largest manufacturer sponsors accounted for more than a half of the ISRPs to NCEs with emergency medicine (EM) PIs.<br />Conclusion: Between 2015 and 2023, ISRPs to NCEs with EM PIs increased to more than $100 million. A small number of sponsors accounted for the majority of ISRPs to EM PIs.<br /> (Copyright © 2025 Elsevier Inc. All rights reserved.)
ISSN:0736-4679
DOI:10.1016/j.jemermed.2025.04.008