Study Finds Medical Device Manufacturers’ Payments To Physicians Influenced Their Device Selection

A study published on November 3, 2020 in JAMA Network entitled “Association Between Industry Payments to Physicians and Device Selection in ICD Implantation” concluded: “In this cross-sectional study, a large proportion of ICD or CRT-D implantations were performed by physicians who received payments from device manufacturers. Patients were more likely to receive ICD or CRT-D devices from the manufacturer that provided the highest total payment to the physician who performed an ICD or CRT-D implantation than each other manufacturer individually.”

The researchers analyzed data from 2016 through 2018 involving 145,900 patients who received an ICD (implantable cardioverter-defibrillator) or CRT-D (cardiac resynchronization therapy-defibrillator) by 4,435 physicians using devices from 4 device manufacturers, 94% of whom received payments from device manufacturers. They found that patients were substantially more likely to receive devices made by the manufacturer that provided the highest total payment to the physician who performed an ICD implant than each other individual manufacturer, meaning “Patients more often received an implantable cardioverter-defibrillator or cardiac resynchronization therapy-defibrillator device made by the manufacturer that provided the largest payments to the physicians than to each of 3 other manufacturers individually.”

Among the 4,435 physicians, 4,152 (94%) received payments from device manufacturers ranging from $2 to $323,559, with a median total annual payment of $1,211. The total payments received by the 4,125 physicians from device manufacturers was approximately $20.4 million per year. Of those physicians who received payments, 331 physicians (8%) received payments from a single manufacturer, 3,821 (92%) received payments from more than 1 manufacturer, 701 (17%) received payments from 2 manufacturers, 1,597 (38%) received payments from 3 manufacturers, and 1,523 (37%) received payments from all 4 manufacturers.

The largest proportion of physicians (43%) received total payments ranging between $1,000 and $10,000 or less, while 4% of physicians received total payments exceeding $25,000. Between 38.5% and 54.7% of patients received devices from the manufacturers that had provided physicians with the largest payments (with regard to the physicians who received more than $25,000 annually, 51.1% to 59.5% of patients received an ICD or CRT-D device from the manufacturers that provided the largest payment). Physicians received 67% to 74% of their total value of payments from the manufacturer that provided the highest value payment. Patients were substantially more likely to receive devices made by the manufacturer that provided the largest payment to the physician who performed implantation than they were from each other individual manufacturer.

The study found that 96.4% of patients underwent first-time ICD or CRT-D implantations performed by physicians who had financial relationships with device manufacturers, and patients were more likely to receive an ICD or CRT-D device from the manufacturer that provided the highest total payment to the physician who performed an ICD or CRT-D implantation than each other manufacturer individually. Physicians who received payments were more likely to implant a CRT-D when indicated.

Source

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This entry was posted on Thursday, November 12th, 2020 at 5:30 am. Both comments and pings are currently closed.

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