Conflict of interest
DOI:
https://doi.org/10.18597/rcog.440Keywords:
conflict of interestAbstract
Human nature, especially narcissism, makes clinicians, researchers, review board members, peers, editors and health care entrepreneurs vulnerable to the allure of fame and fortune. There is always the chance of a conflict of interest arising in both clinical practice and clinical trials which often biases meta-analysis, protocols, editorials and review articles. Though conflicts of interest are not good or bad, problems do arise when a different motivation dominates the goal of benefiting the patient and producing the best possible knowledge, in addition to the inherent difficulties of searching for scientific truths. However, several strategies have been designed to resolve these problems: using scientific method and evidence-based medicine, developing suitable criteria for evaluating guidelines, promoting education, implementing clear policy designed to handle conflicts of interest and open discussions of these topics, aiming to protect the readers of scientific journals, leaving them free to draw their own conclusions. It is clear that we are all responsible for the reliability of scientific medical knowledge.Author Biography
Santiago Barrios-Vásquez
References
Bardi JS. The calculus wars: Newton and Leibniz, the greatest mathematical clash of all time. New York: Thunder’s Mouth Press; 2006.
Freud S. Totem and taboo. En: The standard edition of the complete psychological works of Sigmund Freud. London: Hogarth Press; 1995. Volume 13, p.ix-162.
Klein M. Envy and gratitude. En: The writings of Melanie Klein. London: Hogarth Press; 1975. p.176-235.
Bion WR. Learning from experience. London: Maresfield Library; 1962.
Brainsky S. Psicoanálisis y creatividad. Más allá del instinto de muerte. Barcelona: Grupo Editorial Norma; 1997.
Cavell M. Knowledge, consensus and uncertainty. Int J Psychoanal 1999;80:1227-35.
Davidson D. Truth. Int J Psychoanal 2004;85:1225-30.
Ortiz -Pommier A. Conflicto de intereses en la relación clínica. Rev Chil Neuro-Psiquiat 2004;42:29-36.
Jadresic E, Correa E. El conflicto de intereses en medicina: una preocupación de la Sociedad de Neurología, Psiquiatría y Neurocirugía (SONEPSYN). Rev Chil Neuro-Psiquiat 2004;42:22-8.
Oyarzún M. Editorial. Conflictos de intereses en las publicaciones biomédicas. Rev Chil Enf Respir 2005;21:151-4.
Campbell EG, Weissman JS, Vogeli Ch, Clarridge BR, Abraham M, Marder JE, et al. Financial relationships between institutional review board members and industry. N Engl J Med 2006;355:2321-9.
Melander H, Ahlqvist-Rastad J, Meijer G, Beermann B. Evidence b(i)ased medicine-selective reporting from studies sponsored by pharmaceutical industry: review of studies in new dr ug applications. BMJ;2003:326:1171-3.
Dieppe P, Bartlett C, Davey P, Doyal L, Ebrahim SH. Balancing benefits and harms: the example of nonsteroidal anti-inflammatory drugs. BMJ 2004;329:31-4.
Gazzaniga MS. The ethical brain. New York: Dana Press; 2005.
Atkins D, Best D, Briss PA, Eccles M, Falck-Ytter Y, Flottorp S, et al. Grading quality of evidence and strength of recommendations. BMJ 2004;328:1490.
Steinbrook R. Guidance for guidelines. N Engl J Med 2007;356:331-3.
Baird P. Getting it right: industry sponsorship and medical research. CMAJ 2003;168:1267-9.
Ashcroft RE. Current epistemological problems in evidence based medicine. J Med Ethics 2004;30:131-5.
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