Medical Journal Changes Independent Policy

ByABC News
June 12, 2002, 8:52 PM

June 12 -- Is it a case of, "If you can't beat 'em, join 'em?"

The New England Journal of Medicine will announce Thursday that it has given up finding truly independent doctors to write and review articles and editorials for it, as a result of the financial ties physicians have with so many drug companies in the United States The Journal says the drug companies' reach is just too deep.

In 2000, the drug industry sponsored more than 314,000 events for physicians everything from luncheons to getaway weekends at a cost of almost $2 billion. On top of that, many doctors accept speaking and consulting fees that link them to drug companies.

No publication in this country influences the way your doctor treats an illness more than the New England Journal of Medicine. Since 1812, the Journal has scrutinized and published thousands of clinical studies.

These "review" articles on drug therapy that can be pivotal. They tell doctors the strengths and weaknesses of new medications for everything form high blood pressure to obesity to cancer.

Now, the Journal will allow these critical evaluations to be written by people with financial ties to drug companies.

"This change will allow us to recruit the best authors, the people who have experience with new treatments to write these editorials and review articles," said Dr. Jeffrey Drazen, the medical journal's editor-in-chief.

Under the new policy, doctors writing reviews in the Journal can accept up to $10,000 a year from each drug company in speaking fees and consulting fees.

Concerns About Possible Bias

Not everyone thinks this is such a good idea.

"So if a doctor is doing that kind of business with four or five companies, he or she can get as much [as] $40- to 50,000 a year and not violate the new New England Journal policy," said Dr. Sidney Wolfe, the director of the Public Citizen Health Research Group, one of the country's largest medical consumer groups.

"The bias introduced by drug companies paying writers of review articles a large amount of money can have the consequence of slanting articles and influencing physicians in a way that isn't really in the best interests of their patients," said Wolfe.