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Meta-Analysis
. 2017 Feb 16;2(2):MR000033.
doi: 10.1002/14651858.MR000033.pub3.

Industry sponsorship and research outcome

Affiliations
Meta-Analysis

Industry sponsorship and research outcome

Andreas Lundh et al. Cochrane Database Syst Rev. .

Abstract

Background: Clinical research affecting how doctors practice medicine is increasingly sponsored by companies that make drugs and medical devices. Previous systematic reviews have found that pharmaceutical-industry sponsored studies are more often favorable to the sponsor's product compared with studies with other sources of sponsorship. A similar association between sponsorship and outcomes have been found for device studies, but the body of evidence is not as strong as for sponsorship of drug studies. This review is an update of a previous Cochrane review and includes empirical studies on the association between sponsorship and research outcome.

Objectives: To investigate whether industry sponsored drug and device studies have more favorable outcomes and differ in risk of bias, compared with studies having other sources of sponsorship.

Search methods: In this update we searched MEDLINE (2010 to February 2015), Embase (2010 to February 2015), the Cochrane Methodology Register (2015, Issue 2) and Web of Science (June 2015). In addition, we searched reference lists of included papers, previous systematic reviews and author files.

Selection criteria: Cross-sectional studies, cohort studies, systematic reviews and meta-analyses that quantitatively compared primary research studies of drugs or medical devices sponsored by industry with studies with other sources of sponsorship. We had no language restrictions.

Data collection and analysis: Two assessors screened abstracts and identified and included relevant papers. Two assessors extracted data, and we contacted authors of included papers for additional unpublished data. Outcomes included favorable results, favorable conclusions, effect size, risk of bias and whether the conclusions agreed with the study results. Two assessors assessed risk of bias of included papers. We calculated pooled risk ratios (RR) for dichotomous data (with 95% confidence intervals (CIs)).

Main results: Twenty-seven new papers were included in this update and in total the review contains 75 included papers. Industry sponsored studies more often had favorable efficacy results, RR: 1.27 (95% CI: 1.17 to 1.37) (25 papers) (moderate quality evidence), similar harms results RR: 1.37 (95% CI: 0.64 to 2.93) (four papers) (very low quality evidence) and more often favorable conclusions RR: 1.34 (95% CI: 1.19 to 1.51) (29 papers) (low quality evidence) compared with non-industry sponsored studies. Nineteen papers reported on sponsorship and efficacy effect size, but could not be pooled due to differences in their reporting of data and the results were heterogeneous. We did not find a difference between drug and device studies in the association between sponsorship and conclusions (test for interaction, P = 0.98) (four papers). Comparing industry and non-industry sponsored studies, we did not find a difference in risk of bias from sequence generation, allocation concealment, follow-up and selective outcome reporting. However, industry sponsored studies more often had low risk of bias from blinding, RR: 1.25 (95% CI: 1.05 to 1.50) (13 papers), compared with non-industry sponsored studies. In industry sponsored studies, there was less agreement between the results and the conclusions than in non-industry sponsored studies, RR: 0.83 (95% CI: 0.70 to 0.98) (six papers).

Authors' conclusions: Sponsorship of drug and device studies by the manufacturing company leads to more favorable efficacy results and conclusions than sponsorship by other sources. Our analyses suggest the existence of an industry bias that cannot be explained by standard 'Risk of bias' assessments.

PubMed Disclaimer

Conflict of interest statement

Andreas Lundh, Joel Lexchin and Lisa Bero are authors of the some of the previous reviews and included studies.

In 2015 to 2016, Joel Lexchin received payment from non‐profit entities for being a consultant on two projects, one looking at indications‐based prescribing and a second looking at which drugs should be provided free of charge by general practitioners. He received payment from a for‐profit company for being on a panel that discussed expanding drug coverage in Canada. He is on the Foundation Board of Health Action International.

In 2014, Barbara Mintzes was retained as an expert witness by the law firm representing the plaintiffs in a Canadian class action on hormone replacement therapy and breast cancer, and in 2015 to 2016 in an application for a Canadian class action on cardiovascular risks of testosterone supplements. She was a member of the Health Action International – Europe Association Board from 2012 to 2015.

The review authors have no other relevant interests.

Figures

1
1
Study flow diagram.
2
2
'Risk of bias' graph: review authors' judgements about each risk of bias item presented as percentages across all included papers.
3
3
'Risk of bias' summary: review authors' judgements about each risk of bias item for each included paper.
1.1
1.1. Analysis
Comparison 1 Results: Industry sponsored versus non‐industry sponsored studies, Outcome 1 Number of studies with favorable efficacy results.
1.2
1.2. Analysis
Comparison 1 Results: Industry sponsored versus non‐industry sponsored studies, Outcome 2 Number of studies with favorable harms results.
2.1
2.1. Analysis
Comparison 2 Results: Industry sponsorship by test treatment company versus sponsorship by comparator treatment company, Outcome 1 Number of studies with favorable test treatment efficacy results.
3.1
3.1. Analysis
Comparison 3 Conclusions: industry sponsored versus non‐industry sponsored studies, Outcome 1 Number of studies with favorable conclusions.
4.1
4.1. Analysis
Comparison 4 Conclusions: Industry sponsorship by test treatment company versus sponsorship by comparator treatment company, Outcome 1 Number of studies with favorable test treatment conclusions.
5.1
5.1. Analysis
Comparison 5 Risk of bias: industry sponsored versus non‐industry sponsored studies, Outcome 1 Number of studies with low risk of bias from sequence generation.
5.2
5.2. Analysis
Comparison 5 Risk of bias: industry sponsored versus non‐industry sponsored studies, Outcome 2 Number of studies with low risk of bias from concealment of allocation.
5.3
5.3. Analysis
Comparison 5 Risk of bias: industry sponsored versus non‐industry sponsored studies, Outcome 3 Number of studies with low risk of bias from blinding‐overall.
5.4
5.4. Analysis
Comparison 5 Risk of bias: industry sponsored versus non‐industry sponsored studies, Outcome 4 Number of studies with low risk from blinding‐performance bias.
5.5
5.5. Analysis
Comparison 5 Risk of bias: industry sponsored versus non‐industry sponsored studies, Outcome 5 Number of studies with low risk from blinding‐detection bias.
5.6
5.6. Analysis
Comparison 5 Risk of bias: industry sponsored versus non‐industry sponsored studies, Outcome 6 Number of studies with low risk of bias from loss to follow‐up.
5.7
5.7. Analysis
Comparison 5 Risk of bias: industry sponsored versus non‐industry sponsored studies, Outcome 7 Number of studies with low risk of bias from selective outcome reporting.
6.1
6.1. Analysis
Comparison 6 Concordance between study results and conclusions: industry sponsored versus non‐industry sponsored studies, Outcome 1 Number of studies with concordant study results and conclusions.
7.1
7.1. Analysis
Comparison 7 Subgroup analysis, Outcome 1 Number of studies with favorable efficacy results, stratified by risk of bias.
7.2
7.2. Analysis
Comparison 7 Subgroup analysis, Outcome 2 Number of studies with favorable harms results, stratified by risk of bias.
7.3
7.3. Analysis
Comparison 7 Subgroup analysis, Outcome 3 Number of studies with favorable conclusions, stratified by risk of bias.
7.4
7.4. Analysis
Comparison 7 Subgroup analysis, Outcome 4 Number of studies with favorable efficacy results, stratified by type of intervention.
7.5
7.5. Analysis
Comparison 7 Subgroup analysis, Outcome 5 Number of studies with favorable conclusions, stratified by type of intervention.
7.6
7.6. Analysis
Comparison 7 Subgroup analysis, Outcome 6 Number of studies with favorable efficacy results, stratified by type of domain.
7.7
7.7. Analysis
Comparison 7 Subgroup analysis, Outcome 7 Number of studies with favorable harms results, stratified by type of domain.
7.8
7.8. Analysis
Comparison 7 Subgroup analysis, Outcome 8 Number of studies with favorable conclusions, stratified by type of domain.
8.1
8.1. Analysis
Comparison 8 Sensitivity analysis, Outcome 1 Number of studies with favorable efficacy results, sponsorship recoded.
8.2
8.2. Analysis
Comparison 8 Sensitivity analysis, Outcome 2 Number of studies with favorable harms results, sponsorship recoded.
8.3
8.3. Analysis
Comparison 8 Sensitivity analysis, Outcome 3 Number of studies with favorable conclusions, sponsorship recoded.
8.4
8.4. Analysis
Comparison 8 Sensitivity analysis, Outcome 4 Number of studies with favorable efficacy results, analysis adjusted for confounders.
8.5
8.5. Analysis
Comparison 8 Sensitivity analysis, Outcome 5 Number of studies with favorable conclusions, analysis adjusted for confounders.
8.6
8.6. Analysis
Comparison 8 Sensitivity analysis, Outcome 6 Number of studies with favorable efficacy results, fixed‐effect model.
8.7
8.7. Analysis
Comparison 8 Sensitivity analysis, Outcome 7 Number of studies with favorable harms results, fixed‐effect model.
8.8
8.8. Analysis
Comparison 8 Sensitivity analysis, Outcome 8 Number of studies with favorable test treatment efficacy results, fixed‐effect model.
8.9
8.9. Analysis
Comparison 8 Sensitivity analysis, Outcome 9 Number of studies with favorable conclusions, fixed‐effect model.
8.10
8.10. Analysis
Comparison 8 Sensitivity analysis, Outcome 10 Number of studies with favorable test treatment conclusions, fixed‐effect model.
8.11
8.11. Analysis
Comparison 8 Sensitivity analysis, Outcome 11 Number of studies with favorable conclusions, papers with unpublished studies excluded.
8.12
8.12. Analysis
Comparison 8 Sensitivity analysis, Outcome 12 Number of studies with favorable efficacy results, restricted to specific domains.
8.13
8.13. Analysis
Comparison 8 Sensitivity analysis, Outcome 13 Number of studies with favorable harms results, restricted to specific domains.
8.14
8.14. Analysis
Comparison 8 Sensitivity analysis, Outcome 14 Number of studies with favorable test treatment efficacy results, restricted to specific domains.
8.15
8.15. Analysis
Comparison 8 Sensitivity analysis, Outcome 15 Number of studies with favorable conclusions, restricted to specific domains.
8.16
8.16. Analysis
Comparison 8 Sensitivity analysis, Outcome 16 Number of studies with favorable test treatment conclusions, restricted to specific domains.

Update of

Comment in

References

References to studies included in this review

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Zhang 2013 {published data only}
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References to studies excluded from this review

Adams 2013 {published data only}
    1. Adams CE, Bergman H, Irving CB, Lawrie S. Haloperidol versus placebo for schizophrenia. Cochrane Database of Systematic Reviews 2013, Issue 11. [DOI: 10.1002/14651858.CD003082.pub3] - DOI - PMC - PubMed
Adams 2014 {published data only}
    1. Adams CE, Awad GA, Rathbone J, Thornley B, Soares‐Weiser K. Chlorpromazine versus placebo for schizophrenia. Cochrane Database of Systematic Reviews 2014, Issue 1. [DOI: 10.1002/14651858.CD000284.pub3] - DOI - PMC - PubMed
Afshari 2011 {published data only}
    1. Afshari A. Evidence based evaluation of immuno‐coagulatory interventions in critical care. Danish Medical Bulletin 2011;58(9):B4316. - PubMed
Alves 2013 {published data only}
    1. Alves M, Fonseca EC, Alves MF, Malki LT, Arruda GV, Reinach PS, et al. Dry eye disease treatment: a systematic review of published trials and a critical appraisal of therapeutic strategies. Ocular Surface 2013;11(3):181‐92. - PubMed
Amiri 2014 {published data only (unpublished sought but not used)}
    1. Amiri AR, Kanesalingam K, Cro S, Casey AT. Does source of funding and conflict of interest influence the outcome and quality of spinal research?. Spine Journal 2014;14(2):308‐14. - PubMed
Aneja 2013 {published data only (unpublished sought but not used)}
    1. Aneja A, Esquitin R, Shah K, Iyengar R, Nisenbaum R, Melo M, et al. Authors' self‐declared financial conflicts of interest do not impact the results of major cardiovascular trials. Journal of the American College of Cardiology 2013;61(11):1137‐43. - PubMed
Apler 2011 {published data only}
    1. Apler A. Citalopram for major depressive disorder in adults: a systematic review and meta‐analysis of published placebo‐controlled trials. BMJ Open 2011;1(2):e000106. - PMC - PubMed
Auerbach 2013 {published data only}
    1. Auerbach JD, McGowan KB, Halevi M, Gerling MC, Sharan AD, Whang PG, et al. Mitigating adverse event reporting bias in spine surgery. Journal of Bone and Joint Surgery. American volume 2013;95(16):1450‐6. - PubMed
Baethge 2013 {published data only}
    1. Baethge C, Assall OP, Baldessarini RJ. Systematic review of blinding assessment in randomized controlled trials in schizophrenia and affective disorders 2000‐2010. Psychotherapy and Psychosomatics 2013;82(3):152‐60. - PubMed
Bailey 2011 {published data only}
    1. Bailey CS, Fehlings MG, Rampersaud YR, Hall H, Wai EK, Fisher CG. Industry and evidence‐based medicine: Believable or conflicted? A systematic review of the surgical literature. Canadian Journal of Surgery 2011;54(5):321‐6. - PMC - PubMed
Baker 2013 {published data only}
    1. Baker JR, Vandal AC, Yeoh J, Zeng I, Wong S, Ryan SN. Clinical trial participation improves outcome: a matched historical cohort study. Clinical Trials 2013;10(5):735‐43. - PubMed
Bala 2013 {published data only}
    1. Bala MM, Akl EA, Sun X, Bassler D, Mertz D, Mejza F, et al. Randomized trials published in higher vs. lower impact journals differ in design, conduct, and analysis. Journal of Clinical Epidemiology 2013;66(3):286‐95. - PubMed
Balevi 2011 {published data only}
    1. Balevi B. Industry sponsored research may report more favourable outcomes. Evidence‐Based Dentistry 2011;12(1):5‐6. - PubMed
Barbui 2011 {published data only}
    1. Barbui C, Cipriani A, Patel V, Ayuso‐Mateos JL, Ommeren M. Efficacy of antidepressants and benzodiazepines in minor depression: systematic review and meta‐analysis. British Journal of Psychiatry 2011;198(1):11‐6, sup 1. - PMC - PubMed
Batalla 2011 {published data only}
    1. Batalla A, Garcia‐Doval I, Aranegui B, Garcia‐Cruz A. Who funds research by Spanish dermatologists? Comparative analysis of articles published in 2008 [¿Quien financia la investigacion de los dermatologos espanoles? Analisis del ano 2008 y comparacion con otros grupos.]. Actas Dermo‐Sifiliograficas 2011;102(7):517‐26. - PubMed
Bennett 2010 {published data only}
    1. Bennett CL, Lai SY, Henke M, Barnato SE, Armitage JO, Sartor O. Association between pharmaceutical support and basic science research on erythropoiesis‐stimulating agents. Archives of Internal Medicine 2010;170(16):1490‐8. - PMC - PubMed
Bourgeois 2012 {published data only}
    1. Bourgeois FT, Murthy S, Mandl KD. Comparative effectiveness research: an empirical study of trials registered in ClinicalTrials.gov. PLoS One 2012;7(1):e28820. - PMC - PubMed
Brignardello‐Petersen 2013 {published data only}
    1. Brignardello‐Petersen R, Carrasco‐Labra A, Yanine N, Ulloa C, Araya I, Pintor F, et al. Positive association between conflicts of interest and reporting of positive results in randomized clinical trials in dentistry. Journal of the American Dental Association 2013;144(10):1165‐70. - PubMed
Buesching 2012 {published data only}
    1. Buesching DP, Luce BR, Berger ML. The role of private industry in pragmatic comparative effectiveness trials. Journal of Comparative Effectiveness Research 2012;1(2):147‐56. - PubMed
Califf 2012 {published data only}
    1. Califf RM, Zarin DA, Kramer JM, Sherman RE, Aberle LH, Tasneem A. Characteristics of clinical trials registered in ClinicalTrials.gov, 2007‐2010. JAMA 2012;307(17):1838‐47. - PubMed
Catala‐Lopez 2013 {published data only}
    1. Catala‐Lopez F, Sanfelix‐Gimeno G, Ridao M, Peiro S. When are statins cost‐effective in cardiovascular prevention? A systematic review of sponsorship bias and conclusions in economic evaluations of statins. PLoS One 2013;8(7):e69462. - PMC - PubMed
Chaturvedi 2014 {published data only}
    1. Chaturvedi S, Lipszyc DH, Licht C, Craig JC, Parekh R. Pharmacological interventions for hypertension in children. Evidence‐Based Child Health : a Cochrane Review Journal 2014;9(3):498‐580. - PubMed
Chen 2012 {published data only}
    1. Chen Z, Ba G, Shen T, Fu Q. Recombinant human bone morphogenetic protein‐2 versus autogenous iliac crest bone graft for lumbar fusion: a meta‐analysis of ten randomized controlled trials. Archives of Orthopaedic and Trauma Surgery 2012;132(12):1725‐40. - PubMed
Chowers 2009 {published data only}
    1. Chowers MY, Gottesman BS, Leibovici L, Pielmeier U, Andreassen S, Paul M. Reporting of adverse events in randomized controlled trials of highly active antiretroviral therapy: systematic review. Journal of Antimicrobial Chemotherapy 2009;64(2):239‐50. - PubMed
Cipriani 2012 {published data only}
    1. Cipriani A, Purgato M, Furukawa TA, Trespidi C, Imperadore G, Signoretti A, et al. Citalopram versus other anti‐depressive agents for depression. Cochrane Database of Systematic Reviews 2012, Issue 7. [DOI: 10.1002/14651858.CD006534.pub2] - DOI - PMC - PubMed
Cipriani 2012a {published data only}
    1. Cipriani A, Koesters M, Furukawa TA, Nose M, Purgato M, Omori IM, et al. Duloxetine versus other anti‐depressive agents for depression. Cochrane Database of Systematic Reviews 2012, Issue 10. [DOI: 10.1002/14651858.CD006533.pub2] - DOI - PMC - PubMed
Conen 2008 {published data only}
    1. Conen D, Torres J, Ridker PM. Differential citation rates of major cardiovascular clinical trials according to source of funding a survey from 2000 to 2005. Circulation 2008;118(13):1321‐7. - PubMed
Cordoba 2010 {published data only}
    1. Cordoba G, Schwartz L, Woloshin S, Bae H, Gøtzsche PC. Definition, reporting, and interpretation of composite outcomes in clinical trials: systematic review. BMJ 2010;341:c3920. - PMC - PubMed
Cosgrove 2011 {published data only}
    1. Cosgrove L, Shi L, Creasey DE, Anaya‐McKivergan M, Myers JA, Huybrechts KF. Antidepressants and breast and ovarian cancer risk: a review of the literature and researchers' financial associations with industry. PLoS One 2011;6(4):e18210. - PMC - PubMed
Cunningham 2007 {published data only (unpublished sought but not used)}
    1. Cunningham MR, Warme WJ, Schaad DC, Wolf FM, Leopold SS. Industry‐funded positive studies not associated with better design or larger size. Clinical Orthopaedics and Related Research 2007;457:235‐41. - PubMed
Deb 2014 {published data only}
    1. Deb S, Farmah BK, Arshad E, Deb T, Roy M, Unwin GL. The effectiveness of aripiprazole in the management of problem behaviour in people with intellectual disabilities, developmental disabilities and/or autistic spectrum disorder‐‐a systematic review. Research in Developmental Disabilities 2014;35(3):711‐25. - PubMed
Demicheli 2014 {published data only}
    1. Demicheli V, Jefferson T, Al‐Ansary LA, Ferroni E, Rivetti A, Pietrantonj C. Vaccines for preventing influenza in healthy adults. Cochrane Database of Systematic Reviews 2014, Issue 3. [DOI: 10.1002/14651858.CD001269.pub5] - DOI - PubMed
Do 2015 {published data only}
    1. Do DV, Wang X, Vedula SS, Marrone M, Sleilati G, Hawkins BS, et al. Blood pressure control for diabetic retinopathy. Cochrane Database of Systematic Reviews 2015, Issue 1. [DOI: 10.1002/14651858.CD006127.pub2] - DOI - PMC - PubMed
Dufka 2014 {published data only}
    1. Dufka FL, Dworkin RH, Rowbotham MC. How transparent are migraine clinical trials? Repository of Registered Migraine Trials (RReMiT). Neurology 2014;83(15):1372‐81. - PMC - PubMed
Dunn 2012 {published data only}
    1. Dunn AG, Gallego B, Coiera E. Industry influenced evidence production in collaborative research communities: a network analysis. Journal of Clinical Epidemiology 2012;65(5):535‐43. - PubMed
Dunn 2014 {published data only}
    1. Dunn AG, Arachi D, Hudgins J, Tsafnat G, Coiera E, Bourgeois FT. Financial conflicts of interest and conclusions about neuraminidase inhibitors for influenza: an analysis of systematic reviews. Annals of Internal Medicine 2014;161(7):513‐8. - PubMed
Faggion 2014 {published data only}
    1. Faggion CM Jr, Atieh M, Zanicotti DG. Reporting of sources of funding in systematic reviews in periodontology and implant dentistry. British Dental Journal 2014;216(3):109‐12. - PubMed
Finnerup 2015 {published data only}
    1. Finnerup NB, Attal N, Haroutounian S, McNicol E, Baron R, Dworkin RH, et al. Pharmacotherapy for neuropathic pain in adults: a systematic review and meta‐analysis. Lancet Neurology 2015;14(2):162‐73. - PMC - PubMed
Fleurence 2010 {published data only}
    1. Fleurence RL, Spackman DE, Hollenbeak C. Does the funding source influence the results in economic evaluations? A case study in bisphosphonates for the treatment of osteoporosis. Pharmacorconomics 2010;28(4):295‐306. - PubMed
Friedman 2004 {published data only (unpublished sought but not used)}
    1. Friedman LS, Richter ED. Relationship between conflicts of interest and research results. Journal of General Internal Medicine 2004;19(1):51‐6. - PMC - PubMed
Fu 2013 {published data only}
    1. Fu R, Selph S, McDonagh M, Peterson K, Tiwari A, Chou R, et al. Effectiveness and harms of recombinant human bone morphogenetic protein‐2 in spine fusion: a systematic review and meta‐analysis. Annals of Internal Medicine 2013;158(12):890‐902. - PubMed
Fukunaga 2014 {published data only}
    1. Fukunaga S, Kusama M, Ono S. The effect size, study design, and development experience in commercially sponsored studies for new drug applications in approved drugs. SpringerPlus 2014;3:740. - PMC - PubMed
Furuse 2011 {published data only}
    1. Furuse J, Okusaka T, Bridgewater J, Taketsuna M, Wasan H, Koshiji M, et al. Lessons from the comparison of two randomized clinical trials using gemcitabine and cisplatin for advanced biliary tract cancer. Critical Reviews in Oncology/Hematology 2011;80(1):31‐9. - PubMed
Garattini 2010 {published data only}
    1. Garattini L, Koleva D, Casadei G. Modeling in pharmacoeconomic studies: funding sources and outcomes. International Journal of Technology Assessment in Health Care 2010;26(3):330‐3. - PubMed
Garrison 2010 {published data only}
    1. Garrison KR, Shemilt I, Donell S, Ryder JJ, Mugford M, Harvey I, et al. Bone morphogenetic protein (BMP) for fracture healing in adults. Cochrane Database of Systematic Reviews 2010, Issue 6. [DOI: 10.1002/14651858.CD006950.pub2] - DOI - PMC - PubMed
Gasparyan 2013 {published data only}
    1. Gasparyan AY, Ayvazyan L, Akazhanov NA, Kitas GD. Conflicts of interest in biomedical publications: considerations for authors, peer reviewers, and editors. Croatian Medical Journal 2013;54(6):600‐8. - PMC - PubMed
Gerrald 2010 {published data only}
    1. Gerrald KR, Malone RM, Shillida BB. Clinical benefit of self‐monitoring of blood glucose is uncertain for non–insulin‐treated patients with type 2 diabetes. Clinical Diabetes 2012;28(3):121‐3.
Gewandter 2014 {published data only}
    1. Gewandter JS, Smith SM, McKeown A, Burke LB, Hertz SH, Hunsinger M, et al. Reporting of primary analyses and multiplicity adjustment in recent analgesic clinical trials: ACTTION systematic review and recommendations. Pain 2014;155(3):461‐6. - PubMed
Glick 2006 {published data only}
    1. Glick N, MacDonald I, Knoll G, Brabant A, Gourishankar S. Factors associated with publication following presentation at a transplantation meeting. American Journal of Transplantation 2006;6(3):552‐6. - PubMed
Glujovsky 2012 {published data only}
    1. Glujovsky D, Riestra B, Coscia A, Boggino C, Comande D, Ciapponi A. Assessment of research quality in major infertility journals. Fertility and Sterility 2012;98(6):1539‐43. - PubMed
Goswami 2014 {published data only}
    1. Goswami ND, Tsalik EL, Naggie S, Miller WC, Horton JR, Pfeiffer CD, et al. A cross‐sectional analysis of HIV and hepatitis C clinical trials 2007 to 2010: the relationship between industry sponsorship and randomized study design. Trials 2014;15:31. - PMC - PubMed
Graham 2012 {published data only}
    1. Graham CN, Mauskopf JA, Lawson AH, Ascher‐Svanum H, Bruhn D. Updating and confirming an industry‐sponsored pharmacoeconomic model: comparing two antipsychotics in the treatment of schizophrenia. Value in Health 2012;15(1):55‐64. - PubMed
Grillo‐Ardila 2014 {published data only}
    1. Grillo‐Ardila CF, Angel‐Muller E, Salazar‐Diaz LC, Gaitan HG, Ruiz‐Parra AI, Lethaby A. Imiquimod for anogenital warts in non‐immunocompromised adults. Cochrane Database of Systematic Reviews 2014, Issue 11. [DOI: 10.1002/14651858.CD010389.pub2] - DOI - PMC - PubMed
Guaiana 2013 {published data only}
    1. Guaiana G, Gupta S, Chiodo D, Davies SJ, Haederle K, Koesters M. Agomelatine versus other antidepressive agents for major depression. Cochrane Database of Systematic Reviews 2013, Issue 12. [DOI: 10.1002/14651858.CD008851.pub2] - DOI - PMC - PubMed
Guo 2013 {published data only}
    1. Guo SW, Evers JL. Lack of transparency of clinical trials on endometriosis. Obstetrics and Gynecology 2013;121(6):1281‐90. - PubMed
Guo 2014 {published data only}
    1. Guo SW. An overview of the current status of clinical trials on endometriosis: issues and concerns. Fertility and Sterility 2014;101(1):183‐190.e4. - PubMed
Hall 2007 {published data only}
    1. Hall R, Antueno C, Webber A, Canadian Research Ethics Board. Publication bias in the medical literature: A review by a Canadian Research Ethics Board. Canadian Journal of Anaesthesia 2007;54(5):380‐8. - PubMed
Hartling 2011 {published data only}
    1. Hartling L, Bond K, Vandermeer B, Seida J, Dryden DM, Rowe BH. Applying the risk of bias tool in a systematic review of combination long‐acting beta‐agonists and inhaled corticosteroids for persistent asthma. PLoS One 2011;6(2):e17242. - PMC - PubMed
Hartung 2014 {published data only}
    1. Hartung DM, Zarin DA, Guise JM, McDonagh M, Paynter R, Helfand M. Reporting discrepancies between the ClinicalTrials.gov results database and peer‐reviewed publications. Annals of Internal Medicine 2014;160(7):477‐83. - PMC - PubMed
Hashmi 2014 {published data only}
    1. Hashmi S, Noureldin M, Khan SN. Lessons from the infuse trials: do we need a classification of bias in scientific publications and editorials?. Current Reviews in Musculoskeletal Medicine 2014;7(3):193‐9. - PMC - PubMed
Hill 2007 {published data only}
    1. Hill CL, Buchbinder R, Osborne R. Quality of reporting of randomized clinical trials in abstracts of the 2005 annual meeting of the American College of Rheumatology. Journal of Rheumatology 2007;34(12):2476‐80. - PubMed
Hodgson 2014 {published data only}
    1. Hodgson R, Allen R, Broderick E, Bland JM, Dumville JC, Ashby R, et al. Funding source and the quality of reports of chronic wounds trials: 2004 to 2011. Trials 2014;15:19. - PMC - PubMed
Hughes 2014 {published data only}
    1. Hughes S, Cohen D, Jaggi R. Differences in reporting serious adverse events in industry sponsored clinical trial registries and journal articles on antidepressant and antipsychotic drugs: a cross‐sectional study. BMJ open 2014;4(7):e005535. - PMC - PubMed
Ioannidis 2013 {published data only}
    1. Ioannidis JP, Karassa FB, Druyts E, Thorlund K, Mills EJ. Biologic agents in rheumatology: unmet issues after 200 trials and $200 billion sales. Nature Reviews Rheumatology 2013;9(11):665‐73. - PubMed
Ipser 2015 {published data only}
    1. Ipser JC, Wilson D, Akindipe TO, Sager C, Stein DJ. Pharmacotherapy for anxiety and comorbid alcohol use disorders. Cochrane Database of Systematic Reviews 2015, Issue 1. [DOI: 10.1002/14651858.CD007505.pub2] - DOI - PMC - PubMed
Jagsi 2009 {published data only (unpublished sought but not used)}
    1. Jagsi R, Sheets N, Jankovic A, Motomura AR, Amarnath S, Ubel PA. Frequency, nature, effects, and correlates of conflicts of interest in published clinical cancer research. Cancer 2009;115(12):2783‐91. - PubMed
Jang 2010 {published data only}
    1. Jang S, Chae YK, Haddad T, Majhail NS. Conflict of interest in economic analyses of aromatase inhibitors in breast cancer: a systematic review. Breast Cancer Research and Treatment 2010;121(2):273‐9. - PubMed
Jefferson 2012 {published data only}
    1. Jefferson T, Rivetti A, Pietrantonj C, Demicheli V, Ferroni E. Vaccines for preventing influenza in healthy children. Cochrane Database of Systematic Reviews 2012, Issue 8. [DOI: 10.1002/14651858.CD004879.pub4] - DOI - PMC - PubMed
Jefferson 2014 {published data only}
    1. Jefferson T, Jones MA, Doshi P, Mar CB, Hama R, Thompson MJ, et al. Risk of bias in industry‐funded oseltamivir trials: comparison of core reports versus full clinical study reports. BMJ Open 2014;4(9):e005253. - PMC - PubMed
Jones 2013 {published data only}
    1. Jones CW, Handler L, Crowell KE, Keil LG, Weaver MA, Platts‐Mills TF. Non‐publication of large randomized clinical trials: cross sectional analysis. BMJ 2013;347:f6104. - PMC - PubMed
Kaiser 2012 {published data only}
    1. Kaiser KA, Cofield SS, Fontaine KR, Glasser SP, Thabane L, Chu R, et al. Is funding source related to study reporting quality in obesity or nutrition randomized control trials in top‐tier medical journals?. International Journal of Obesity 2012;36(7):977‐81. - PMC - PubMed
Khan 2008 {published data only (unpublished sought but not used)}
    1. Khan SN, Mermer MJ, Myers E, Sandhu HS. The roles of funding source, clinical trial outcome, and quality of reporting in orthopedic surgery literature. American Journal of Orthopedics 2008;37(12):E205‐12. - PubMed
Kjaergard 1999 {published data only (unpublished sought but not used)}
    1. Kjaergard LL, Nikolova D, Gluud C. Randomized clinical trials in HEPATOLOGY: predictors of quality. Hepatology 1999;30(5):1134‐8. - PubMed
Komossa 2011 {published data only}
    1. Komossa K, Rummel‐Kluge C, Schwarz S, Schmid F, Hunger H, Kissling W, et al. Risperidone versus other atypical antipsychotics for schizophrenia. Cochrane Database of Systematic Reviews 2011, Issue 1. [DOI: 10.1002/14651858.CD006626.pub2] - DOI - PMC - PubMed
Krauth 2014 {published data only}
    1. Krauth D, Anglemyer A, Philipps R, Bero L. Nonindustry‐sponsored preclinical studies on statins yield greater efficacy estimates than industry‐sponsored studies: a meta‐analysis. PLoS Biology 2014;12(1):e1001770. - PMC - PubMed
Krzyzanowska 2003 {published data only}
    1. Krzyzanowska MK, Pintilie M, Tannock IF. Factors associated with failure to publish large randomized trials presented at an oncology meeting. JAMA 2003;290(4):495‐501. - PubMed
Kulier 2004 {published data only}
    1. Kulier R, Helmerhorst FM, Maitra N, Gülmezoglu AM. Effectiveness and acceptability of progestogens in combined oral contraceptives ‐ A systematic review. Reproductive Health 2004;1(1):1. - PMC - PubMed
Kulkarni 2007 {published data only}
    1. Kulkarni AV, Busse JW, Shams I. Characteristics associated with citation rate of the medical literature. PLoS One 2007;2(5):e403. - PMC - PubMed
Lai 2006 {published data only (unpublished sought but not used)}
    1. Lai R, Chu R, Fraumeni M, Thabane L. Quality of randomized controlled trials reporting in the primary treatment of brain tumors. Journal of Clinical Oncology 2006; Vol. 24, issue 7:1136‐44. - PubMed
Lawrie 2011 {published data only}
    1. Lawrie TA, Helmerhorst FM, Maitra NK, Kulier R, Bloemenkamp K, Gulmezoglu AM. Types of progestogens in combined oral contraception: effectiveness and side‐effects. Cochrane Database of Systematic Reviews 2011, Issue 5. [DOI: 10.1002/14651858.CD004861.pub2] - DOI - PubMed
Leopold 2003 {published data only (unpublished sought but not used)}
    1. Leopold SS, Warme WJ, Fritz Braunlich E, Shott S. Association between funding source and study outcome in orthopaedic research. Clinical Orthopaedics and Related Research 2003;415:293‐301. - PubMed
Lethaby 2013 {published data only}
    1. Lethaby A, Lopez‐Olivo MA, Maxwell L, Burls A, Tugwell P, Wells GA. Etanercept for the treatment of rheumatoid arthritis. Cochrane Database of Systematic Reviews 2013, Issue 5. [DOI: 10.1002/14651858.CD004525.pub2] - DOI - PMC - PubMed
Leucht 2009a {published data only}
    1. Leucht S, Corves C, Arbter D, Engel RR, Li C, Davis JM. Second‐generation versus first‐generation antipsychotic drugs for schizophrenia: a meta‐analysis. Lancet 2009;373(9657):31‐41. - PubMed
Leucht 2009b {published data only}
    1. Leucht S, Komossa K, Rummel‐Kluge C, Corves C, Hunger H, Schmid F, et al. A meta‐analysis of head‐to‐head comparisons of second‐generation antipsychotics in the treatment of schizophrenia. American Journal of Psychiatry 2009;166(2):152‐63. - PubMed
Li 2013 {published data only}
    1. Li XQ, Yang GL, Tao KM, Zhang HQ, Zhou QH, Ling CQ. Comparison of registered and published primary outcomes in randomized controlled trials of gastroenterology and hepatology. Scandinavian Journal of Gastroenterology 2013;48(12):1474‐83. - PubMed
Lopez 2014 {published data only}
    1. Lopez J, Prifogle E, Nyame TT, Milton J, May JW Jr. The impact of conflicts of interest in plastic surgery: an analysis of acellular dermal matrix, implant‐based breast reconstruction. Plastic and Reconstructive Surgery 2014;133(6):1328‐34. - PubMed
Lundh 2012 {published data only}
    1. Lundh A, Krogsbøll LT, Gøtzsche PC. Sponsors' participation in conduct and reporting of industry trials: a descriptive study. Trials 2012;13:146. - PMC - PubMed
Lunn 2014 {published data only}
    1. Lunn MP, Hughes RA, Wiffen PJ. Duloxetine for treating painful neuropathy, chronic pain or fibromyalgia. Cochrane Database of Systematic Reviews 2014, Issue 1. [DOI: 10.1002/14651858.CD007115.pub3] - DOI - PMC - PubMed
Magni 2013 {published data only}
    1. Magni LR, Purgato M, Gastaldon C, Papola D, Furukawa TA, Cipriani A, et al. Fluoxetine versus other types of pharmacotherapy for depression. Cochrane Database of Systematic Reviews 2013, Issue 7. [DOI: 10.1002/14651858.CD004185.pub3] - DOI - PMC - PubMed
Manzoli 2011 {published data only}
    1. Manzoli L, Vito C, Salanti G, D'Addario M, Villari P, Ioannidis JP. Meta‐analysis of the immunogenicity and tolerability of pandemic influenza A 2009 (H1N1) vaccines. PLoS One 2011;6(9):e24384. - PMC - PubMed
Manzoli 2014 {published data only}
    1. Manzoli L, Flacco ME, D'Addario M, Capasso L, Vito C, Marzuillo C, et al. Non‐publication and delayed publication of randomized trials on vaccines: survey. BMJ 2014;348:g3058. - PubMed
McIlvennan 2014 {published data only}
    1. McIlvennan CK, Magid KH, Ambardekar AV, Thompson JS, Matlock DD, Allen LA. Clinical outcomes after continuous‐flow left ventricular assist device: a systematic review. Circulation: Heart Failure 2014;7(6):1003‐13. - PMC - PubMed
McLennan 2008 {published data only}
    1. McLennan M, Leong FC, Steele A, Harris J. The influence of industry sponsorship on the acceptance of abstracts and their publication. American Journal of Obstetrics and Gynecology 2008;198(5):579.e1‐4. - PubMed
Montedori 2011 {published data only}
    1. Montedori A, Bonacini MI, Casazza G, Luchetta ML, Duca P, Cozzolino F, et al. Modified versus standard intention‐to‐treat reporting: are there differences in methodological quality, sponsorship, and findings in randomized trials? A cross‐sectional study. Trials 2011;12:58. - PMC - PubMed
Montori 2005 {published data only}
    1. Montori VM, Devereaux PJ, Adhikari NK, Burns KE, Eggert CH, Briel M, et al. Randomized trials stopped early for benefit: a systematic review. JAMA 2005;294(17):2203‐9. - PubMed
Moteshafi 2012 {published data only}
    1. Moteshafi H, Zhornitsky S, Brunelle S, Stip E. Comparing tolerability of olanzapine in schizophrenia and affective disorders: a meta‐analysis. Drug Safety 2012;35(10):819‐36. - PubMed
Nkansah 2009 {published data only}
    1. Nkansah N, Nguyen T, Iraninezhad H, Bero L. Randomized trials assessing calcium supplementation in healthy children: relationship between industry sponsorship and study outcomes. Public Health Nutrition 2009;12(10):1931‐7. - PubMed
Okike 2007 {published data only (unpublished sought but not used)}
    1. Okike K, Kocher MS, Mehlman CT, Bhandari M. Conflict of interest in orthopaedic research: An association between findings and funding in scientific presentations. Journal of Bone and Joint Surgery 2007;89(3):608‐13. - PubMed
Okike 2008 {published data only}
    1. Okike K, Kocher MS, Mehlman CT, Heckman JD, Bhandari M. Nonscientific factors associated with acceptance for publication in The Journal of Bone and Joint Surgery (American Volume). Journal of Bone and Joint Surgery 2008;90(11):2432‐7. - PMC - PubMed
Peura 2012 {published data only}
    1. Peura PK, Martikainen JA, Purmonen TT, Turunen JH. Sponsorship‐related outcome selection bias in published economic studies of triptans: systematic review. Medical Decision Making 2012;32(2):237‐45. - PubMed
Phillips 2012 {published data only}
    1. Phillips JL, Wassersug RJ, McLeod DL. Systemic bias in the medical literature on androgen deprivation therapy and its implication to clinical practice. International Journal of Clinical Practice 2012;66(12):1189‐96. - PubMed
Polyzos 2011 {published data only}
    1. Polyzos NP, Valachis A, Mauri D, Ioannidis JP. Industry involvement and baseline assumptions of cost‐effectiveness analyses: diagnostic accuracy of the Papanicolaou test. CMAJ: Canadian Medical Association Journal 2011;183(6):E337‐43. - PMC - PubMed
Probst 2014 {published data only}
    1. Probst P, Grummich K, Ulrich A, Buchler MW, Knebel P, Diener MK. Association of industry sponsorship and positive outcome in randomised controlled trials in general and abdominal surgery: protocol for a systematic review and empirical study. Systematic Reviews 2014;3:138. - PMC - PubMed
Procyshyn 2004 {published data only (unpublished sought but not used)}
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References to other published versions of this review

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