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Better Disclosure Needed for Study Authors Making Big Bucks

要更好地披露医药研究者们是如何赚大钱的

We expect scientists and doctors to be upfront about whether papers they publish may line their purses. But according to a recent study in the Archives of Internal Medicine, nearly half of surgeons who made at least a million dollars from orthopedic device companies did not reveal that fact in their publications.

我们期望科学家和医生能够坦率地谈论他们发表的论文是否会使他们中饱私囊。不过，根据《内科学文献》最近刊登的一项研究，从矫形外科器械公司能拿到至少一百万美元的外科医生中，近半数不会在其出版物中提及此事。

The study authors searched a public database in which five manufacturing companies disclosed the amounts they paid consultants. The companies shelled out almost $250 million in 2007 for consulting, about 62 percent of which went to only 41 orthopedic surgeons. Each made more than a million dollars.

这项研究的作者在某个公共数据库里进行搜索，其中有五家制造公司披露了他们向顾问医生支付的钱数。这五家公司在2007年所付的咨询费接近2.5亿美元，其中62%都流到了矫形外科医生的口袋里。这些医生每一个都获得了一百多万美元的收入。

In 95 articles co-authored by these surgeons - most of which covered a device made by one of the five companies - fewer than half the articles had any financial disclosure. And none reported the size of the payments.

在这些外科医生合写的95篇论文当中，只有不到一半的论文里有财务披露，而这95篇论文中有极大多数都涉及到了前述五家公司之一生产的某种器械。当然，更不会有关于支付款项的报告了。

The report's authors say that most journals go by the honor system. Journal editors expect physicians to disclose financial conflicts, and they don't check. But now 15 drug and device companies put payments on their Web sites, and all are required to by 2013. The study authors say journals need to peruse these records so the public knows about any potential conflicts of interest.

此项研究报告的作者称，大多数期刊都遵循信用制（荣誉制度）。期刊编辑们希望医生透露其经济利益冲突，而他们也不会审查。如今，十五家药物和设备公司在其网站上支付咨询费用，而截至2013年，所有的公司都必须如此。该研究的作者表示，期刊编辑们应该仔细查阅这些记录，这样才能让公众了解任何潜在的利益冲突。

—Cynthia Graber

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