Conflicts of interest disclosure forms and management in critical care clinical practice guidelines

Waleed Alhazzani; Kimberley Lewis; Roman Jaeschke; Bram Rochwerg; Morten Hylander Møller; Laura Evans; Kevin C. Wilson; Sheena Patel; Craig M. Coopersmith; Maurizio Cecconi; Gordon Guyatt; Elie A. Akl

doi:10.1007/s00134-018-5367-6

Conflicts of interest disclosure forms and management in critical care clinical practice guidelines

Waleed Alhazzani^*, Kimberley Lewis, Roman Jaeschke, Bram Rochwerg, Morten Hylander Møller, Laura Evans, Kevin C. Wilson, Sheena Patel, Craig M. Coopersmith, Maurizio Cecconi, Gordon Guyatt, Elie A. Akl

^*Corresponding author for this work

Department of Clinical Medicine

9 Citations (Scopus)

Abstract

Background: Trustworthy clinical practice guidelines (CPGs) require identification and careful management of conflicts of interest (COIs) among all participants in the guideline development. Furthermore, COIs are more common than anticipated. However, there are no universally accepted methods to identify and manage COIs. Objective: To describe and summarize the current COI disclosure forms and management policies in selected critical care professional societies that develop high-impact CPGs. In addition, we aim to provide suggestions to guideline developers on how to identify and manage different types of COIs. Methods: We searched PubMed and MEDLINE for CPGs published between 2013 and 2018 in English language and addressed general critical care topics. We then ranked the CPGs according to the numbers of citations and selected the first five critical care professional societies that sponsored the guidelines. We obtained the most recent COI declaration forms and management policies. Two reviewers abstracted data on different types of COI in each of the disclosure forms and management policies. Results: All selected professional critical care societies require that members declare direct financial COIs; four societies inquire specifically about intellectual COIs (involvement in primary research). Three out of five societies require members to disclose indirect institutional financial COIs; however, none inquire about other forms of institutional COI. We developed, by consensus, a streamlined framework to classify and manage different types of COIs. Conclusion: The current COI disclosure forms of selected professional societies provide more attention to financial disclosures and COIs and less attention to detecting and managing intellectual COIs, while rarely addressing institutional COIs. We provide some suggestions for guideline developers on the classification and management of different COIs in the context of CPGs.

Original language	English
Journal	Intensive Care Medicine
Volume	44
Issue number	10
Pages (from-to)	1691-1698
Number of pages	8
ISSN	0342-4642
DOIs	https://doi.org/10.1007/s00134-018-5367-6
Publication status	Published - 2018

Keywords

Clinical practice guidelines
Conflict of interest
Critical care

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10.1007/s00134-018-5367-6

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title = "Conflicts of interest disclosure forms and management in critical care clinical practice guidelines",

abstract = "Background: Trustworthy clinical practice guidelines (CPGs) require identification and careful management of conflicts of interest (COIs) among all participants in the guideline development. Furthermore, COIs are more common than anticipated. However, there are no universally accepted methods to identify and manage COIs. Objective: To describe and summarize the current COI disclosure forms and management policies in selected critical care professional societies that develop high-impact CPGs. In addition, we aim to provide suggestions to guideline developers on how to identify and manage different types of COIs. Methods: We searched PubMed and MEDLINE for CPGs published between 2013 and 2018 in English language and addressed general critical care topics. We then ranked the CPGs according to the numbers of citations and selected the first five critical care professional societies that sponsored the guidelines. We obtained the most recent COI declaration forms and management policies. Two reviewers abstracted data on different types of COI in each of the disclosure forms and management policies. Results: All selected professional critical care societies require that members declare direct financial COIs; four societies inquire specifically about intellectual COIs (involvement in primary research). Three out of five societies require members to disclose indirect institutional financial COIs; however, none inquire about other forms of institutional COI. We developed, by consensus, a streamlined framework to classify and manage different types of COIs. Conclusion: The current COI disclosure forms of selected professional societies provide more attention to financial disclosures and COIs and less attention to detecting and managing intellectual COIs, while rarely addressing institutional COIs. We provide some suggestions for guideline developers on the classification and management of different COIs in the context of CPGs.",

keywords = "Clinical practice guidelines, Conflict of interest, Critical care",

author = "Waleed Alhazzani and Kimberley Lewis and Roman Jaeschke and Bram Rochwerg and M{\o}ller, {Morten Hylander} and Laura Evans and Wilson, {Kevin C.} and Sheena Patel and Coopersmith, {Craig M.} and Maurizio Cecconi and Gordon Guyatt and Akl, {Elie A.}",

year = "2018",

doi = "10.1007/s00134-018-5367-6",

language = "English",

volume = "44",

pages = "1691--1698",

journal = "Intensive Care Medicine",

issn = "0342-4642",

publisher = "Springer",

number = "10",

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TY - JOUR

T1 - Conflicts of interest disclosure forms and management in critical care clinical practice guidelines

AU - Alhazzani, Waleed

AU - Lewis, Kimberley

AU - Jaeschke, Roman

AU - Rochwerg, Bram

AU - Møller, Morten Hylander

AU - Evans, Laura

AU - Wilson, Kevin C.

AU - Patel, Sheena

AU - Coopersmith, Craig M.

AU - Cecconi, Maurizio

AU - Guyatt, Gordon

AU - Akl, Elie A.

PY - 2018

Y1 - 2018

N2 - Background: Trustworthy clinical practice guidelines (CPGs) require identification and careful management of conflicts of interest (COIs) among all participants in the guideline development. Furthermore, COIs are more common than anticipated. However, there are no universally accepted methods to identify and manage COIs. Objective: To describe and summarize the current COI disclosure forms and management policies in selected critical care professional societies that develop high-impact CPGs. In addition, we aim to provide suggestions to guideline developers on how to identify and manage different types of COIs. Methods: We searched PubMed and MEDLINE for CPGs published between 2013 and 2018 in English language and addressed general critical care topics. We then ranked the CPGs according to the numbers of citations and selected the first five critical care professional societies that sponsored the guidelines. We obtained the most recent COI declaration forms and management policies. Two reviewers abstracted data on different types of COI in each of the disclosure forms and management policies. Results: All selected professional critical care societies require that members declare direct financial COIs; four societies inquire specifically about intellectual COIs (involvement in primary research). Three out of five societies require members to disclose indirect institutional financial COIs; however, none inquire about other forms of institutional COI. We developed, by consensus, a streamlined framework to classify and manage different types of COIs. Conclusion: The current COI disclosure forms of selected professional societies provide more attention to financial disclosures and COIs and less attention to detecting and managing intellectual COIs, while rarely addressing institutional COIs. We provide some suggestions for guideline developers on the classification and management of different COIs in the context of CPGs.

AB - Background: Trustworthy clinical practice guidelines (CPGs) require identification and careful management of conflicts of interest (COIs) among all participants in the guideline development. Furthermore, COIs are more common than anticipated. However, there are no universally accepted methods to identify and manage COIs. Objective: To describe and summarize the current COI disclosure forms and management policies in selected critical care professional societies that develop high-impact CPGs. In addition, we aim to provide suggestions to guideline developers on how to identify and manage different types of COIs. Methods: We searched PubMed and MEDLINE for CPGs published between 2013 and 2018 in English language and addressed general critical care topics. We then ranked the CPGs according to the numbers of citations and selected the first five critical care professional societies that sponsored the guidelines. We obtained the most recent COI declaration forms and management policies. Two reviewers abstracted data on different types of COI in each of the disclosure forms and management policies. Results: All selected professional critical care societies require that members declare direct financial COIs; four societies inquire specifically about intellectual COIs (involvement in primary research). Three out of five societies require members to disclose indirect institutional financial COIs; however, none inquire about other forms of institutional COI. We developed, by consensus, a streamlined framework to classify and manage different types of COIs. Conclusion: The current COI disclosure forms of selected professional societies provide more attention to financial disclosures and COIs and less attention to detecting and managing intellectual COIs, while rarely addressing institutional COIs. We provide some suggestions for guideline developers on the classification and management of different COIs in the context of CPGs.

KW - Clinical practice guidelines

KW - Conflict of interest

KW - Critical care

U2 - 10.1007/s00134-018-5367-6

DO - 10.1007/s00134-018-5367-6

M3 - Review

C2 - 30264380

AN - SCOPUS:85053864350

SN - 0342-4642

VL - 44

SP - 1691

EP - 1698

JO - Intensive Care Medicine

JF - Intensive Care Medicine

IS - 10

ER -

Conflicts of interest disclosure forms and management in critical care clinical practice guidelines

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