T Nation

Medical Journals Being Bought?

http://www.washingtonpost.com/wp-srv/special/business/NEJM-articles/index.html

and this guy gives some great info as well:

Are you just here to troll again? Publishing a study funded by a pharmaceutical company is not the same as “being bought”. Sure, completely impartial studies would be better, but who’s going to pay for them? You?

Thank’s for bringing that to our attention.I for one don’t read medical journal’s,but i do listen too CNN when they have a story on some health study,and they get the information from some Bia’s compromised medical journal. Thank’s again john

Of course a respected medical journal is going to publish a study funded by a pharmaceutical company.

This is how the study can be analyzed and replicated, and eventually validated or invalidated.

So what exactly is the problem?

Every study’s abstract will show you where it was done and how it was funded

I think it’s more of an issue that many doctors are swayed so easily by these companies and will not spend the time doing the research (it doesn’t make them money and isn’t so required) that would truly benefit their patients.

I guess this is a side issue but we’ll see doctors having less and less of a role in patient health in the coming decades. Too much cost for too little benefit.

Of course pharmaceutical companies sponsor legitimate trials. Experimental drugs can be extremely expensive. For example a standard treatment of ipilimumab (melanoma treatment) runs $120,000-$240,000. Many of the doctors using the drug with patients think that the pharmacy company is actually giving a lower dose than is optimal in order to keep costs reasonable in early studies… only offering a higher dose in the most recent research. With such a large cost, the pharmacy companies have to demonstrate that such a drug is effective (via their own money) before they can acquire neutral funding for a large scale trial.

[quote]browndisaster wrote:

I think it’s more of an issue that many doctors are swayed so easily by these companies and will not spend the time doing the research (it doesn’t make them money and isn’t so required) that would truly benefit their patients.[/quote]

Doctors are not “swayed.” They make the most informed decision they can with the information and research that is presented to them. In addition, working 120+ hours a week doesn’t exactly leave an ample amount of time to “do the research themselves.” Despite that, they are still required to attend 20-50 hours a year (depending on the state) of Continuing Medical Education.

Working 12-14 hours a day is by no means an easy life, but doctors do it for one reason: compassion for their patients. To think that they do not have the best interest of their patients at heart is absolutely ridiculous. Going through 8 years of an incredibly difficult and expensive education, accruing a massive amount of debt, followed by another 3-6 of residency, before you can even expect to make a decent salary is a road that only the most dedicated individuals are willing to make. Doctors do not enter the medical profession to make money: they do it to help people. There are much quicker, less difficult paths to a lucrative career. I know doctors who are in their 40’s and still paying off student loans.

The problem with the healthcare system is not the medical field: it is the fucking insurance system. When you have an insurer who tells a doctor: “stop prescribing this medication, or this treatment, even though it may save this patient’s life, because we will not cover it” - that’s when you have a fucking problem.

But this new government sponsored healthcare, controlled by bureacrats at the top, who have never been exposed to patient care nor give two shits about the people they are supposed to be helping, well, that’s going to solve all our problems, now isn’t it?

LOL sorry for the rant Browndisaster, it wasn’t necessarily directed at you, it’s just that the overall lack of respect for the medical profession on these boards really irritates me.

no worries, I’m going to be a doctor and am feeling increasingly disillusioned by it to be honest, so excuse my negative tone. The majority of people in my generation are doing it for the money/prestige, which won’t be there as much as they think. I don’t think people should suck our dicks because we’re doctors (or dentists like prof X, I see you brah) but it will be interesting to see how patient care adapts as we start running out of money. The healthcare system as a whole in the US is ridiculous.

I for one would love to see us be strict in coverage towards fatties like they are in Japan.

[quote]The Greek wrote:

Doctors are not “swayed.” They make the most informed decision they can with the information and research that is presented to them. In addition, working 120+ hours a week doesn’t exactly leave an ample amount of time to “do the research themselves.” Despite that, they are still required to attend 20-50 hours a year (depending on the state) of Continuing Medical Education.

Working 12-14 hours a day is by no means an easy life, but doctors do it for one reason: compassion for their patients. To think that they do not have the best interest of their patients at heart is absolutely ridiculous. Going through 8 years of an incredibly difficult and expensive education, accruing a massive amount of debt, followed by another 3-6 of residency, before you can even expect to make a decent salary is a road that only the most dedicated individuals are willing to make. Doctors do not enter the medical profession to make money: they do it to help people. There are much quicker, less difficult paths to a lucrative career. I know doctors who are in their 40’s and still paying off student loans.

The problem with the healthcare system is not the medical field: it is the fucking insurance system. When you have an insurer who tells a doctor: “stop prescribing this medication, or this treatment, even though it may save this patient’s life, because we will not cover it” - that’s when you have a fucking problem.

But this new government sponsored healthcare, controlled by bureacrats at the top, who have never been exposed to patient care nor give two shits about the people they are supposed to be helping, well, that’s going to solve all our problems, now isn’t it?

LOL sorry for the rant Browndisaster, it wasn’t necessarily directed at you, it’s just that the overall lack of respect for the medical profession on these boards really irritates me. [/quote]

you may be disillusioned, many doctors do it for the money and money only. The problem is that even though they make an informed decision the information they have is not always (in many cases actually) accurate. If we have pharmaceutical companies vastly overstating their drugs efficiency and safety that will dictate what the literature so even the most well read doctor could be doing the wrong thing but not know.

[quote]browndisaster wrote:
The healthcare system as a whole in the US is ridiculous.

[/quote]
Go spend some time in other countries before you decide ours is broken.

Dont let the media make you decide something, do your own research.

Also dont listen to the conspiracy bullshit that runs rampant, in the medical field you dont run things like the Govt does and treat the outliers and special interest.

[quote]rehanb_bl wrote:
you may be disillusioned, many doctors do it for the money and money only. The problem is that even though they make an informed decision the information they have is not always (in many cases actually) accurate. If we have pharmaceutical companies vastly overstating their drugs efficiency and safety that will dictate what the literature so even the most well read doctor could be doing the wrong thing but not know.[/quote]
If you become a doctor just to get rich you’re not very smart. I started studying medicine when I was 19 and I’ll be 25 before I even get paid and over 30 before I’m a specialist.

If I’d stayed in business school, I’d have gotten out after three years to a job with the equivalent of a specialist salary and climbed pretty high by 30.

Add to that malpractice insurance and shit in your iatrophobic society, and that one mistake can destroy your career, and you realize that most do it for something more than just the money.