牙科行业赞助:伦理范围审查

Jeffrey Gruenglas, Roxana Menes, Lori Rainchuso
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摘要

就利益冲突 (COI) 和专业行业关系为牙科提供指导的证据非常有限。确定有关牙科职业道德和与赞助相关的 COI 的文献的广度。按照 PRISMA 扩展标准进行了范围界定综述。使用 Medline/PubMed 和 Cochrane 图书馆数据库来确定 2013-2023 年出版的同行评审资料。标题、摘要和全文由两名独立审稿人进行审阅。意见不一致时,以协商一致的方式解决。其余研究进行了批判性评估。提取并分析了主要研究结果。根据关键性评价阈值进行调整后,我们共评估了(n=9)项与牙科、COI 和赞助(行业和非营利性研究资金)相关的研究。大多数证据表明,披露主要利益相关者和职业道德冲突之间存在显著相关性。超过 32% 的出版物未明确披露或未报告 COI。有赞助的研究对披露做法的审查明显更严格,而行业/牙医报告的付款情况很普遍,但差异很大(19% 到 62%)。无论资金来源或影响力如何,牙科专业人士在获得指导透明度的政策后都有可能披露行业冲突,从而加强患者的信任和职业道德规范。
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Industry Sponsorship in Dentistry: An Ethics Scoping Review
Evidence to guide dentistry on conflict of interest (COI) and professional-industry relationships is limited. To determine the breadth of literature regarding ethics in dentistry and COI relating to sponsorship. A scoping review following the PRISMA extension was performed. Medline/PubMed and Cochrane Library databases were used to identify peer-reviewed sources, published 2013-2023. Titles, abstracts, and full-text reviews were conducted by two independent reviewers. Disagreements were resolved by consensus. The remaining studies underwent critical appraisal. Key findings were extracted and analyzed. Adjusted for critical appraisal thresholds, we evaluated a total of (n=9) studies associated with dentistry, COI, and sponsorship (industry and non-profit research funding). The majority of evidence demonstrated a significant correlation with disclosure of COI and professional ethical conflict. More than 32% of publications demonstrated no clear disclosure or failed to report COI. Sponsored studies demonstrated significantly greater scrutiny of disclosure practices, whereas industry/dentist-reported payments were prevalent but varied widely (19% to 62%). Regardless of funding or influence, dental professionals are likely to disclose industry conflicts when presented with policies to guide transparency, thus strengthening patient trust and professional code of ethics.
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Universal Healthcare: An In-Depth Examination and Proposed Alternatives Evaluation of Capacity in the Hospital Setting and its Long-Term Implications Industry Sponsorship in Dentistry: An Ethics Scoping Review Universal Healthcare: An In-Depth Examination and Proposed Alternatives Evaluation of Capacity in the Hospital Setting and its Long-Term Implications
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