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Research Letter
Health Care Policy and Law
June 17, 2019

Distribution of Industry Payments Among Medical Directors of Catheterization and Electrophysiology Laboratories From the Top 100 US Hospitals

Author Affiliations
  • 1Center for Outcomes Research and Evaluation, Yale School of Medicine, New Haven, Connecticut
  • 2Brody School of Medicine and Vidant Medical Center, East Carolina University, Greenville, North Carolina
  • 3Griffin Hospital, Derby, Connecticut
JAMA Intern Med. Published online June 17, 2019. doi:10.1001/jamainternmed.2018.8775

Medical directors of cardiac catheterization (CC) and electrophysiology (EP) laboratories play an important role in the selection of devices and medications available within hospital procedural areas. This may also influence the practice patterns of their colleagues. As such, payments made from industry to medical directors of CC and EP laboratories have the potential to create conflicts of interest (COIs). The National Academy of Medicine (previously the Institute of Medicine) defines a COI as an event where “an individual or institution has a secondary interest that creates a risk of undue influence on decisions or actions affecting a primary interest,”1(p26) and notes that any payment of $10 000 or more constitutes a significant COI.1 However, to our knowledge, the extent and nature of payments to laboratory directors from top-ranking institutions has not been described previously.

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