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Healthy Skepticism Library item: 5759

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Charatan F.
US journal in row over sponsored supplement
BMJ 2006 Aug 5; 333:(7562):277
http://bmj.bmjjournals.com/cgi/content/short/333/7562/277-a?etoc%3e


Abstract:

The American Journal of Cardiology is at the centre of a publication ethics row after publishing a supplement sponsored by the drug company Pfizer funded for $55 800 (£29 900; 43 700). The supplement contained recommendations for screening that were not only of dubious clinical worth but would have had huge financial implications for the US health budget.

Pfizer manufactures the cholesterol treatment atorvastatin (Lipitor). The supplement suggested screening asymptomatic older US men and women for evidence of coronary artery calcium, using computed axial tomography scans, and carotid intima media thickness and plaque using ultrasonography (BMJ 2006;333: 168, 22 Jul)

The US Preventive Services Task Force recommended in February 2004 not using routine screening with electron beam computed tomography as it was likely to cause harms outweighing any theoretical benefits in asymptomatic older US citizens.

“While it’s certainly true that lots of people die . .

 

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...to influence multinational corporations effectively, the efforts of governments will have to be complemented by others, notably the many voluntary organisations that have shown they can effectively represent society’s public-health interests…
A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.