In a message dated 99-05-19 17:34:38 EDT, ani...@aol.com writes:

<< Report: Drug Trials Hiding Conflicts
 
 .c The Associated Press
 
  NEW YORK (AP) -- Hundreds of thousands of patients are being recruited by 
 their personal physicians into a booming venture for doctors -- the business 
 of testing experimental drugs on people, The New York Times reports in its 
 Sunday editions.
 
 The newspaper said a 10-month investigation revealed a system that is 
fraught 
 with conflicts of interest; that relies on government and private monitoring 
 that can be easily fooled and that some researchers said is inadequate; and 
 that secretly offers a share of the cash to other health professionals who 
 might influence patients to join a study.
 
 The number of private doctors in research since 1990 has almost tripled, and 
 top recruiters can earn as much as $500,000 to $1 million a year, according 
 to the story, which was based on confidential documents and interviews.
 
 This new system is a boon for drug companies because it reaches out to a 
vast 
 pool of test subjects who have never before been available for 
 experimentation. But it also injects the interests of a giant industry into 
 the delicate doctor-patient relationship, usually without the patient 
 realizing it.
 
 Among the specific findings of the Times' investigation:
 
 Drug companies and their contractors offer large payments to doctors, nurses 
 and other medical staff to encourage them to recruit patients quickly. And 
 doctors do not even have to conduct trials to get paid: There are finder's 
 fees for those who refer their patients to other doctors conducting research.
 
 Doctors who recruit the most patients receive additional perquisites, such 
as 
 the right to claim a coveted authorship of published papers about the 
studies 
 -- even though the true author is a ghostwriter using analysis from the drug 
 company. Those who fail to meet the recruitment goals are usually dropped 
 from future studies.
 
 Testing companies often use doctors as clinical investigators regardless of 
 their specialty, at times leaving patients in the care of doctors who know 
 little about their condition. For example, psychiatrists have conducted Pap 
 smears and asthma specialists have dispensed experimental psychiatric drugs.
 
 A growing number of doctors conducting drug research have limited experience 
 as clinical investigators, raising questions among some experts about the 
 quality of their data.
 
 AP-NY-05-15-99 2209EDT
 
  Copyright 1998 The Associated Press.  The information  contained in the AP 
 news report may not be published,  broadcast, rewritten or otherwise 
 distributed without  prior written authority of The Associated Press. 
 
   >>

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Don't know if you all have seen this.

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From: aoln...@aol.com
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Date: Sat, 15 May 1999 22:09:49 EDT
Subject: Report: Drug Trials Hiding Conflicts
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Report: Drug Trials Hiding Conflicts

.c The Associated Press

 NEW YORK (AP) -- Hundreds of thousands of patients are being recruited by 
their personal physicians into a booming venture for doctors -- the business 
of testing experimental drugs on people, The New York Times reports in its 
Sunday editions.

The newspaper said a 10-month investigation revealed a system that is fraught 
with conflicts of interest; that relies on government and private monitoring 
that can be easily fooled and that some researchers said is inadequate; and 
that secretly offers a share of the cash to other health professionals who 
might influence patients to join a study.

The number of private doctors in research since 1990 has almost tripled, and 
top recruiters can earn as much as $500,000 to $1 million a year, according 
to the story, which was based on confidential documents and interviews.

This new system is a boon for drug companies because it reaches out to a vast 
pool of test subjects who have never before been available for 
experimentation. But it also injects the interests of a giant industry into 
the delicate doctor-patient relationship, usually without the patient 
realizing it.

Among the specific findings of the Times' investigation:

Drug companies and their contractors offer large payments to doctors, nurses 
and other medical staff to encourage them to recruit patients quickly. And 
doctors do not even have to conduct trials to get paid: There are finder's 
fees for those who refer their patients to other doctors conducting research.

Doctors who recruit the most patients receive additional perquisites, such as 
the right to claim a coveted authorship of published papers about the studies 
-- even though the true author is a ghostwriter using analysis from the drug 
company. Those who fail to meet the recruitment goals are usually dropped 
from future studies.

Testing companies often use doctors as clinical investigators regardless of 
their specialty, at times leaving patients in the care of doctors who know 
little about their condition. For example, psychiatrists have conducted Pap 
smears and asthma specialists have dispensed experimental psychiatric drugs.

A growing number of doctors conducting drug research have limited experience 
as clinical investigators, raising questions among some experts about the 
quality of their data.

AP-NY-05-15-99 2209EDT

 Copyright 1998 The Associated Press.  The information  contained in the AP 
news report may not be published,  broadcast, rewritten or otherwise 
distributed without  prior written authority of The Associated Press. 

 

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