Itai Bavli / en Why Big Pharma must disclose payments to patient groups: U of T expert /news/why-big-pharma-must-disclose-payments-patient-groups-u-t-expert <span class="field field--name-title field--type-string field--label-hidden">Why Big Pharma must disclose payments to patient groups: U of T expert</span> <div class="field field--name-field-featured-picture field--type-image field--label-hidden field__item"> <img loading="eager" srcset="/sites/default/files/styles/news_banner_370/public/file-20190110-43520-pills-%28web-lead%29.jpg?h=afdc3185&amp;itok=LxJsv-B3 370w, /sites/default/files/styles/news_banner_740/public/file-20190110-43520-pills-%28web-lead%29.jpg?h=afdc3185&amp;itok=Ph2BAH6u 740w, /sites/default/files/styles/news_banner_1110/public/file-20190110-43520-pills-%28web-lead%29.jpg?h=afdc3185&amp;itok=lUmTxjqn 1110w" sizes="(min-width:1200px) 1110px, (max-width: 1199px) 80vw, (max-width: 767px) 90vw, (max-width: 575px) 95vw" width="740" height="494" src="/sites/default/files/styles/news_banner_370/public/file-20190110-43520-pills-%28web-lead%29.jpg?h=afdc3185&amp;itok=LxJsv-B3" alt="photo of pill bottle"> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span>Christopher.Sorensen</span></span> <span class="field field--name-created field--type-created field--label-hidden"><time datetime="2019-01-15T12:58:15-05:00" title="Tuesday, January 15, 2019 - 12:58" class="datetime">Tue, 01/15/2019 - 12:58</time> </span> <div class="clearfix text-formatted field field--name-field-cutline-long field--type-text-long field--label-above"> <div class="field__label">Cutline</div> <div class="field__item">(photo by Ajay Suresh via Flickr)</div> </div> <div class="field field--name-field-author-reporters field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/news/authors-reporters/itai-bavli" hreflang="en">Itai Bavli</a></div> <div class="field__item"><a href="/news/authors-reporters/joel-lexchin" hreflang="en">Joel Lexchin</a></div> </div> <div class="field field--name-field-topic field--type-entity-reference field--label-above"> <div class="field__label">Topic</div> <div class="field__item"><a href="/news/topics/our-community" hreflang="en">Our Community</a></div> </div> <div class="field field--name-field-story-tags field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/news/tags/faculty-staff" hreflang="en">Faculty &amp; Staff</a></div> <div class="field__item"><a href="/news/tags/faculty-medicine" hreflang="en">Faculty of Medicine</a></div> <div class="field__item"><a href="/news/tags/conversation" hreflang="en">The Conversation</a></div> <div class="field__item"><a href="/news/tags/university-health-network" hreflang="en">University Health Network</a></div> </div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>A United States <a href="https://www.hsdl.org/?view&amp;did=808171">congressional report</a> revealed last year that five opioid manufacturers made more than $10 million in payments to patient advocacy groups and professional societies between 2012 and 2017.</p> <p>Initiatives from these advocacy groups and professional societies often echoed and amplified recommendations to increase opioid use. For example, they promoted opioid for chronic pain, minimized the risk of addiction and criticized the <a href="https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fmmwr%2Fvolumes%2F65%2Frr%2Frr6501e1er.htm">Centers for Disease Control and Prevention (CDC) guidelines</a> to limit opioid prescriptions.</p> <p>In addition, opioid manufacturers used these groups to lobby Congress to change laws directed at curbing opioid use. This, according to the report, “may have played a significant role in creating the necessary conditions for the U.S. opioid epidemic.”</p> <p>Patient advocacy groups play an important role in democratic societies, giving voice to vulnerable populations, shaping health policy debates and acting to influence public policies to promote their members’ interests and needs.</p> <p>When funded by the industry, however, they often serve merely as a marketing tool – promoting corporate interest.</p> <p>To date, in Canada, there has been no attempt to systematically investigate the relationships between opioid manufacturers and pain advocacy groups and societies. However, evidence shows that, similar to the U.S., opioid manufacturers fund such organizations in Canada.</p> <h3>Advocacy groups echo corporate interest</h3> <p>In <a href="https://www.ubcpress.ca/health-advocacy-inc"><em>Health Advocacy Group Inc: How Pharmaceutical Funding Changed the Breast Cancer Movement</em></a>, bioethicist Sharon Batt explores the alliance between patient-group advocacy and pharmaceutical companies in Canada. She suggests that this relationship can distort policies that have been put in place to protect public health.</p> <p>Batt questions the ability of such groups to speak on behalf of people who need help, and shows how advocacy groups today echo the demands of pharmaceutical companies that are often counter to its members' interests.</p> <figure class="align-center "><img alt sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" src="https://images.theconversation.com/files/252960/original/file-20190108-32133-1xyjsc9.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" srcset="https://images.theconversation.com/files/252960/original/file-20190108-32133-1xyjsc9.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=435&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/252960/original/file-20190108-32133-1xyjsc9.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=435&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/252960/original/file-20190108-32133-1xyjsc9.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=435&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/252960/original/file-20190108-32133-1xyjsc9.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=547&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/252960/original/file-20190108-32133-1xyjsc9.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=547&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/252960/original/file-20190108-32133-1xyjsc9.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=547&amp;fit=crop&amp;dpr=3 2262w"> <figcaption><span class="caption">Christine Gagnon of Southington, Conn. protests with other family and friends who have lost loved ones to OxyContin and other opioid overdoses at Purdue Pharma LLP headquarters in Stamford, Conn., Aug. 17, 2018</span>&nbsp;<span class="attribution"><span class="source">(photo by Jessica Hill/Associated Press)</span></span></figcaption> </figure> <p>For example, in 2005 the <a href="https://cdn.ymaws.com/www.canadianpainsociety.ca/resource/resmgr/docs/accreditation_manual.pdf">Canadian Pain Society arranged a pain management event</a>, supported by an unrestricted educational grant from Purdue Pharma Canada, the manufacturer of OxyContin. A conference held by the same society in 2007 included a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2670718/">Purdue Pharma symposium</a>.</p> <p>In another case, the <a href="http://chronicpaincanada.com/about_cpac/sponsors">Chronic Pain Association of Canada&nbsp;received money from several pharmaceutical companies</a>, including Purdue Canada.</p> <p>A <a href="http://chronicpaincanada.com/blog/opioid-medication-effective-for-chronic-pain--study">blog post</a> on the association’s website contains messages favourable to increased opioid use and criticizes arguments questioning opioid effectiveness, calling it “anti-opioid hysteria and propaganda” caused by prominent “anti-opioid activists.”</p> <p>Two years ago, <a href="http://purdue.ca/wp-content/uploads/2017/06/Purdue-Disclosure-2016-FINAL.pdf">Purdue donated just shy of $1 million</a> to Canadian health-care organizations, some of which could have been patient groups. (The way the information is reported doesn’t allow us to identify which health-care organizations received money.)</p> <h3>All payments should be disclosed</h3> <p>We believe this marketing tactic is undesirable and might have contributed to the opioid epidemic in Canada as it did in the U.S.</p> <p>Furthermore, using the vulnerability and the suffering of patients as a tool for maximizing profit is morally wrong.</p> <p>Lack of transparency surrounding the advocacy groups is a real problem. Neither the industry nor advocacy organizations are required to fully and routinely disclose their financial ties.</p> <p>Indeed, some patient organizations question why they should disclose sources of donations in the first place. <a href="https://www.cadth.ca/sites/default/files/cdr/relatedinfo/SR0522_Galafold_Patient_Input.pdf">Two such groups commented</a>: “We do not see the purpose of asking how much money has been contributed by any entity that may have an interest” in a recommendation about whether a drug should be funded by a provincial drug plan.</p> <p>We call for the Canadian government to examine and disclose all payments from pharmaceutical companies to non-profit patients’ advocacy groups and societies.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img alt="The Conversation" height="1" src="https://counter.theconversation.com/content/108389/count.gif?distributor=republish-lightbox-basic" style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important" width="1" loading="lazy"><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: http://theconversation.com/republishing-guidelines --></p> <p>Note: This is an updated version of a story originally published Jan. 13. The earlier story included a reference to payments to the Chronic Pain Association of Canada by Eli Lilly Canada and Merck Frosst Canada. Both provided funding to the association, but neither company manufactures or sells opioids now, nor did they at the time they made these grants.</p> <p><em><span><a href="https://theconversation.com/profiles/joel-lexchin-346457">Joel Lexchin</a>&nbsp;</span>is an emergency physician at University Health Network, an associate professor of family and community medicine at the&nbsp;<a href="http://theconversation.com/institutions/university-of-toronto-1281">Ƶ</a> and a professor emeritus of health policy and management at York University.&nbsp;<span><a href="https://theconversation.com/profiles/itai-bavli-610617">Itai Bavli</a>&nbsp;is a PhD candidate in interdisciplinary graduate studies (public health and political science) at the&nbsp;<a href="http://theconversation.com/institutions/university-of-british-columbia-946">University of British Columbia</a>.</span></em></p> <p><em>This article is republished from <a href="http://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-big-pharma-must-disclose-payments-to-patient-groups-108389">original article</a>.</em></p> </div> <div class="field field--name-field-news-home-page-banner field--type-boolean field--label-above"> <div class="field__label">News home page banner</div> <div class="field__item">Off</div> </div> Tue, 15 Jan 2019 17:58:15 +0000 Christopher.Sorensen 151089 at