Development processes for e-cigarette public health recommendations lacked transparency in managing conflicts of interest

Smith, M. J. , Katikireddi, S. V. , Hilton, S. and Skivington, K. (2022) Development processes for e-cigarette public health recommendations lacked transparency in managing conflicts of interest. Journal of Clinical Epidemiology, 152, pp. 80-88. (doi: 10.1016/j.jclinepi.2022.09.006) (PMID:36122822)

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Abstract

Objectives: To investigate how guideline development groups collect and manage conflicts of interest (COI) when producing electronic cigarette (e-cigarette) recommendations. Study Design and Setting: Public health bodies that had produced e-cigarette recommendations were identified from four purposively selected jurisdictions (WHO, UK, Australia, USA). We analysed their COI policies and conducted 15 interviews with guideline methodologists, policymakers and academics in guideline development groups. Results: Only five of ten public health bodies had a publicly available COI policy. Participants discussed the importance of those involved in the development process declaring COI. However, there were differences in who had to report COI, the time period asked about, and what and how declarations are made. COI policies and participants discussed a range of approaches for managing COI, from limiting involvement to disqualification from the recommendation development process. Participants considered the current processes for collecting and managing COI insufficient due to their open interpretation and possibility for partial declarations of interest. Conclusion: The management of COI varies across public health bodies, with little standardisation and lack of transparency. To improve the collection and management of COI, and ultimately increase the trustworthiness of recommendations, guideline development groups should draw upon a comprehensive and accessible COI policy.

Item Type:Articles
Additional Information:MS is a self-funded PhD Student and acknowledges funding from Cancer Research UK grant PPRCTAGPJT\100003. SVK acknowledges funding from an NRS Senior Clinical Fellowship (SCAF/15/02), the Medical Research Council grant MC_UU_00022/2 and the Chief Scientist Office of the Scottish Office of the Scottish Government Health Directorates grant SPHSU17. KS is funded by the Medical Research Council grant MC_UU_00022/3, the Chief Scientist Office of the Scottish Government Health Directorates grant SPHSU18, and is also supported by a Medical Research Council Strategic Award (MC_PC_13027). SH is funded by the Medical Research Council grant MC_UU_00022/1, the Chief Scientist Office of the Scottish Government Health Directorates grant SPHSU17, and Cancer Research UK grant PPRCTAGPJT\100003.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Skivington, Dr Kathryn and Katikireddi, Professor Vittal and Hilton, Professor Shona and Smith, Dr Marissa
Creator Roles:
Smith, M.Conceptualization, Methodology, Formal analysis, Investigation, Data curation, Writing – original draft, Visualization
Katikireddi, V.Conceptualization, Writing – review and editing, Supervision
Hilton, S.Conceptualization, Writing – review and editing, Supervision
Skivington, K.Conceptualization, Validation, Writing – review and editing, Supervision
Authors: Smith, M. J., Katikireddi, S. V., Hilton, S., and Skivington, K.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
Journal Name:Journal of Clinical Epidemiology
Publisher:Elsevier
ISSN:0895-4356
ISSN (Online):1878-5921
Published Online:16 September 2022
Copyright Holders:Copyright © 2022 The Authors
First Published:First published in Journal of Clinical Epidemiology 152: 80-88
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
309944Young people's engagement with e-cigarettes and their marketing: a mixed methods, engaged project to co-produce recommendations for policyShona HiltonCancer Research UK (CRUK)PPRCTAGPJT\100003SHW - MRC/CSO Social & Public Health Sciences Unit
172690Understanding the impacts of welfare policy on health: A novel data linkage studySrinivasa KatikireddiOffice of the Chief Scientific Adviser (CSO)SCAF/15/02SHW - Public Health
3048230021Inequalities in healthAlastair LeylandMedical Research Council (MRC)MC_UU_00022/2HW - MRC/CSO Social and Public Health Sciences Unit
3048230071Inequalities in healthAlastair LeylandOffice of the Chief Scientific Adviser (CSO)SPHSU17HW - MRC/CSO Social and Public Health Sciences Unit
3048230031Relationships and healthKirstin MitchellMedical Research Council (MRC)MC_UU_00022/3HW - MRC/CSO Social and Public Health Sciences Unit
3048230081Relationships and healthKirstin MitchellOffice of the Chief Scientific Adviser (CSO)SPHSU18HW - MRC/CSO Social and Public Health Sciences Unit
168560MRC SPHSU/GU Transfer FellowshipsLaurence MooreMedical Research Council (MRC)MC_PC_13027SHW - MRC/CSO Social & Public Health Sciences Unit
3048230011Complexity in healthSharon SimpsonMedical Research Council (MRC)MC_UU_00022/1HW - MRC/CSO Social and Public Health Sciences Unit