• J Clin Anesth · Jan 2025

    Ten-year analysis of non-research industry payments to anesthesiologists in the United States between 2014 and 2023.

    • Anju Murayama.
    • School of Medicine, Tohoku University, Sendai City, Miyagi 980-0872, Japan; Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York City, NY 10029, USA. Electronic address: anju.murayama.s8@dc.tohoku.ac.jp.
    • J Clin Anesth. 2025 Jan 11; 102: 111742111742.

    Study ObjectiveThis study aimed to examine extent, fraction, and trends of general payments to anesthesiologists and non-physician anesthesia providers (NPAPs) in the United States.DesignThis is a cross-sectional analysis of general payments by pharmaceutical and medical device industry to all anesthesiologists (2014-2023) and NPAPs (2021-2023) for non-research purposes using the Open Payments Database, a federal transparency database under the Physician Payments Sunshine Act between 2014 and 2023.SettingThe United States.ParticipantsAll active practicing anesthesiologists and NPAPs, including certified registered nurse anesthetists and anesthesiologist assistants, in the United States.MeasurementsFraction of providers receiving non-research payments; total payment amounts; median payment amounts per provider; relative annual average percentage change from 2014 to 2023.Main ResultsA total of $297.8 million general payments were made by industry to 75.4 % of all active anesthesiologists from 2014 to 2023, while $7.2 million was made to 46.8 % of NPAPs from 2021 to 2023. Median annual payments ranged from $59-$120 for anesthesiologists and $37-$38 for NPAPs. The proportion of anesthesiologists receiving payments declined at a relative annual average percentage change (RAAPC) of -2.9 % from 2014 to 2019, followed by a substantial decrease in 2020. Subsequently, the number of payment recipients increased at an RAAPC of 15.4 % (2020-2023) for anesthesiologists and 9.0 % (2021-2023) for NPAPs. Payment distribution was highly concentrated, with the top 1 % of anesthesiologists and NPAPs receiving 78.2 % and 52.5 % of total payments in 2023, respectively. Among anesthesiology subspecialties, pain medicine physicians consistently received the highest median payments ($332-$767) throughout the study period.ConclusionsThis study demonstrated large financial relationships between industry and anesthesia providers, with a disproportionate concentration of payments among a minority of providers.Copyright © 2024. Published by Elsevier Inc.

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