Conflicts of Interest Seen in Meta-Analyses

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Some researchers are complaining the meta-analyses, which combine the results of many clinical studies in an effort to make it easier for doctors to keep up with research, are affected by conflicts of interest in those who do the analyses. A National Public Radio report quotes Stanford University professor John Ioannidis, who has conducted many meta-analyses, as saying “the problem is that there are just too many meta-analyses.” He points to 185 such studies involving antidepressant drugs published in seven years. And what’s worse than the volume of studies, he says, is that they are increasingly being generated by scientists who have financial interests in the outcome.

“About 80% of them have been funded or have some other conflicts of interest with manufacturers of these drugs,” Ioannidis says. “If you look at what their conclusions are, those that have been authored by industry employees, practically all of them, with one exception, have claimed that there are no caveats about antidepressants.” He says that one has to look deep into the studies to find warnings about potential suicide risks, for example.

Other professors quoted in the story make the same point about financial conflicts of interest and also cite concerns about competing study designs that can affect a study’s outcome and studies that reflect the personal beliefs of the investigator.

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