5 December 2012
Loewenstein G, Sah S, Cain DM. The unintended consequences of conflict of interest disclosure. JAMA 2012;307(7):669-670
Conflicts of of interest, both financial and nonfinancial, are ubiquitous in medicine, and the most commonly remedy is disclosure. Disclosure acknowledges the problem of conflicts but involves minimal regulation and is less expensive to implement than more comprehensive remedies. It is broadly perceived to have beneficial effects. However, disclosure can have adverse effects, exacerbating bias and hurting those it is intended to help.