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Amid ongoing concerns over conflicts of interest that may affect medical practice, a new analysis finds that 81% of authors whose work appeared in the New England Journal of Medicine and Journal of the American Medical Association — two of the most influential medical journals — failed to disclose payments as required.

The analysis examined 31 original research articles that were published in each journal in 2017 and then identified 118 authors who received a total of $7.48 million, according to OpenPayments, a U.S. government database to which drug and device makers must report payments to physicians and other health care providers. The payments were for speaking, consulting, travel and food, among other things.

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Of the 118 authors, a dozen did not receive any payments. Of the 106 authors who did receive payments, the amounts ranged from $6.36 to nearly $1.49 million. And the 23 most highly compensated authors received $6.32 million, of which $3 million — or 47.6% — was undisclosed, according to the analysis, which was recently posted on the medRxiv preprint server, but not yet peer-reviewed.

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