Adherence of Pharmaceutical Advertisements in Medical Journals to FDA Guidelines and Content for Safe Prescribing
2011

Adherence of Pharmaceutical Advertisements to FDA Guidelines

Sample size: 89 publication Evidence: moderate

Author Information

Author(s): Deborah Korenstein, Salomeh Keyhani, Ali Mendelson, Joseph S. Ross

Primary Institution: Mount Sinai School of Medicine

Hypothesis

Rates of non-adherence to FDA guidelines would be high and many advertisements would not present complete information important for safe prescribing.

Conclusion

Few physician-directed print pharmaceutical advertisements adhere to all FDA guidelines; over half fail to quantify serious risks.

Supporting Evidence

  • 15 advertisements (18.1%) adhered to all FDA guidelines.
  • 41 advertisements (49.4%) were non-adherent to at least one FDA mandated item.
  • 57.8% of advertisements did not quantify serious risks.
  • 48.2% lacked verifiable references.
  • 28.9% failed to present adequate efficacy quantification.

Takeaway

This study looked at drug ads in medical journals and found that many don't follow the rules set by the FDA, which means doctors might not get the important safety information they need.

Methodology

Cross-sectional analysis of pharmaceutical advertisements in top U.S.-based biomedical journals from November 2008.

Potential Biases

Subjectivity in determining adherence to FDA guidelines may have led to underestimating non-adherence rates.

Limitations

The study focused on advertisements from a single month and the subjectivity of FDA guidelines.

Participant Demographics

Advertisements from 12 biomedical journals were analyzed.

Statistical Information

P-Value

p=0.06

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0023336

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