A medical journal's revenue source can affect drug recommendations, with free journals positively recommending specific drugs while journals funded solely by subscriptions usually recommending against the use of the drugs, states a study published in Canadian Medical Association Journal.
Little is known about corporate influence on educational medical journals, although physicians rely heavily on journals for continuing medical information. Many of these journals, which rely solely on advertising for revenue and contain easy-to-read summaries of published research, are sent free to physicians in countries around the world. The study, by German and Canadian researchers, looked at 11 different journals read by German physicians in 2007. They largely compared free journals -- those paid solely by advertising -- to journals funded by subscriptions.
The study showed that the tendency to positively recommend the use of a drug depends on the source of a journal's funding. Free journals almost exclusively endorse the use of the selected drugs, whereas journals that rely exclusively on subscription fees for their revenue are more likely to recommend against the use of the same drugs.
Covert promotion of pharmaceuticals is an important public health issue because it can contribute to the unnecessary overuse of certain drugs or lead to their off-label use without sufficient evidence of efficacy.