Just finished presenting these new findings at #ASCOQLTY26
Industry payments to oncologists are associated with aggressive end-of-life care for patients with cancer.

@thewonkologist.bsky.social
Medical oncologist and health services researcher. Focusing on health care costs, physician-industry COI, and oncology reimbursement reform. Opinions mine.
Just finished presenting these new findings at #ASCOQLTY26
Industry payments to oncologists are associated with aggressive end-of-life care for patients with cancer.
Physician payments & end-of-life tx: -Slight ⬆️ aggressive EOL care among those who received payments -However, is this a function of 3' centers seeing more patients at later lines of tx? -Need to clarify research support vs personal $ #ASCOQLTY26 @thewonkologist.bsky.social @dusetzinas.bsky.social
I'll be presenting our latest this weekend at @ascocancer.bsky.social Quality Care Symposium!
On the association between industry money to oncologists their delivery of lower-quality, more-aggressive end-of-life care
@ryannipp.bsky.social @fumikochino.bsky.social
“The contrast with financial toxicity is instructive. Financial toxicity, a term coined more than a decade earlier and serving as the explicit template for time toxicity, has never, to our knowledge, been used by a drug company to advertise a LOWER list price for a new drug.” 💯💯💯
Must-read perspective in Journal of Clinical Oncology @ascocancer.bsky.social on how the concept of “time toxicity” is being appropriated for industry aims (profits).
I was not aware of this! Eye opening.
Images of Freddy Kruger at the video store
“Patients come to oncology with fear and uncertainty. They are asking for judgment they can trust. That judgment should not be shaped by a meal, an honorarium, or a branded invitation.”
Amazing editorial on our study from @sarojniraula.bsky.social
I could not have asked for a better editorial! Thank you for writing this. And for not mincing words. I am in full agreement with your recommendations as well.
@propublica.org @charlesornstein.bsky.social @medlawdan.bsky.social @profgenkanter.bsky.social @kffhealthnews.org @matthewherper.bsky.social @statnews.com @pharmalot.bsky.social @relentleshealth.bsky.social @armandalegshow.bsky.social @drrobinyabroff.bsky.social @yalecrrit.bsky.social
Thanks to all my co-authors on this study! @dusetzinas.bsky.social @peterbachmd.bsky.social And to our funders at NCI, @commonwealthfund.org, @arnoldventures.bsky.social, and @nihcm.bsky.social
Begs the question - why are we still accepting money and gifts from drug companies?
...and the AMOUNT of money matters: The more money your oncologists get for the not-as-good drugs (orange), the LESS likely you are to receive treatment with a guideline-preferred drug.
Our latest, out today in JCO @ascocancer.bsky.social :
Industry payments to oncologists can sway us to prescribe, regardless of whether the drug is good or bad.
Gender-affirming care saves lives, respects the rights of patients, and reflects that healthcare is supposed to be between providers and patients, not between providers and the Trump Administration. (1/3)
NEW: Draft white paper up on SSRN -
"Reimagining FDA’s Corporate Funding: Pathways to Reform or Abolition of User Fees"
FDA's corporate funding, aka "user fees," are not ancillary -- they have big implications for FDA policy & integrity. (1/x)