{"id":13841,"date":"2018-08-20T17:33:42","date_gmt":"2018-08-20T17:33:42","guid":{"rendered":"http:\/\/www.re-check.ch\/wordpress\/?p=13841"},"modified":"2019-06-11T11:40:40","modified_gmt":"2019-06-11T11:40:40","slug":"podc2018-f","status":"publish","type":"post","link":"https:\/\/www.re-check.ch\/fr\/podc2018-f\/","title":{"rendered":"Mapping Ghost Management in Medical Research and Public Health. Contribution de Re-Check \u00e0 PODC 2018"},"content":{"rendered":"<p>Re-Check se r\u00e9jouit de contribuer \u00e0 l&rsquo;\u00e9dition 2018 de la Conf\u00e9rence sur la pr\u00e9vention du surdiagnostic, qui se tient jusqu&rsquo;au 22 ao\u00fbt \u00e0 Copenhague (#PODC2018) par le biais d&rsquo;un poster avec discussion (#PODC2018Poster11) sur le mappage de la gestion fant\u00f4me dans la recherche m\u00e9dicale et la sant\u00e9 publique (Mapping Ghost Management in Medical Research and Public Health) Nous avons test\u00e9 dans le cadre de trois \u00e9tudes de cas &#8211; d\u00e9pistage du cancer du sein par mammographie, vaccins anti-HPV et contraceptifs oraux &#8211; une hypoth\u00e8se puissante pr\u00e9sent\u00e9e par le Prof. Marc-Andr\u00e9 Gagnon \u00e0 PODC2017. Pour en savoir plus, retrouvez-nous mardi 21 et mercredi 22 ao\u00fbt d\u00e8s 8 heures \u00e0 la Preventing Overdiagnosing Conference \u00e0 Copenhague pour une discussion o\u00f9 nous parlerons science, conflits d&rsquo;int\u00e9r\u00eats, lobbying, ghost management et marketing. Il y aura du caf\u00e9, des viennoiseries danoises et du chocolat suisse!<\/p>\n<p>&nbsp;<\/p>\n<p><em>Notre asbtract:<\/em><\/p>\n<h1>Mapping Ghost Management in Medical Research and Public Health<\/h1>\n<p>By Catherine Riva, Serena Tinari, <em>Re-Check<\/em><\/p>\n<p><strong>Category:<\/strong> Other &#8211; Developing tools to investigate and identify the stakes that may lead to overdiagnosis and too much medicine<\/p>\n<p><strong>Objectives:<\/strong> At the Preventing Overdiagnosis Conference 2017, Marc-Andr\u00e9 Gagnon (Carlton University, Ottawa) built on the concept of ghost management in science (Sergio Sismondo) to develop a reflection on corporate capture and institutional corruption in the biopharmaceutical sector. He postulates that because of the current business model, the activity of pharmaceutical firms is more oriented towards producing influence on medical knowledge and social determinants of value, than towards producing innovative treatments. We wanted to verify the validity of this hypothesis by mapping the strategies and issues highlighted in three long-form Re-Check investigations on 3<sup>rd<\/sup> and 4<sup>th<\/sup> generation oral contraceptives, systematic breast cancer screening and HPV vaccines.<\/p>\n<p><strong>Method:<\/strong> Search for documents as well as for scientific and mainstream publications, FoIA requests, journalistic investigative methods, Re-Check evaluation grids and mapping tools.<\/p>\n<p><strong>Results:<\/strong> The mapping of our investigations confirms the hypothesis put forward by Gagnon. Our maps show ghost management at work in the case of these three health measures targeting healthy girls and women. Ghost management is practiced by the pharmaceutical industry, but also by other players in the health system (health authorities, regulatory authorities, research centers, NGOs) as soon as the stakes reach a critical size. Our maps illustrate how this \u201cnew model of science (\u2026) drawing its authority from traditional academic science\u201d (Sismondo) is an effective strategy for capturing the different levels identified by Gagnon: science, regulation, market, health professions, media, technology and civil society.<\/p>\n<p><strong>Conclusions:<\/strong> Re-Check mapping highlighting ghost management currently at work in medical research and public health confirms Gagnon\u2019s hypothesis (Sismondo\u2019s concept). Such methods deserve to be developed, enriched, validated and applied by academic research. They should also become part of an evaluation grid used by journalists investigating pharmaceutical companies and health system\u2019s players: organizations devoted \u201cto influence ideas and social structures in a way that maximizes commercial value\u201d (Gagnon) and strengthens their position. The more investigations and academic research document the phenomenon, the better it may enable to develop solutions and transform institutional structures and medical practices to stem this endemic corruption.<\/p>\n<p>DOI: 10.1136\/bmjebm-2018-111070.105<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Re-Check se r\u00e9jouit de contribuer \u00e0 l&rsquo;\u00e9dition 2018 de la Conf\u00e9rence sur la pr\u00e9vention du surdiagnostic, qui se tient jusqu&rsquo;au 22 ao\u00fbt \u00e0 Copenhague (#PODC2018) par le biais d&rsquo;un poster avec discussion (#PODC2018Poster11) sur le mappage de la gestion fant\u00f4me dans la recherche m\u00e9dicale et la sant\u00e9 publique (Mapping Ghost Management in Medical Research and<a class=\"excerpt-read-more\" href=\"https:\/\/www.re-check.ch\/fr\/podc2018-f\/\" title=\"ReadMapping Ghost Management in Medical Research and Public Health. Contribution de Re-Check \u00e0 PODC 2018\">&#8230; Read more &raquo;<\/a><\/p>\n","protected":false},"author":1,"featured_media":13861,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[164,105,192,107,119,115,168,103,109,125,117],"tags":[],"class_list":["post-13841","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cancer-du-sein-breast-cancer","category-conflits-dinterets-conflict-of-interest-fr","category-contraceptifs-oraux-oral-contraceptives","category-depistage-du-cancer-du-sein-breast-cancer-screening-fr","category-essais-cliniques-clinical-trials-fr","category-homologations-approvals-fr","category-hpv-vph-hpv","category-methodologie-methodology-fr","category-surdiagnostic-overdiagnosis-fr","category-typage-de-hpv","category-vaccination-anti-hpv-hpv-vaccine"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.re-check.ch\/fr\/wp-json\/wp\/v2\/posts\/13841"}],"collection":[{"href":"https:\/\/www.re-check.ch\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.re-check.ch\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.re-check.ch\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.re-check.ch\/fr\/wp-json\/wp\/v2\/comments?post=13841"}],"version-history":[{"count":6,"href":"https:\/\/www.re-check.ch\/fr\/wp-json\/wp\/v2\/posts\/13841\/revisions"}],"predecessor-version":[{"id":13866,"href":"https:\/\/www.re-check.ch\/fr\/wp-json\/wp\/v2\/posts\/13841\/revisions\/13866"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.re-check.ch\/fr\/wp-json\/wp\/v2\/media\/13861"}],"wp:attachment":[{"href":"https:\/\/www.re-check.ch\/fr\/wp-json\/wp\/v2\/media?parent=13841"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.re-check.ch\/fr\/wp-json\/wp\/v2\/categories?post=13841"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.re-check.ch\/fr\/wp-json\/wp\/v2\/tags?post=13841"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}