The research community was under shock when discovering
hidden tobacco money behind a big study suggesting that lung scans might help
save smokers from cancer.
In October 2006, a study by Dr. Claudia I. Henschke and Dr.
David F. Yankelevitz, both of Weill
Cornell Medical
College said annual
screening with CT scanners was effective in detecting early lung cancer among
smokers and former smokers and so, 80 percent of lung cancer deaths could be
prevented. However, they did not disclose the extent of their financial ties to
the makers of CT scanners or to a foundation supported by a cigarette manufacturer.
The truth came out on Monday when the Journal of the
American Medical Association published the study and noted that it had been
financed in part by a little-known charity called the Foundation for Lung
Cancer: Early Detection, Prevention & Treatment. Following an investigation
by The New York Times, it was discovered that the foundation was underwritten
almost entirely by $3.6 million in grants from the parent company of the Liggett
Group, (maker of Liggett Select, Eve, Grand Prix, Quest and Pyramid cigarette
brands), Vector Group. The money were given in four grants from 2000 to 2003.
Vector representative, Paul Caminiti confirmed the grants
saying the company “had no control or influence over the research.”
Dr. Jeffrey M. Drazen, editor in chief of the JAMA, was more
than surprised by this finding, saying: “In seven years that I’ve been here, we
have never knowingly published anything supported by” a cigarette maker.
The American Cancer Society also funded Dr. Henschke’s
research, but it would not have done it, had it known the source of the grants,
the agency’s chief medical officer told the New York Times. “If you’re using
blood money, you need to tell people you’re using blood money,” Dr. Otis
Brawley said.
On the other hand, Dr. Henschke and Dr. Yankelevitz deny that
they tried to hide the source of their funding in an email to the Times.
“It seems clear that you are trying to suggest that Cornell
was trying to conceal this gift, which is entirely false. The gift was
announced publicly, the advocacy and public health community knew about it, it
is quite easy to look it up on the Internet, its board has independent Cornell
faculty on it, and it was fully disclosed to grant funding organizations,” they
wrote, adding that the Vector grant represents just a small part of the study’s
overall cost. In addition, they wrote that the foundation no longer accepts grants
from tobacco companies.
Also, Cornell’s dean, Dr. Antonio Gotto, said: “The claim
that we set this foundation up in order to cover up the money just isn't true.
We made a public announcement that we were taking the money from the tobacco
company,” the Associated Press quoted him.
But, Dr. Jerome Kassirer, a former editor of The New England
Journal of Medicine believed Cornell created the Foundation for Lung Cancer in
order to hide the scientists’ connection to an industry that is generally not
accepted in the cancer-research community.
“You have to ask yourself the question, ‘Why did the tobacco
company want to support her research?’ They want to show that lung cancer is
not so bad as everybody thinks because screening can save people; and that’s
outrageous,” he said.
Unfortunately, this is not the only case when doctors and
institutions are setting up foundations to accept money from companies without
having to disclose their source, according to Dr. Murray Kopelow, chief
executive of the Accreditation Council for Continuing Medical Education. “This
is the third time in the past few weeks that one of these has been identified
to us,” Dr. Kopelow, whose organization is investigating how widespread the
practice is, said.
This way of collecting suspicious money is bad for the
scientific world, as scientists must maintain the trust of patients in research
studies, and “any breach of that trust is not simply disappointing but, I believe,
unacceptable,” Dr. John Niederhuber, director of the National Cancer Institute,
said in a statement, according to AP.
This opinion is also embraced by Dr. Sidney Wolfe, director
of Public Citizen’s Health Research Group who said that any findings from a
study tainted by hidden industry ties ”will be much less believable.” He also
added that “there are plenty of people around who are bright and knowledgeable
and don’t have conflicts of interest. We need to look harder to find these
people.”