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Abstract: Information published in medical journals helps shape diagnostic and therapeutic decisions. For a journal to be of value, it must publish authoritative, up-to-date information that is free of commercial influence. For nearly two decades, the editors of the New England Journal of Medicine, along with the editors of other journals, have set policies to ensure that the financial associations of authors are disclosed and that published articles are not influenced by those financial associations.1–9 These important editorial policies have raised awareness about conflict of interest in medical research and have helped prevent bias — and the appearance of bias . . .