Nothing to Declare? · A disclosure check of medical journals, 2023–2026

One in three medical papers has an author who didn't declare drug-company money.

Papers end with a promise: "The authors declare no conflicts of interest." Nobody checks it. We compared those statements with the US government's public record of payments from drug and device makers to doctors. Half the papers pass cleanly. A third don't.

Click any square to open that paper's check.

One real case, anonymised

The form says "nothing to declare". The record says otherwise.

Each paper is a traveller at customs. The declaration is what the authors wrote. The X-ray is what companies were legally required to report paying them in the three years before publication.

How authors declare

Of the authors who were paid by industry, few declared everything.

How to read: the bar is every checked author whom companies reported paying. Green named every company. The two reds left at least one out. For a publisher, the darkest red is the cheapest win: a paper that says "no conflicts" while the record shows payments needs no judgement, only a query.

Click a segment to see those authors.

How much

This is mostly real money, not free lunches.

How to read: each dot is one flagged author; further right means more undeclared money. For a publisher, everything right of the dashed line is a five-figure relationship readers never saw.

Each dot is one flagged author, placed by the undeclared amount in the three years before publication (log scale; 1 US dollar ≈ ₹100). Red: undeclared. Amber: paper declared only "no relevant" conflicts. Click a dot to open the case.

Where

In every specialty most authors are clean, but the red share varies seven-fold.

How to read: each bar is one specialty's checked authors, red share on the left, green on the right. For a publisher, this says where to start: the top three specialties would catch the most gaps per paper checked.

Share of checked US authors in each field. Green: declaration matches the record. Amber: declared only "no relevant" conflicts. Red: undeclared payments. Click a field for its cases.

Who pays

Some companies' money gets declared. Others' mostly doesn't.

How to read: left is authors whose paper declared that company, right is authors whose paper did not. Longer red than green means the company's money is more often hidden than shown. For a publisher, the company most often left out is a device maker, so checks should not stop at drug companies.

Checked authors with significant payments from each corporate group, split by whether their paper declared that company. Click a company for its undeclared cases.

Trend

The red slice has grown with every year of papers.

How to read: each column is one publication year's checked authors. For a publisher, waiting is not a strategy: the gap is wider in the newest papers.

2023 covers October to December only. Older papers look back at earlier payment years, so part of the rise may reflect the data, not behaviour. Click a year for its cases.

So what

What a journal can do on Monday.

Check every submission

Run the declaration against the public payment record automatically, before review. It takes seconds per paper.

Ask, don't accuse

Send the author the evidence with a polite query. Most gaps are omissions, fixed with one updated line.

Publish with confidence

Readers, reviewers and regulators trust disclosures that have been checked. That is a quality mark competitors don't have.

Explore

Walk through the red channel yourself.

    How we checked

    Method and limits.

    1 · PapersOpen-access papers in 40 clinical journals with US authors, Oct 2023 – Oct 2026. Declarations read from the full text.
    2 · MatchingEach US author matched to one doctor in CMS Open Payments by name, state and city. Ambiguous matches are left out.
    3 · PaymentsFees, grants, royalties, travel and meals that companies reported in the 3 calendar years before publication.
    4 · VerdictRed when a paying company or its corporate group is missing from the declaration. An AI model reads partial declarations.

    A red flag is a question for an editor, not a finding of misconduct. Journal policies differ on what must be declared, and some disclosures reach the editor without being printed. Only US clinicians appear in the payment record. Authors are anonymised to specialty and US region; amounts are rounded to $1,000, and amounts over $100,000 appear only as bands. A hand check of 20 random red cases found about 9 in 10 correct.