ICMJE Proposal for Disclosure Form

Many factors, including professional and personal relationships and activities, can influence the design, conduct, and reporting of the clinical science that informs health care decisions. The potential for conflict of interest exists when these relationships and activities may bias judgment. Many stakeholders—editors, peer reviewers, clinicians, educators, policy makers, patients, and the public—rely on the disclosure of authors’ relationships and activities to inform their assessments. Trust in the transparency, consistency, and completeness of these disclosures is essential.