Conflict-laden enthusiasm describes a situation in which the authors or promoters of a clinical intervention show exaggerated or uncritical support for a procedure, technique, or device while maintaining financial or professional relationships with entities that stand to benefit from its success.

This term implies:

• Enthusiasm that is not entirely objective,
• Possible bias in data interpretation or presentation,
• A blurring of scientific judgment due to underlying conflicts of interest.

It often arises in publications where the investigators have:

• Consulting roles,
• Equity ownership in startups,
• Industry-sponsored research,
• Advisory board participation.

In essence, it questions the neutrality of the evidence, highlighting the tension between innovation and influence.