September 12th, 2010 by GarySchwitzer in Better Health Network, Health Policy, News, Opinion, Research
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This is a thoughtful “sounding board” piece in the New England Journal of Medicine this week: Lessons from the Mammography Wars.
It is so important to keep this discussion alive. The miscommunication that took place last November of what the U.S. Preventive Services Task Force tried to convey, and the complicity of some news organizations in adding to that confusion, provide lessons from which we simply must learn to do better.
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
September 8th, 2010 by GarySchwitzer in Better Health Network, Health Policy, Health Tips, News, Opinion, Research
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Journalist Andrew Holtz has been a colleague for longer than probably either one of us wants to remember. He is currently one of our story reviewers on HealthNewsReview.org. In fact, he was one of the reviewers on four stories we analyzed last week on the same study. He thought there were some important take-home messages that rose above the walls of our formal systematic review, so he wrote this guest blog post, and we thank him for it:
The Sept. 1 issue of the Journal of the American Medical Association included an article that is likely to have a strong influence on the advice given to women who have a very high risk of breast and ovarian cancer linked to mutations of the BRCA1 and BRCA2 genes. Of the four stories we reviewed, only the AP report scored well on our review criteria.
I know what my first journalism professor, Marion Lewenstein, would have done with at least two of the stories: Given them an “F” for factual errors without further consideration of their merits. Read more »
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
September 3rd, 2010 by GarySchwitzer in Better Health Network, Health Policy, Health Tips, News, Opinion, Quackery Exposed, Research
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The September issue of Prevention magazine inaccurately headlines the story “4 Ways Coffee Cures.” There’s no solid proof that coffee cures anything — unless some of you cure bacon with java, which I don’t want to know about.
What the story (below) did was to try to present a cute little graphic summary of observational studies that show a statistical association between increasing coffee consumption and fewer early deaths, fewer deaths from heart attack, fewer cases of dementia, and fewer cases of type 2 diabetes.
But such observational studies (they actually never cite the source — I’m just giving them the benefit of the doubt that they’re citing observational studies) CAN’T establish cause and effect, therefore it’s inaccurate for the story to use terms like “cure,” “protective,” and “lowers (or reduces or slashes) your risk.” Besides being inaccurate, such stories fail to educate readers. They mislead.
We ask the editors of Prevention to read and understand our guide “Does the Language Fit the Evidence? Association versus Causation.”
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
August 30th, 2010 by GarySchwitzer in Better Health Network, Health Policy, News, Opinion, Quackery Exposed
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There are many stories journalists could report on about conflicts of interest and questions about evidence in the treatment of low back pain, perhaps especially with spinal fusion. We talked about many of these with journalists from the American Society of News Editors in a workshop at the Foundation for Informed Medical Decision Making in Boston in May.
John Fauber of the Milwaukee Journal-Sentinel hammers one of these issues, looking at how Medtronic’s Infuse product “went from revolutionary advance to public health alert.”
Here’s his story on MedPageToday: “Spinal Fusion Device: A Bone of Contention for FDA.”
His entire series entitled “Side Effects: Money, Medicine and Patients” is indexed on the Milwaukee Journal-Sentinel website. The image below is from the Journal-Sentinel’s online story:
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
August 26th, 2010 by GarySchwitzer in Better Health Network, News, Opinion
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Why are so many stories so unquestioning about these runaway surgical Twitter practices? Just look at this frame grab from a Google search showing all of the stories (so far) on one hospital team’s surgical Twitter exploits. One story stated:
“Senior hand fellows…when not actively involved in the surgery, sat at a laptop just outside the operating suite and tweeted real-time updates during the procedure, according to a hospital press release. According to the Twitter feed, expert teams of hand surgeons rotated in and out of the operating room throughout the surgery.”
Oh, phew, their hands were tweeting when their hands weren’t operating! I might rather that my surgeons — even when not actively involved in the operation and when rotating out of the OR — would just rest their digits and not flex them digitally. But what an old-fashioned guy I am.
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*