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The Global Burden Of Diseases: Who’s Healthier On The Planet?

survey_button_square.gifMy friend and colleague Bill Heisel, one of our news reviewers, also works at the Institute for Health Metrics and Evaluation (IHME) at the University of Washington. He wrote to me that this group:

“… has launched a major global health survey to measure the impact of more than 300 diseases or injuries and more than 40 risk factors. This is the most ambitious global health measurement project in two decades. And when people answer the survey, they will be providing information that will directly shape the final outcome of the research because ‘disease burden’ is partly objective but partly subjective.”

And his pitch to anyone to take the 15-minute, anonymous, online survey is this:

“With unprecedented money and attention pouring into global health efforts, the need for accurate data is urgent. By taking part in the survey, you will contribute to the scientific understanding of global health problems and ultimately enable policymakers to make better decisions.”

Click HERE to begin the survey. Thanks for the news, Bill. And thanks to anyone who takes the time to complete the survey. You may help this team reach its goal of 50,000 people around the globe filling out the survey.

The research is part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2010 led by the Institute for Health Metrics and Evaluation (IHME) at the University of Washington, in collaboration with Harvard University, Johns Hopkins University, the University of Queensland, and the World Health Organization (WHO).

And you can follow the project on Twitter.

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Minnesotans Get More Lower-Back MRIs: Why?

Kudos to Christopher Snowbeck and the St. Paul Pioneer Press for digging into new Medicare data to report that the state the newspaper serves is out of whack with the rest of the country in how many expensive MRI scans are done on Minnesotans’ bad backs.

Snowbeck artfully captures the predictable rationalization and defensive responses coming from locals who don’t like what the data suggest. Because what they suggest is overuse leading to overtreatment. So here’s one attempt a provider makes to deflect the data:

“The Medicare billing/claims data, which this report is generated from, would not capture conversations between a patient and provider that may have addressed alternative therapies for lower back pain,” said Robert Prevost, a spokesman for North Memorial Health Care. “It’s important to recognize the limitations of this data.”

No, data don’t capture conversations. But wouldn’t it be fascinating to be a fly on the wall during those many patient-physician encounters that led to an MRI to see what level of truly informed shared decision-making (if any) took place? Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Article Boasts New Birth Center’s “Luxury Hotel” Amenities

Here’s the Minneapolis Star Tribune headline: “Buffalo birthing center has the latest amenities.” An excerpt:

Starting in August, new mothers will have a chance to multi-task in style in Buffalo, Minn.

The local hospital is unveiling its new birth center, where every patient room will be equipped with an iPod docking station, a flat-screen TV and DVD player, a soaking tub, rocking chair and refrigerator — oh, and a place for the baby to sleep, too.

Buffalo Hospital has spent $7.1 million to turn its old labor and delivery unit into a state-of-the-art facility to appeal to a new generation of patients.

At maternity wards around the country, that increasingly means catering to patients and families as if they’re at “a luxury hotel,” as the Buffalo Hospital website puts it.

And some smart readers have reacted. Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Life Without A Mental Disorder: Is It Possible?

There’s a noteworthy column in Psychiatric Times, “Normality Is an Endangered Species: Psychiatric Fads and Overdiagnosis,” by Allen Frances, M.D. He was chair of the task force that worked on the Diagnostic & Statistical Manual — DSM-IV — one edition of the “bible of psychiatry.” He is professor emeritus of psychiatry at Duke University School of Medicine. There’s a lot of common ground between what Dr. Frances writes and what Dr. Daniel Carlat (the subject of an earlier blog posting) writes about. Dr. Frances is concerned about the directions that might be taken in the authoring of DSM-V, now underway.

Excerpts:

“Fads in psychiatric diagnosis come and go and have been with us as long as there has been psychiatry. The fads meet a deeply felt need to explain, or at least to label, what would otherwise be unexplainable human suffering and deviance. In recent years the pace has picked up and false “epidemics” have come in bunches involving an ever-increasing proportion of the population. We are now in the midst of at least 3 such epidemics–of autism, attention deficit, and childhood bipolar disorder. And unless it comes to its senses, DSM5 threatens to provoke several more (hypersexuality, binge eating, mixed anxiety depression, minor neurocognitive, and others). Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

One Critic’s Take On The “Multigrain” Scam

Screen shot 2010-07-12 at 2.39.53 PM.pngFreelance journalist and author Suzanne Schlosberg wrote because she was so upset over a New York Times story, “The Chip That Stacks Adds a Multigrain Twist,” that she wanted us to review it. I thought anyone who feels so strongly about something should review it herself. So she did. Here is Suzanne’s guest post:

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I was flabbergasted when I read this New York Times piece on Procter & Gamble’s new entry into the potato-chip market: multigrain Pringles. The story accepts at face value P&G’s misleading marketing pitch — that “multigrain” is equivalent to “healthy.” When I sent a link to my nutritionist friend Cynthia Sass., M.S., R.D., she replied: “Did you notice it says ‘advertising’ in the top left corner? It must be a paid ad that resembles an article.”

Actually, it’s not. It’s a business story that ran in the “Media & Advertising” section. Though the story didn’t appear on the health pages, it should have made clear that “multigrain” simply means that more than one grain is included in the product — not that the product is necessarily nutritious. Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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