Mini medical miracles: Getting rid of wrinkles February 01, 2008 0 Stars
Could having a new laser treatment in your forties or fifties prevent you from ever needing a facelift? Our Review Summary
This story was a classic case of disease-mongering. The anchor lead-in states that this segment was part of a four-part series on "mini-medical miracles." The anchor said: "This week we've checked out potential breakthroughs in treatments for baldness, insomnia and dandruff. Today we end with wrinkles. Could having a new laser treatment in your forties or fifties prevent you from ever needing a facelift?" No one needs a facelift. It is not a matter of need. Similarly, baldness, insomnia and dandruff are not diseases that require treatment - much less miracles or breakthroughs. There is absolutely no evidence provided - not on benefits, not on harms, not on how long this approach has been tested nor in how many people. Only a single source is interviewed - a physician who appears in several company news releases. This is one of the rare stories that fails on all of our criteria.
Click on Criteria for definitions. ![]() Establish the availability of the treatment/test/product/procedure? - NOT SATISFACTORY
Although the story notes that the device was approved by the FDA, there is no indication of its general availability. The physician-reporter says "This is going to be in your doctor's office soon." How does she know that? She acknowledges that "what will be interesting to see is how many dermatologists have that credit card to pay for this upfront and how long it's going to take them to pay it off." At this point, we have no idea how widely accepted this procedure will be. ![]() Discuss costs? - NOT SATISFACTORY
The reporter says "it's going to cost three to five thousand dollars." That's too broad a range to be helpful to the viewer. There is also no cost comparison with any of the other multitude of wrinkle "treatments" already on the market. Most important, there is no discussion of whether insurers are likely to cover it. ![]() Avoid "disease-mongering"? - NOT SATISFACTORY
This story was a classic case of disease-mongering. The anchor lead-in states that this segment was part of a four-part series on "mini-medical miracles." The anchor said: "This week we've checked out potential breakthroughs in treatments for baldness, insomnia and dandruff. Today we end with wrinkles. Could having a new laser treatment in your forties of fifties prevent you from ever needing a facelift." No one needs a facelift. It is not a matter of need. Similar, baldness, insomnia and dandruff are not diseases that require treatment - much less miracles or breakthroughs. ![]() Evaluate the quality of evidence? - NOT SATISFACTORY
There is no discussion of the evidence for this procedure - not how long nor in how many patients. ![]() Quantify the potential harms? - NOT SATISFACTORY
The reporter says there is "redness for a few days and that's it. Very safe." For something that is called a mini-miracle and a breakthrough, and which costs thousands of dollars, viewers deserve a much more thorough, numeric discussion of potential harms. In another place, she says "essentially you're back to work in four or five days." That's a big consideration for most people - maybe not the people who would pursue this approach. ![]() Establish the true novelty of the treatment/test/product/procedure? - NOT SATISFACTORY
The only physician quoted calls it "the biggest breakthrough in wrinkle removal in the last five to ten years." But the reporter lumps it in with all other laser approaches, saying "Laser technology has been around for a long time and very vetted." Given that there is no independent source analyzing the approach, no meaningful comparison with other wrinkle treatments, and no evidence is provided, the story provides only a confusing and hyped-up promotion of this approach. ![]() Quantify the potential benefits? - NOT SATISFACTORY
There is no data provided on either benefits or harms. ![]() Appear to rely solely or largely on a news release? - NOT APPLICABLE
We can't be sure if the story relies solely or largely on a news release, but we do know that the only physician quoted is one who appears in many company news releases. ![]() Use independent sources and identify conflicts of interest? - NOT SATISFACTORY
The only physician quoted is one who appears in several company news releases. No independent source is interviewed. ![]() Compare the new approach with existing alternatives? - NOT SATISFACTORY
The story only mentiones one other laser treatment but there is no meaningful comparison with any of the multitude of other wrinkle "treatments" already on the market. Also no discussion of the fact that wrinkles don't need to be treated. Total Score: 0 of 9 Satisfactory The U.S. Preventive Services Task Force is considered the gold standard of preventive health recommendations - including on screening tests. It's a good source for journalists and consumers.
About 70% of the stories reviewed from 2006-9 failed to adequately discuss costs, or to explain how big (or small) are the potential benefits and harms of treatments, tests, products and procedures.
We have documented a disturbing trend of news stories taking an advocacy stance, promoting certain screening tests outside the boundaries of scientific evidence.
Stories on new technologies like Cyberknife, DaVinci robotic surgery systems, and proton beam cancer therapy often fail to scrutinize the evidence and/or to discuss the costs involved.
Rather than suggesting that everyone should be screened for everything, news stories could explain: "All screening tests cause harm; some may do good."
The first 38 network TV network morning health news stories reviewed in 2009 earned an average score of 1.2 stars. 13 of the 38 stories got ZERO stars.
Both TIME magazine and BusinessWeek have published terrific stories explaining the importance of the Number Needed to Treat - or NNT.
Knowing relative risk reduction is like knowing you have a 50% off coupon but not knowing whether it's for a Lexus or a lollipop. Absolute risk reduction tells you what the "coupon" is worth. Read more.
The website NoFreeLunch.org posts "a database of health care professionals who have pledged to accept no gifts from industry and to rely on non-promotional sources of information."
To help journalists cover stories responsibly, we post a list of independent experts who state that they do not have financial ties to drug or medical device manufacturers.
We apply the same ten standardized criteria to the review of every story.
We have about 30 story reviewers. Each story is reviewed by 3 different people.
Gary Schwitzer's seven words you shouldn't use in medical news: cure, miracle, breakthrough, promising, dramatic, hope, victim. Read why.
|