Healing Power: Using Stem Cells to Build Better Bones April 15, 2009 0 Stars
No discussion of costs - which are significant - nor of evidence, which is limited. Instead of data, the segment gushed calling it "godsend...really exciting...very important...could be lifesaving." Our Review Summary
CBS put a crawl under this story reading "Stem cells to build better bones." And then failed to mention stem cells even one time in the story. That's one indication of how off-base this segment was.
Click on Criteria for definitions. ![]() Establish the availability of the treatment/test/product/procedure? - NOT SATISFACTORY
Story explains the drug Forteo was approved by the FDA for use in osteoporosis in 2002 but gives no idea how widely it's used for bone healing. The story is based on a preliminary report involving 145 patients with poorly healing bone fractures. Based on the results of this small study, a larger and presumably more confirmatory study is in the planning stages. But you wouldn't know that from the story. ![]() Discuss costs? - NOT SATISFACTORY
A huge oversight. One other news account reported that the drug costs $800 a month. How could this NOT be part of the story? ![]() Avoid "disease-mongering"? - NOT SATISFACTORY
The medical correspondent notes that the risk of death can be as high as 1 in 4 within a year post major bone fracture. There is no evidence that the use of Forteo reduces this risk and the definition of a major bone fracture was not provided. The implication is that there are a lot of major bone fractures in the elderly due to falls, and the use of Forteo could reduce the unsubstantiated risk of death of 1 in 4. ![]() Evaluate the quality of evidence? - NOT SATISFACTORY
None. Nada. Zip. Just a before-and-after image of one case. ![]() Quantify the potential harms? - NOT SATISFACTORY
No discussion of harms. Not even a mention that the drug needs to be given by injection. ![]() Establish the true novelty of the treatment/test/product/procedure? - NOT SATISFACTORY
There is no mention of the fact that the drug is being used "off label," an important consideration. The use of Forteo (actually a synthetic version of parathyroid hormone) in fracture healing has been studied for a number of years. Most of the work has been in animals. ![]() Quantify the potential benefits? - NOT SATISFACTORY
None. And segments tend to give the impression that the benefits are universal for anyone taking the drug. Instead of data, the segment gushed calling it "godsend...really exciting...very important...could be lifesaving." ![]() Appear to rely solely or largely on a news release? - NOT APPLICABLE
We can't be sure if the segment relied solely or largely on a news release. ![]() Use independent sources and identify conflicts of interest? - NOT SATISFACTORY
Since only a physician-correspondent appeared on the set, citing no evidence and no sources, we don't know the source of the information. ![]() Compare the new approach with existing alternatives? - NOT SATISFACTORY
No other treatment options for bone healing were discussed. 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.
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