A desire booster for women? November 23, 2009 ![]() This story only skimmed the surface of questions we think should have been raised for any claims made about trial results presented in this way for a drug promoted as a sexual desire booster. Our Review Summary
This story skimmed the surface of issues that should be raised about trial results for a new supposed sexual desire-boosting drug. Good points:
Weaker points:
Click on Criteria for definitions. The story states that the drug is experimental and that it's not clear what the FDA would do if the drug is submitted for approval. ![]() Discuss costs? - NOT APPLICABLE
No cost estimate was given. But given that the drug hasn't yet been submitted for approval to the FDA, we can understand that. ![]() Avoid "disease-mongering"? - NOT SATISFACTORY
Although the story included a quote with a documentary filmmaker who thought the drug was not a good idea, there was no specific discussion about whether "female sexual dysfunction" is a real condition or one created by drug companies to create a market for their products. It stated that "about one in 10 women are thought to suffer from sufficient lack of sexual desire for it to be distressing for them." (Note: the singular noun "one" deserves a singular verb "is") The story never attributed that "thought" to any source. ![]() Evaluate the quality of evidence? - NOT SATISFACTORY
The story shared the data revealed in a conference call - without any comment on the limitations of drawing conclusions from data delivered that way - based on talks given at scientific meetings - results not yet published in peer-reviewed scientific journals. There was also no discussion of how "satisfying sexual event," "sexual desire," or "distress related to sexual functioning" was defined or measured. ![]() Quantify the potential harms? - SATISFACTORY
The story listed the most common side effects and, importantly, the 15% study dropout rate due to side effects. The story alluded to the fact that "an earlier hormonal drug that produced a similar success rate was rejected." And it commented on the drug's novel mode of action. ![]() Quantify the potential benefits? - NOT SATISFACTORY
The story did quantify the results of one outcome - at least with data provided on a conference call - but it did not explain how these results were defined or measured. And it did not seek comment on whether the "significantly higher scores" equates to any significant difference in any woman's life. ![]() Appear to rely solely or largely on a news release? - SATISFACTORY
There's no evidence that the story relied on a news release. ![]() Use independent sources and identify conflicts of interest? - NOT SATISFACTORY
The only non-conflicted source interviewed was a documentary filmmaker. That doesn't contribute the kind of independent expert perspective that a story like this requires. ![]() Compare the new approach with existing alternatives? - SATISFACTORY
In an indirect way, the story addressed other approaches to any low libido that may exist - dealing with relationship problems and stress, for example. The story barely meets the criterion on this matter. Total Score: 5 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.
|