HealthNewsReview.org | Independent Expert Reviews of News Stories | Holding Health and Medical Journalism Accountable

How is the star score determined

For each news article, the 10 criteria will be scored as "Satisfactory," "Unsatisfactory" or "Not Applicable." Total scores are posted for articles that have two or fewer "not applicable" ratings, and are expressed as proportions. For the purposes of display, the total scores are translated into a star rating.


Percent score assigned
"Star" score assigned

Percent of criteria judged satisfactory

Star score assigned

0%

0 stars

1-20%

1 star

21-40%

2 stars

41-60%

3 stars

61-80%

4 stars

81-100%

5 stars

(If one or two items are rated 'NA', the denominator will be 8 or 9 rather than 10.)

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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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.

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We have documented a disturbing trend of news stories taking an advocacy stance, promoting certain screening tests outside the boundaries of scientific evidence.

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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.

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Rather than suggesting that everyone should be screened for everything, news stories could explain: "All screening tests cause harm; some may do good."

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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.

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Both TIME magazine and BusinessWeek have published terrific stories explaining the importance of the Number Needed to Treat - or NNT.

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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.

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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."

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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.

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We apply the same ten standardized criteria to the review of every story.

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We have about 30 story reviewers. Each story is reviewed by 3 different people.

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Gary Schwitzer's seven words you shouldn't use in medical news: cure, miracle, breakthrough, promising, dramatic, hope, victim. Read why.

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Our reviewers include two former CNN medical reporters and a former editor of the Washington Post health section.

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