Note to our followers: Our nearly 13-year run of daily publication of new content on HealthNewsReview.org came to a close at the end of 2018. Publisher Gary Schwitzer and other contributors may post new articles periodically. But all of the 6,000+ articles we have published contain lessons to help you improve your critical thinking about health care interventions. And those will be still be alive on the site for a couple of years.

2017 year-ender: Major themes from a year’s worth of news release reviews

Kathlyn Stone is an associate editor at HealthNewsReview.org and manages the news release review project. She tweets as @KatKStone.

We’re closing in on our 500th news release review since launching this service in April 2015. What have we learned? We’ve learned that overall, universities, academic medical centers, hospitals, trade groups and industry are committing many of the same mistakes and omitting the same key information they were in 2015 when we started. We’re dedicated to helping these organizations improve through the constructive criticism we provide in our reviews and our unprecedented offer to review news releases prior to publication.

Here’s how news releases fared overall

The 169 news releases we reviewed in 2017 received the following star score ratings:

0 stars  –  1 (0.6%)

1 star –  20 (12%)

2 stars – 63 (37%)

3 stars – 69 (41%)

4 stars – 16 (9%)

5 stars – 0 (0%)

The 0 – 5 star score is based on how many satisfactory ratings a release earns when judged on our 10 systematic criteria. The conversion to star score is explained here.

Why were there no 5-star reviews? Even high-quality 4-star releases commonly missed on some key criteria that prevented them from reaching the highest achievable score. These near-misses most often included failure to discuss cost and availability (rated “not satisfactory” on 90% and 61% of reviews in 2017, respectively), and to identify funding sources/conflicts of interest (rated not satisfactory on 49% of reviews).

Despite the generally low number of releases receiving high marks, there were some bright spots.

Examples of thoughtful writing from higher-scoring reviews

These four releases demonstrate how some writers addressed challenges that many others whiffed on.

Reviewers praised this release from the American College of Surgeons for “discussing surgical alternatives and costs, which were estimated to be $9,000 lower for the less invasive laparoscopic procedure.” Cost is the most often-missed criterion in our news release reviews. We offer a primer with tips and resources for writing about the costs of health care interventions.

Another often-ignored criterion — comparison with existing alternatives — did find its way into this already strong release by MD Anderson. Reviewers noted that the release compared proton therapy results with historical controls and detailed limitations of the comparison. Reviewers also noted that “The release does mention intensity-modulated radiation therapy (IMRT) at the end and states the historical control was chemotherapy with conventional radiation.” Although our reviewers had some concerns with how the alternatives were presented, the satisfactory rating demonstrates our willingness to give the benefit of the doubt on any reasonable attempt to address our criteria.

Our reviewers were especially impressed with the release’s description of diagnostic accuracy, which included discussion of a statistical analysis that measures tradeoffs between sensitivity and specificity.  The release noted that conventional imaging combined with the new test had a value of 0.85 according to this measure, while conventional imaging alone had a value of 0.60. The release offers that “a value of 0.50 indicates that a diagnostic test is no better than chance,” to give readers a benchmark for comparison.

This release by Oxford University Press also received praise for describing the benefits of the intervention in clear, meaningful terms. The release explained that based on a study, the HPV screening test alone may be enough to detect the vast majority of cancers and so-called “pre-cancers” without the added second test known as the Pap test. Reviewers said: “We were especially pleased that the release included a clear description of the benefit using absolute, rather than just a relative, risk number….Besides this number, the release included specific numbers for benefits of each test.” Read more about the importance of reporting absolute risks here.

Our analysis of the year’s output suggests that top-scoring news releases have the following elements in common:

  • Transparency about conflicts of interest
  • Clear and meaningful description of benefits and evidence
  • Discussion of known or potential side effects
  • Information about cost impact, either to individual patients or to society at large.

These attributes are generally all absent in lower quality news releases as demonstrated in the examples below.

‘What not to do’ case studies from bottom-dwellers

Just one news release walked away with zero stars. A Kings College London release on a natural tooth repair method using an Alzheimer’s drug earned this review headline:

According to reviewers: “We rarely give 0 ‘stars’ for reviews but this is one situation where we had to.”

This release not only skipped any mention that the study was done only in mice, it also made an unjustifiable leap by suggesting that because the drug has “previously been used in clinical trials to treat neurological disorders including Alzheimer’s disease” that it would speed the pathway for a new dental treatment. The release had multiple other problems as well leaving readers with none of the information they deserved.

Reviewers pointed out that “…the release doesn’t acknowledge an important conflict of interest that is addressed in the study manuscript itself: “H.J.K. is the inventor of a patent related to the monitoring of endometrial glandular development.” When a study co-author is poised to make money off the intervention being touted in a news release, it’s a detail readers should be told. We’ve written plenty about conflicts of interest in health care and health care journalism this year.

Northwestern University wasn’t the only organization to misapply the term “breakthrough” in a news release headline. Far from it. But it’s a good example of how this term is casually slapped on almost any new medical technology these days. Our reviewers wrote: “Is it proper to call something a ‘new breakthrough’ when it has apparently been on the market for four years? And when its effectiveness compared with other approaches hasn’t been properly established?” Read about other words that writers should think twice about employing in health care news releases.

Here’s another release that didn’t warn readers that the research was conducted in mice, not people. The release made a troubling claim that components of the spices oregano and thyme may represent a “cure” for cachexia, the wasting disease experienced by cancer patients. Further, the university indicated it would soon be licensing the product.

When we contacted the University of Iowa about the problems with the news release, the response was insufficient, to put it mildly. We blogged about the University’s policies regarding conflicts of interest and its process for issuing news releases twice. Their lack of any substantive response is troubling and raises questions about the credibility of the institution’s health care-related communications.

5-star news release challenge

While there’s a lot of crappy PR out there, we know there is also great work being done and we’re eager to shine a light on it.  If you’ve written a 5-star news release or you see one that meets all or most of the criteria for a high quality, informative release, send it our way and we’ll consider reviewing it.

Please keep in mind that our criteria are geared to reviewing releases that focus on a health care intervention.The release must include a claim about a drug, medical device, procedure (such as a type of surgery), or a test, and it must be posted online on your website, or at one of the news release wire services such as EurekAlert! and Newswise. (Remember to check out our 10 review criteria before submitting the review for consideration.) Forward releases to feedback@healthnewsreview.org

More 2017 year-ender posts

Friday, December 15: Kicking off 2017 HealthNewsReview.org year-ender series

Tuesday, December 19: Ranking news organizations by star score. Who’s done best? Who has the most room for improvement in 2018?

Wednesday, December 20: A great year for research progress in mice – although news often made it sound like it was in humans.

Thursday, December 21: Perspectives from the woman who wakes up every morning and searches the news for us every day – all year long.

Friday, December 22: Memorable lines from memorable interviews from 12 podcasts we produced this year.

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