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Pitt program to prevent diabetes shows promise

Rating

2 Star

Pitt program to prevent diabetes shows promise

Our Review Summary

This report takes a useful approach to coverage of a complicated study on diabetes prevention in high-risk groups: It focuses on one local man who participated in the study.

 

By describing his participation in some detail, the reporter does a good job of illustrating the protocol and the health situation the study addresses without being overly technical and abstract.

 

This is an excellent journalistic approach to handling a complex study and provides a richer takeaway message than many other stories reporting on these studies.

 

The fact that the man’s outcomes were mixed–weight loss, an active life at 78 and a controlled diet, yet status quo blood sugar levels hovering near trouble–is useful in illustrating the all-important "not-a-magic-bullet" message.

 

Yet the story stumbles in three significant ways:

  • by suggesting the study "proves" certain benefits. That’s overstatement. The results suggest a link between treatment and outcomes but prove nothing
  • by failing to consult an independent source to put the findings in context
  • by failing to include cost, availability and treatment option information

It’s also worth noting the value of a local story that puts a national study in a local context. For local readers, it keeps a story close to the ground–and makes it more relevant. If only the story had connected the dots to provide readers with the information needed to take action.

Criteria

Does the story adequately discuss the costs of the intervention?

Not Satisfactory

The reporter misses an opportunity to say how much it costs to participate in a diabetes prevention program–or to take metformin.

A creative reporter could then have compared those costs to the costs of managing diabetes. 

During a time when costs of health care are so much in the public’s mind, people reporting on treatments should always probe the question of costs vs benefits.  

Does the story adequately quantify the benefits of the treatment/test/product/procedure?

Not Satisfactory

The reporter  quantifies the benefits of the lifestyle or drug intervention, but never does so in absolute risk reduction terms.  So when the story states risk reductions of 34% or 18%, we want to know "34% or 18% of what?" 

 

Does the story adequately explain/quantify the harms of the intervention?

Not Satisfactory

The story fails to mention the side effects of metformin, which include gastro-intestinal side effects that can inhibit compliance. A serious condition, lactic acidosis, is a rare but significant side effect.

 

Does the story seem to grasp the quality of the evidence?

Not Satisfactory

The study on which the story is based is riddled with caveats. Some findings baffle the researchers.

However, the reporter twice makes the mistake of saying the story "proves" certain benefits. The study suggests, or demonstrates a link, but it does not prove anything.

By using the word "proves" the reporter over-interprets the findings, exaggerating the quality of evidence. Therefore the story earns an Unsatisfactory rating under this criterion.

Does the story commit disease-mongering?

Satisfactory

The story does nothing to exaggerate the prevalence or severity of type 2 diabetes.

Does the story use independent sources and identify conflicts of interest?

Not Satisfactory

The reporter spoke only with two study participants–an area man who was a subject and a researcher who headed local efforts.

The local researcher does offer properly moderated comments, casting the study as suggestive of benefits under certain conditions. 

This is a good start for sourcing but insufficient. At minimum the reporter should have spoken with one disinterested diabetes or obesity clinician or epidemiologist who could help put the findings in context.

Does the story compare the new approach with existing alternatives?

Not Satisfactory

The study itself implicitly lays out the options to preventing diabetes–lifestyle changes, drugs or doing nothing.

But the story could have been improved significantly by indicating there are many different diet-and-exercise approaches beyond those used here, as well as numerous drug treatments and bariatric surgery. 

Does the story establish the availability of the treatment/test/product/procedure?

Not Satisfactory

The reporter fails to mention how and where diabetes prevention programs are available.

Lifestyle-modification diabetes prevention programs are a staple offering of hospitals, community centers, insurance companies and corporate wellness programs. The article could at least have mentioned this–and provides a local resource–to allow readers to follow up if they wanted to.

Many people with high blood sugar but not diabetes take metformin as prevention. It would be useful to know how widely used the treatment is.

Does the story establish the true novelty of the approach?

Satisfactory

No claim of novelty is made for the lifestyle or drug interventions.

Does the story appear to rely solely or largely on a news release?

Satisfactory

There is no evidence the reporter drew inappropriately from the press release.

Total Score: 3 of 10 Satisfactory

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