This story has several important limitations and conflates a number of different issues in a potentially confusing way. It fails to mention that the new findings on estrogen apply only to women who have had hysterectomy—some 200,000 women in 2000, according to the North American Menopause Society. The majority of women—about 1.8 million in 2000—go through menopause naturally, with their uterus intact. Many of them will not have “unpleasant” symptoms, and so may have no reason to face the question about hormones. If they do, their main hormone option is to take progesterone along with estrogen—not estrogen alone. The piece also does not mention that estrogen-only therapy also increases the risk of stroke and blood clots, which are rare but important side effects. The story is further confusing by mixing quotes that refer to the old hormone paradigm, which suggested a since disproven heart benefit with long-term hormone use, and the new paradigm of short-term hormone use only to manage symptoms.
No mention of costs.
No data on benefits or harms.
No data on benefits or harms.
Study population not defined, which in this case is important since most women going through menopause still have their uterus and so would not be able to take estrogen alone.
The story states that more than 50 million American women will be going through menopause in 2006. Based on 2000 census data, the North American Menopause Society estimated that 1.8 million women will reach menopause during 2000; and that about 260,000 will undergo surgical menopause–the only population to whom this study applies.
No mention of alternatives.
No evidence that this story relied solely or largely on a news release.
Systematic, Criteria-Driven
Monday at #ADA2021, an infectious disease epidemiologist, a journalist, and a researcher shared perspectives on communication of risk in the era of COVID-19: http://ow.ly/ROfR30rMeE7 @AstleyCM @garyschwitzer @berthahidalgo @ADA_DiabetesPro
Shoutouts to @susan_bewley @drkevinknopf @MichaelBaum11 in this call for more than fawning coverage from press releases for these kinds of stories.
Also, linked history inside goes back 5 years just on Grail apparently trying to become Holy Grail. https://twitter.com/garyschwitzer/status/1408849696416841731
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