This was a story about evolving options for the treatment of valvular heart disease. It provided the contrast between a mother and daughter, who had open heart and percutaneous valve therapy, respectively. One involved a long hospital stay, long recuperation, and a procedure that resulted in a scar. The other required only a few days in the hospital, a short recovery period and no scar. However other than this information, the viewer was not prepared to evaluate the new medical device. The story did not explain what type of heart valve disease for which it might be used, the symptoms of heart valve disease that might suggest that use of the device might be appropriate, and did not present any information about how often the device successfully resolves the problem, how long it lasts, or any adverse events associated with the use of the device. There was also no discussion of costs.
Although presented as a cutting-edge technology, this type of intervention has been under investigation for many years. This story did little to inform the viewer about the condition or its treatment options. An anecodotal imbalance is created by letting the patient get away – unchallenged – with calling this "an absolute miracle."
There was no cost estimate provided for this medical device.
What we learn about benefits in this story are that the use of this procedure reduces time spent in the hospital, the length of the recovery period, and eliminates having the scar associated with an open heart procedure.
However, the story included nothing about the extent to which the medical problems associated with heart valve disease are repaired with this device, how long the repair is expected to be functional, or other benefits that might come from the use of this device.
There were no harms of treatment mentioned.
This story did not really contain much in the way of evidence other than mentioning that about 70 patients had received the medical device. There was no information about the type of valve problem that was treated, or anything about the outcome following surgery. This is really the biggest weakness of the story.
The interviewees were all fans and users of the procedure. The range of sources wasn't diverse.
It would have been beneficial to have someone comment on the difference between the procedures, the types of conditions that may be most amenable to treatment with the experimental medical device, and some more about patients for whom it might be appropriate to consider use of the device.
Although unclear about what exact heart valve problem was being treated, the story compared and contrasted the experience of two family members with the same medical condition treated with different options. The story painted a very positive picture for the use of the medical device vs. open heart surgery but gave no indication that both treatments may be more appropriate for specific categories of patients.
The story provided no indication that there might be medical management options for the treatment of heart valve disease.
This piece did include a disclaimer at the end that this procedure is done only in a limited number of centers and is investigational at this time.
While the story was about a new medical device being tested to treat heart valve problems, percutaneous valve replacement dates back to the 1960's.
We can't be sure if the story relied solely or largely on a news release.
Systematic, Criteria-Driven
We’ve written about the hype of liquid biopsies for years (see link in comment below). And now this…. https://www.statnews.com/2022/01/12/medicare-shouldnt-cover-liquid-biopsies-early-cancer-detection/
Case counts still matter. “(There) are stories that may not be told adequately if only hospitalizations and deaths are emphasized.” @garyschwitzer interviewed by @dbauder of @AP. https://apnews.com/article/omicron-changing-news-outlets-covid-data-da9272f7c4c8a109c3bfb56bed9e9c76
My friend Gary @garyschwitzer wrote to his city council representative in a Minnesota town about a Viva Las Vegas event scheduled for January.
The response he got seems to perfectly capture where we are now.
https://www.healthnewsreview.org/2021/12/2021-ends-with-covid-craziness-in-sports-and-politics/
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