This story reported on a recently published scientific article documenting an increase in the number of children having weight loss surgery. The story mentioned that rates of surgical complications were lower in children than in adults, and that their hospital stays were shorter. But it gave no estimates of weight loss that might be obtained, no estimates for the incidence of side-effects or adverse outcomes that might be associated with the surgery, or what the long term effects of the procedure might be.
This story represents another example of a newspaper shortening an original Associated Press story, and, in the process, leaving out some important information. We've addressed this practice before and will continue to do so. We give an unsatisfactory score to the editing done by the Baltimore Sun, which shortened the original AP story. The Sun story did not mention any harms associated with weight loss surgery in children. The full length AP piece, from which the story was taken, did mention that obesity surgery during teen years could be associated with psychological risks. In addition it mentioned that the question of how teens fared after leaving the hospital was left unanswered. However, neither the full AP story nor the shortened Sun story explicitly mentioned any medical complications or long-term concerns.
The story provided an estimate of hospital charges associated with weight loss surgery in children.
The story did not quantify the benefits associated with the treatment. There was no estimate of average weight loss observed, though there was discussion of one young man who lost 200 pounds in the 18 months following surgery. The longer AP version of this story mentioned that "the benefits outweight the risks for most patients," but still without quantifying those benefits or risks.
We give an unsatisfactory score to the editing done by the Baltimore Sun, which shortened the original AP story. The Sun story did not mention any harms associated with weight loss surgery in children. The full length AP piece, from which the story was taken, did mention that obesity surgery during teen years could be associated with psychological risks. In addition it mentioned that the question of how teens fared after leaving the hospital was left unanswered. However, neither the full AP story nor the shortened Sun story explicitly mentioned any medical complications or long-term concerns.
The story mentioned that the information it reported on came from a recently published article analyzying a database of hospital patients.
The story did not engage in overt disease mongering.
The sources of information for this story appear to be the scientific article, one of its authors, and one patient. The story would have been improved by having someone comment on the significance of the results reported on. This is a controversial issue and there are other experts who could have raised more concerns about the long-term health consequences.
This was a story about the change in rate of weight loss surgery in children. Although it did not contain mention of other treatment options for weight loss, this was really not its focus.
The entire basis for the story was the growing number of children having obesity surgery, but the story could have given some indication about the number of hospitals that performed these procedures in children.
The story failed to mention that this procedure in adolescents is still considered very much "experimental" by most experts when applied to this population. The story underemphasized the lack of long-term follow-up data on these kids which leaves the reader with the impression that it is pretty routine when it is not. The uncertainties surrounding the "newness" of the procedure in adolescents is very important. (Again, the Baltimore Sun story cut out the only reference to this issue.)
Does not appear to rely solely or largely on a press 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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