The Daskor disk system joins a long list of devices purporting to treat back pain. The device is still in its infancy, having only enrolled 20 patients in an ongoing clinical trial. This story does little to provide the reader with quality information on the value of this new technology. Of note, while the story accurately represents the availability and novelty of the technology, it crosses the line into disease mongering, provides no information on the possible harms, fails to quantify benefits, and provides scant information on the alternatives.
There are several instances where the story crosses the line into disease mongering. First, by estimating that "70 to 80 percent of Americans will experince back pain", the story implies that all of these people will be candidates for some kind of intervention. The vast majority of these cases are acute episodes that will resolve. Second, by talking about various different kinds of back problems, first herniated disk and later deteriorating disks, it is not clear what the indication is for this system. The story seems to imply that all patients with back pain would be a candidate. Finally, it is not clear what the story means by "diseased nucleus."
Although the story mentions a "clinical trial" with 20 patients, this is not enough information about the strength of the available evidence. The story does not mention any harms of the procedure and by emphasizing that it is "minimally invasive" seems to imply that it has very few risks. Furthermore, the story implies that the results are "promising" without demonstrating that with any quantitative information.
Finally, although the story mentions physical therapy, medication and surgery, it does not do enough to describe the pros and cons of the options and never mentions that most patients will not need some kind of surgical intervention.
This story ran in a business section, and its information may be of more value to investors than to people with back pain. We argue that the editorial standards should be the same for either readership segment. And just because it’s the product of a local company, that doesn’t give the product a ticket for free glowing coverage.
The story does not mention costs of the system or of the alternatives. The story could have projected what the costs will be, especially since this is touted as a $4 billion industry that is growing at 20% per year. e
The story implies that the results are "promising" without demonstrating that with any quantitative information.
The story does not mention any harms of the procedure and by emphasizing that it is "minimally invasive" seems to imply that it has very few risks.
Although the story mentions a "clinical trial" with 20 patients, this is not enough information about the strength of the available evidence.
There are several instances where the story crosses the line into disease mongering. First, by estimating that "70 to 80 percent of Americans will experience back pain", the story implies that all of these people will be candidates for some kind of intervention. The vast majority of these cases are acute episodes that will resolve. Second, by talking about various different kinds of back problems, first herniated disk and later deteriorating disks, it is not clear what the indication is for this system. The story seems to imply that all patients with back pain would be a candidate. Finally, it is not clear what the story means by "diseased nucleus."
The story does quote two surgeons, one of whom is identified as not involved with the study. However, the story could have done more to present opposing points of view on the value of such a new technology.
Although the story mentions physical therapy, medication and surgery, it does not do enough to describe the pros and cons of the options. Furthermore the story never mentions that most patients will not need some kind of surgical intervention.
The story clearly states that the disc implant system has not yet been approved in the U.S. and has not yet been extensively tested.
The story clearly states that this is a novel approach.
There is no way to know if the story relied on a press release as the sole source of information.
Systematic, Criteria-Driven
The tale of two “negative” studies. Or, how spin is applied to make research findings look more impressive. A must read. https://johnmandrola.substack.com/p/the-tale-of-two-negative-studies
The @nytimes chose to interview one of the editors of the @AnnalsofIM (publisher of this paper) who "gushed with extraordinary glee: It’s huge! There are very few things that reduce your mortality by 30%."
Turns out coffee is not one of those few things despite all that glee. https://twitter.com/garyschwitzer/status/1533202075928215558
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