Note to our followers: Our nearly 13-year run of daily publication of new content on HealthNewsReview.org came to a close at the end of 2018. Publisher Gary Schwitzer and other contributors may post new articles periodically. But all of the 6,000+ articles we have published contain lessons to help you improve your critical thinking about health care interventions. And those will be still be alive on the site for a couple of years.
Read Original Story

STAT said drug ‘halved’ prostate cancer deaths, but that’s not the full picture

Rating

3 Star

Categories

Old drug gets new trick for prostate cancer treatment

Our Review Summary

This story by STAT covers a study of a treatment for prostate cancer that comes back after initial rounds of surgery and radiation. The treatment is hormone blocking, or androgen deprivation therapy, and its side effects are significant. In this review, we’ll occasionally compare the coverage to The New York Times’ story about the same study (see that story review here), since it highlights a few important ways reporters and their outlets deviate in their coverage of important research.

Here, STAT does a good job of succinctly describing what is novel about this study and for which patients it may be relevant. It also was very clear on who funded the research.

Its main shortcoming is that while it does a good job of presenting the results as an incremental step forward, it presents results in relative terms rather than absolute (read here why that matters). It states that the study decreased death rates by half (50%) rather than saying that survival was improved by 5% (76% vs. 71%). This is a clear example of how presenting relative versus absolute outcomes can skew one’s interpretation of a study’s results. The Times (link) handled this better.

 

Why This Matters

For men who have had prostate cancer return after surgery, this study’s findings will help them make more informed decisions when choosing a treatment path. But it’s a complicated study with plenty of nuances, and this story would have been much stronger had it gotten into the absolute findings of the intervention.

Criteria

Does the story adequately discuss the costs of the intervention?

Not Satisfactory

No treatment costs are shown, for either radiation or hormone blocking. According to a 2015 study in the journal Future Oncology, the average cost per hospital stay was $12,268, while outpatient clinic visits tallied about $4,364 per visit (surgery and radiation). However, given multiple visits, the typical prostate cancer patient can expect a lifetime cost of about $110,000.

But adding in hormone blockers, also called androgen deprivation therapy, according to a 2007 study in The Journal of Urology, can double the cost of a man’s care. Newer drugs that are being used now might cost more, too.

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

Not Satisfactory

We’re told the death rate over 12 years “halved” for men who received the hormone blockers, but this doesn’t reveal the full story.

The story that ran in The New York Times does a better of explaining the results in absolute terms: 76.3% of men who got the combo radiation-hormone blocker treatment lived after 12 years, whereas 71.3% of those who received radiation alone survived 12 years after a recurrence of prostate cancer.

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

Not Satisfactory

STAT does not mention any negative side effects (including hot flashes and sexual problems).

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

Not Satisfactory

The story provides some clues here, but not enough. How many men were enrolled? How long did patients receive the treatments? Was there a placebo? What were the limitations?

Does the story commit disease-mongering?

Satisfactory

The story did not disease monger, and made sure to discuss that some men won’t need treatment.

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

Satisfactory

An independent source was included. And this STAT story noted an important detail that the NYTimes missed: how AstraZeneca — a maker of a hormone-blocking drug for men — was a study sponsor.

Does the story compare the new approach with existing alternatives?

Satisfactory

Readers get a solid description of the standard of care, including typical procedures in the first occurrence, and how radiation therapy is typically used after a recurrence. Hormone blockers are not oversold as some revolutionary new advancement, but an existing treatment that needed long-term study to determine if they were beneficial.

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

Satisfactory

The story implies hormone blockers have been around as a technique for decades, but have not been widely used due to their side effects and uncertainty surrounding their actual efficacy.

Does the story establish the true novelty of the approach?

Satisfactory

STAT is straightforward in its headline: This is an old drug, but this use is novel. An outside source helps put into context the results, calling it an “incremental” step for doctors — a more careful position than The Times’ outside source take (he calls it “a big deal;” see our review).

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

Satisfactory

We didn’t find any evidence of reliance on a news release.

Total Score: 6 of 10 Satisfactory

Comments

Please note, comments are no longer published through this website. All previously made comments are still archived and available for viewing through select posts.