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The Times shines in coverage of new injection for double chins


5 Star


Injection Offers Option to Slim Down Double Chin Without Surgery

Our Review Summary

Man shrugsThis story demonstrates why it’s so important to seek out independent perspectives in health news. Readers of the competing Post coverage on this story — which featured no such perspective — will come away with a fairly superficial understanding of this new drug’s impact in the treatment of double chins. They won’t learn, for example, that people with loose skin under their neck could end up looking worse than they started after treatment and be in line for a $5,000 neck lift. The Times also delves into the numbers and helps readers understand the research that formed the basis for approval. It carefully describes and quantifies potential benefits as well as harms. An excellent 5-star effort.


Why This Matters

Like it or not, lifestyle drugs are big business. So it is not surprising that a “treatment” for double chins has been developed. The FDA approved Kybella based in part on the recommendation of its dermatologic drugs advisory committee. Critical to that approval is a clear understanding on the part of the patient as to the risks and potential benefits of this treatment for a cosmetic condition.


Does the story adequately discuss the costs of the intervention?


The story notes that the price has not yet been set, which we’ll call good enough for a Satisfactory rating. It could have noted whether insurers are likely to pay for the treatment.

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


The story provides a good deal more information on the benefits seen in the clinical trials than does the corresponding Washington Post coverage. We are told, “The pooled results from both trials found that 68.2 percent of patients who got the drug saw at least a one-grade reduction in fat, compared with 20.5 percent of patients who got sham injections. Grading was determined by clinical examination and answers on a standardized form. Sixteen percent of patients who received the real injections saw a reduction of two grades in under-chin fat. Only 1.5 percent of the placebo group saw that level of improvement.” We would have liked to have seen some detail about what a two-grade change in under-chin would look like, however.

And while the story does focus extensively on one patient’s anecdotal success story, it also notes that not every patient is a good candidate for treatment. Example: “If a patient has excess fat and loose skin, Dr. Rohrich said, ‘you’ll have a crepey neck and need a neck lift’ after fat is reduced with the shot. Neck lifts can cost $5,000 or more.”

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


The story does a great job in not only providing a listing of potential harms, it also provides information on their frequency and impact on the subjects in the clinical trials.

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


The story describes the clinical trials forming the basis for approval in more detail than the Post story, although it could have explained the outcomes a bit more clearly. (What does a “one-grade reduction in fat” mean?) The story gets extra credit for providing significant detail on who is and isn’t a good candidate for the procedure.

Does the story commit disease-mongering?


The story does not appear to overplay the incidence of fat chins.

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


This story provides comments from two experts in the field not associated with the clinical trials or the drug company. Compared with the Post’s news-release based coverage, this yields additional depth and perspective regarding patient selection and potential harms. The story also notes that one quoted source is a paid consultant to the company.

Does the story compare the new approach with existing alternatives?


The story points out that liposuction is an alternative.

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


The story notes that the treatment will be available in late summer after doctors are trained to give the injections.

Does the story establish the true novelty of the approach?


The story says that the drug is the first nonsurgical way of reducing double chins. We wonder if diet and exercise would also be considered nonsurgical treatments for at least some cases of double chins. But we can find no literature to support that idea. Perhaps it’s too obvious an idea for anyone to have studied it?

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


The story is full of independent reporting.

Total Score: 10 of 10 Satisfactory


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