Tag Archives: Studies

Reporters fall prey to back pain study’s shady PR push

Brenda Goodman

About Brenda Goodman

Brenda Goodman (@GoodmanBrenda), an Atlanta-based freelancer, is AHCJ’s topic leader on medical studies, curating related material at healthjournalism.org. She welcomes questions and suggestions on medical study resources and tip sheets at brenda@healthjournalism.org.

Photo by planetc1

If you follow me on Twitter, you may have noticed several 140-character conniptions I had last week over coverage of a Danish study that used antibiotics to treat low back pain.

I generally feel pretty protective of health reporters. I’m in the trenches with you. I have good days and bad days, too. Deadline reporting on medical studies is tough and sometimes undervalued for the work serious, balanced coverage requires. I’m with you.

Even so, I was dismayed by most of the stories I was reading.

Reporters were trumpeting the results of two studies published in the European Spine Journal, a less influential medical journal. Continue reading

Does this state make my butt look big?

Brenda Goodman

About Brenda Goodman

Brenda Goodman (@GoodmanBrenda), an Atlanta-based freelancer, is AHCJ’s topic leader on medical studies, curating related material at healthjournalism.org. She welcomes questions and suggestions on medical study resources and tip sheets at brenda@healthjournalism.org.

A study published this month in the journal Obesity reports that the largest percentage of obese people in the United States live in the Great Plains, not in the South, as surveys have long indicated.

Researchers found 41 percent obesity in a census region that includes Kansas, Minnesota, Missouri, Iowa, Nebraska, and the Dakotas, while the East Central South region—Alabama, Mississippi, Tennessee, and Kentucky – weighed in with 31 percent obesity. Mississippi and Alabama have long ranked first and second as the most obese states in the nation, according to data compiled by the CDC.

The study suggests the dubious honor of being the fattest region in the U.S. should go to the nation’s breadbasket, not to the buckle of its BBQ belt.

“That’s a pretty big difference,” said senior author George Howard, Dr.P.H., chair of biostatistics at the University of Alabama at Birmingham. “Don’t get me wrong, 31 percent obesity is not good, but it’s not the worst.”

The difference is important, too, because these kinds of rankings often help determine which states get federal public health dollars for research and anti-obesity campaigns.

How could this happen? Blame a problem that bedevils all kinds of research: self-reported data. Continue reading

Health reporters deserve high marks for chelation coverage

Brenda Goodman

About Brenda Goodman

Brenda Goodman (@GoodmanBrenda), an Atlanta-based freelancer, is AHCJ’s topic leader on medical studies, curating related material at healthjournalism.org. She welcomes questions and suggestions on medical study resources and tip sheets at brenda@healthjournalism.org.

In case you missed it, health reporters who cover medical studies had a shining moment recently. It centered around the heavily stage-managed publication of the Trial to Assess Chelation Therapy, or TACT.

TACT was a 10-year double-blind, randomized controlled study of 1,708 patients that was carried out at 134 sites in the U.S. and Canada. It cost the government and, by extension, taxpayers, $31 million. About 60 percent of the sites were traditional chelation centers – some of which had shaky legal histories, the rest were traditional cardiology practices and academic medical centers, including Johns Hopkins Bayview Medical Center and the Mayo Clinic. Continue reading

Big data is coming to a study near you

Brenda Goodman

About Brenda Goodman

Brenda Goodman (@GoodmanBrenda), an Atlanta-based freelancer, is AHCJ’s topic leader on medical studies, curating related material at healthjournalism.org. She welcomes questions and suggestions on medical study resources and tip sheets at brenda@healthjournalism.org.

Photo by bionicteaching via Flickr

As social networks and search engines catalog our every click and keystroke, they generate billions or even trillions of data points about how and why we do the things we do. Companies trying to parse those disparate bits for clues about consumers have come up with a name for all that information – big data.

Broadly, big data is about using computers to search for patterns in huge amounts of information. And as columnists for The New York Times and NPR recently opined, 2012 was big data’s breakout year.

Big data played a huge role in the strategy and prediction of the election. It was lampooned in comics. It even became a meme among the kind of folks who get the wonky punch lines on “The Big Bang Theory.”

I started the year uneasy with big data. I was hearing the term everywhere, but had only the shallowest understanding of what it meant or why it was important.  I had no idea if or how it might be relevant to covering medical studies.

Here’s the short answer: It is. And if you cover research, you need to understand it and be able to ask questions about it. Continue reading

All in the family: When medical experts disagree #ahcj13

Stephanie O'Neill

About Stephanie O'Neill

Stephanie O'Neill is a health care reporter at KPCC-Los Angeles. She is attending Health Journalism 2013 on an AHCJ-California Health Journalism Fellowship, which is supported by The California HealthCare Foundation.

Photo by Len BruzzeseJerome Groopman and Pamela Hartzband.

Oncologist Jerome Groopman and endocrinologist Pamela Hartzband both attended Ivy League medical schools. He went to Columbia. She went to Harvard. They both spent their residencies at Massachusetts General. They’re both Jewish. And they’re husband and wife.

But ask them their opinion on a particular medical treatment and you’re likely to get the opposite advice. Continue reading

Housework-hurts-sex study causes a dust up

Brenda Goodman

About Brenda Goodman

Brenda Goodman (@GoodmanBrenda), an Atlanta-based freelancer, is AHCJ’s topic leader on medical studies, curating related material at healthjournalism.org. She welcomes questions and suggestions on medical study resources and tip sheets at brenda@healthjournalism.org.

You may have seen — and let’s face it — given a giant eye roll to a recent studythat claimed men who helped out with chores traditionally deemed the province of women, i.e. laundry, dishes, and dusting, had less sex than men who cut the grass and changed the oil but generally left the more feminine chores to their wives.

Health reporters cried foul.

One of the best ledes came from The Telegraph’s Michael Hanlon:

The relationship between sex, marriage and gender roles is so complex that unravelling it makes the work of the Large Hadron Collider look like playschool.

Hanlon’s story had plenty of strengths, including a quote from an expert who questioned the reliability of the data:

The fact is that people lie about, or at least misremember, how much housework they do almost as much as they lie about the amount of sex they are having.

His expert also pointed out that the two variables – sex and housework – might correlate, but may not necessarily be causal. Continue reading

Aspirin study causes headaches for journalists

Brenda Goodman

About Brenda Goodman

Brenda Goodman (@GoodmanBrenda), an Atlanta-based freelancer, is AHCJ’s topic leader on medical studies, curating related material at healthjournalism.org. She welcomes questions and suggestions on medical study resources and tip sheets at brenda@healthjournalism.org.

Along with a story on aspirin and macular degeneration, my editors got a panicked note from me recently: “I struggled with the numbers on this one, and may not have gotten them right,”I wrote.

Odds are that I wasn’t the only reporter puzzling over the numbers in this study, which was published in JAMA Internal Medicine. That’s because some of them were made up, apparently by a journal editor.

The error added a scary statistic to research that was already generating some pretty alarming health headlines (i.e. “Aspirin Ups Risk of Age-Related Macular Degeneration,” courtesy of a website for doctors called Clinical Advisor.)

To make matters worse, the mistake got repeated in the press release. (Et tu, media relations team?)

Thankfully, it seems many health reporters noticed something was amiss and left the wrong numbers out of their stories. Continue reading

Journalists beware: Surrogate endpoints strike again

Brenda Goodman

About Brenda Goodman

Brenda Goodman (@GoodmanBrenda), an Atlanta-based freelancer, is AHCJ’s topic leader on medical studies, curating related material at healthjournalism.org. She welcomes questions and suggestions on medical study resources and tip sheets at brenda@healthjournalism.org.

Remember what happens when you assume? Trials that use surrogate endpoints to test treatments are making assumptions that those drugs will ultimately offer real benefits to patients. Reporters shouldn’t forget it.

Brenda GoodmanBrenda Goodman, AHCJ’s topic leader on medical studies, is writing blog posts, editing tip sheets and articles and gathering resources to help our members cover medical research.

If you have questions or suggestions for future resources on the topic, please send them to brenda@healthjournalism.org.

Surrogate endpoints have cropped up in the news again with two studies in the New England Journal of Medicine that tested the effects of early vs. later treatment of HIV with antiretroviral (ART) drugs. (Short-Course Antiretroviral Therapy in Primary HIV Infection | Enhanced CD4+ T-Cell Recovery with Earlier HIV-1 Antiretroviral Therapy)

The standard of care in resource-rich nations like the United States is to start newly infected patients on these lifesaving medications as soon as people are ready to start taking them, regardless of their CD4 T-cell count.

But two-thirds of new HIV infections are in sub-Saharan Africa. In those countries, ART is still only available to about half the people who need it and doctors wait to put patients on the medications until their T-cell counts drop below a certain threshold. Continue reading

Goodman to guide journalists on covering medical studies

Pia Christensen

About Pia Christensen

Pia Christensen (@AHCJ_Pia) is the managing editor/online services for AHCJ. She manages the content and development of healthjournalism.org, coordinates social media efforts of AHCJ and assists with the editing and production of association guides, programs and newsletters.

AHCJ is pleased to introduce independent journalist Brenda Goodman as the association’s topic leader on covering medical studies. Goodman, a health and science reporter for 15 years across a variety of platforms, will help guide journalists through the jargon-filled shorthand of science and research and enable them to translate the evidence into accurate information that their readers can grasp.

Brenda Goodman

Brenda Goodman

She will write tip sheets and background briefs, ask other journalists to share their experiences and she will curate lists of resources for journalists. Her blog posts for Covering Health will recognize important reporting on medical studies and offer journalists information about what to look for and what to steer clear of in their reporting. The “Covering Medical Studies” core topic joins AHCJ’s health reform, aging and oral health resources.

She will encourage and review suggestions from AHCJ members on what resources they need to cover medical studies and even consider the “beating hearts” behind the studies. In her introduction to the topic, Goodman writes: Continue reading

JAMA editor predicts embargoes will be up for discussion

Pia Christensen

About Pia Christensen

Pia Christensen (@AHCJ_Pia) is the managing editor/online services for AHCJ. She manages the content and development of healthjournalism.org, coordinates social media efforts of AHCJ and assists with the editing and production of association guides, programs and newsletters.

This is a guest post by AHCJ board member and AP medical writer Carla K. Johnson, who leads AHCJ’s Chicago chapter.

Howard Bauchner, M.D., is editor of the Journal of the American Medical Association

Howard Bauchner, M.D., editor of the Journal of the American Medical Association discussed health care reform in light of the elections. (Photo: Carla K. Johnson)

Howard Bauchner, M.D., editor-in-chief of the Journal of the American Medical Association, spoke to about 25 journalists and students at a recent AHCJ Chicago chapter event hosted by JAMA at its Chicago office.

“I don’t think we’ve settled the debate in the United States about whether health care is a fundamental right or a fundamental privilege,” Bauchner said in response to a question about doctors’ views on the Affordable Care Act. “And it’s been striking to me that the president has avoided that issue.”

Bauchner added: “That goes to the heart about why physicians are very divided about it.”

Bauchner talked about embargoes, the debate over open access to medical research and the online integration of the 10 medical journals in the JAMA Network.

He said he expects embargoes to be discussed at the May retreat of the JAMA editorial board. He’ll bring the board information on what other journals are doing, he said, and he’ll pose the question, “How does audio and video change any notion that embargoes should exist?” He said he’ll seek opinions from journalists, too.

Chicago-area journalists gathered to hear from JAMA's editor. (Photo: Carla K. Johnson)

Chicago-area journalists gathered to hear from JAMA’s editor. (Photo: Carla K. Johnson)

Bauchner speculated: “We will continue to have embargoes. The exact, precise timing of it is a little less clear to me.”

During his discussion of embargoes, Bauchner wondered whether a certain blogger would get word of his comments.

“Who’s the embargo person who blogs all the time?” he asked.

Several voices in the audience chorused: “IVAN ORANSKY.”

Oransky is an AHCJ board member whose Embargo Watch blog keeps an eye on embargoes and how they affect news coverage.

The Chicago chapter thanks Jann Ingmire of the JAMA Network for her help organizing the event.