NEJM article critical of health reporting

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In commentary in the New England Journal of Medicine, Susan Dentzer, the editor-in-chief of Health Affairs and an on-air analyst on health policy for the NewsHour with Jim Lehrer on PBS, takes journalists to task for not properly or fully reporting important health issues.

She starts out by praising some “seasoned reporters who perform thoughtfully even in the face of breaking news and tight deadlines.” But then admonishes the rest: “But all too frequently, what is conveyed about health by many other journalists is wrong or misleading.”

The problem, as she sees it, is that “some distortion is attributable to ignorance or an inability to interpret and convey the nuanced results of clinical studies. And some is due to uncertainty about journalists’ proper role: Is our job to describe the bigger picture, or simply to report what is new?”

She cites a few examples, such as the flap over the risks and benefits of the Vytorin cholesterol pill after clinical trial results were belatedly released by Schering-Plough, which sells the drug. “Some journalists asserted that (the trial) showed the drug had no benefits in preventing heart attacks and strokes – something it certainly did not show, since heart attacks and strokes were not end points in the trial. We will never know the cost of this misinformation in terms of panicked patients or physicians who, perhaps unnecessarily, discontinued use of the drug.”

In response, Trudy Lieberman, president of AHCJ’s board of directors, points out that journalists, particularly those on extremely tight deadlines, are often facing an uphill battle in understanding conveying complicated health issues. “Reporters often told me that they would like to write about gray areas and nuances, but their editors won’t let them because the editors are looking for something jazzy,” she tells Scientific American. “If the nuances are there, they’re jumped to the second page if they’re there at all.”

Dentzer makes some valid points, which are likely to come into greater relief as newspapers cut back on staffing and space for stories.

Ed Silverman