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Critical thinking in health research and media

In the media

People have always sought information from outside the formal health care system. The internet is now a common place for people to seek out information about health conditions. Often this information will be news reports. While some of these reports are reliable, others can be difficult to understand, conflicting,  misleading, or they may leave out important information. 

When you read an article in the news, or on social media, is the intention to give you up-to-date information? Or is it designed to get a 'click' on their website? Let's have a look at a real article and apply some critical thinking skills:


 

[MEDIA STORY]

New Hope in Cancer Treatment: FDA Announces New Aggressive Drug Attacking Originating Genes

The search for a cancer cure goes on, but in the meantime, there is hope for more effective treatments.

For the second time, the U.S. Food and Drug Administration has approved a drug that, instead of targeting tumors by location—breast cancer, prostate cancer, lung cancer—attacks cancers according to specific genetic structures, known as biomarkers.

The FDA announced Monday that it had approved Vitrakvi (larotrectinib), a treatment for both adult and pediatric cancer patients.

[Read more]


What's their angle?

This news story reports on a drug Vitrakvi (larotrectinib) approved by the U.S. Food and Drug Administration (FDA) for use based on genetic features of tumours, or tumour biomarkers, rather than the location where the tumour originated or is growing. It is the second drug of this nature to be approved.

When reading news stories its a good idea to take a step back and think about the intentions of the publisher:

 
Is their intention to present the study's findings fully?
Vitrakvi (larotrectinib) was approved by the FDA to treat a very specific and rare cancer, was this highlighted?
 
What are they leaving out and why? What should they take a closer look at?
The high cost of the drug is prohibitive for many patients (Forbes reported).
Harms and side effects are ignored.
No alternative treatment comparison is provided.
 
Are they overstating the issues? Why?
The headline calls this drug "aggressive". But there isn't any evidence that patients live longer on this treatment.
 
Are they delving deeper beyond the press release?
This article is essentially a reprint of the FDA press release removing any complex details.


Is this the full story?

When reading media articles you need to consider whether the article is representing the research faithfully:

  • Does the study involve animals or people? Often studies are undertaken in animals first to get an idea of effects likely to be seen in humans. However, results of animal studies are not always replicated in the clinical trials.
  • What is the source? Do they link to the actual study?
  • Are the outcomes being misinterpreted or misrepresented? Correlation doesn’t mean causation! (90 brunette's like pineapple on their pizza, does not mean ALL brunettes like pineapple on their pizza).
  • What is the sample size? Sample size should be based on study design and purpose. Too small a sample may produce inconclusive results.

What would you have included in the article? How would you have presented the issues?


Activity: Is it a good article?

Lets rate this article's quality using the Steps of Critical Thinking

Are you confident you can't be misled?

Check the facts with these websites: