{"id":24939,"date":"2013-03-06T10:56:05","date_gmt":"2013-03-06T09:56:05","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=24939"},"modified":"2013-03-06T10:56:05","modified_gmt":"2013-03-06T09:56:05","slug":"elizabeth-loder-how-medical-journals-can-help-stop-disease-mongering","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2013\/03\/06\/elizabeth-loder-how-medical-journals-can-help-stop-disease-mongering\/","title":{"rendered":"Elizabeth Loder: How medical journals can help stop disease mongering"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" alt=\"Elizabeth Loder\" src=\"http:\/\/www.bmj.com\/site\/blog\/icons\/e_loder.jpg\" width=\"160\" height=\"110\" align=\"left\" \/>It would be hard to collect a more fascinating bunch of topics or people in a hotel conference room. <a href=\"http:\/\/sellingsickness.com\/\">The 2013 Selling Sickness conference<\/a> recently held in Washington, DC was among the most thought provoking and just plain interesting conferences I\u2019ve been to in a long while, and I go to a lot of conferences. This third conference in a string of international conferences (Newcastle, Australia, 2006 and Amsterdam, 2010) was characterised by its organizers as part of \u201ca global reform movement\u201d against the \u201cmarketization of health, the corporatization of healthcare, and the hijacking of patient and consumer language to disguise market interests.\u201d Opening speaker Shannon Brownlee identified \u201cthe different heads of the hydra\u201d as \u201cdisease-mongering, conflict of interest, and overdiagnosis.\u201d In her view, the challenge of this meeting was to identify these aspects of selling sickness and \u201cweave them together in a systemic movement that promotes systemic changes.\u201d<!--more--><\/p>\n<p>I participated in a roundtable discussion charged with examining the news and communication perspective on disease-mongering, and was joined on the journal side by <a href=\"http:\/\/\/www.plos.org\/staff\/jocalyn-clark\/\">Jocalyn Clark of PLoS Medicine<\/a>. <a href=\"http:\/\/www.healthnewsreview.org\/about-us\/reviewers\/gary-schwitzer\/\">Moderator Gary Schwitzer of HealthNews Review<\/a> and panelist <a href=\"http:\/\/advanced.jhu.edu\/faculty\/view\/?id=744\">Nancy Shute<\/a> considered the problem from the vantage of medical journalists. When it came time to examine how medical journals might address their role in selling sickness and disease mongering, I suggested two possible strategies.<\/p>\n<p>First, why not quarantine apparently ground breaking studies about new treatments or interventions in a special journal until the findings are replicated and long term consequences explored? Print copies of the journal would arrive in plain brown wrappers which undone would show the journal\u2019s cover logo of a skull and crossbones. During quarantine, any news stories or summaries of research from this journal would travel with a sternly worded disclaimer, along the lines of those that accompany investment company advertisements. Something like the following would do nicely:<\/p>\n<p>\u201c<a href=\"http:\/\/www.plosmedicine.org\/article\/info:doi\/10.1371\/journal.pmed.0020124\">Warning! Taking any action on the basis of this research could result in injury or death. The results described in this study have not been replicated and the long term effects of this treatment are unknown. Past performance is no guarantee of future results. When subjected to further investigation, most published research findings turn out to be false.<\/a>\u201d<\/p>\n<p>To fill the void, medical journals deprived of these sensational research studies could instead devote themselves to the promotion and prioritization of the less glamorous medical research that really matters: replication studies, comparative effectiveness trials, and long term pharmacosurveillance and safety studies.<\/p>\n<p>My second suggestion was that several parts of a typical research paper are too important to be written by the researchers or anyone else with a vested interest in the outcome of the research. These include the portions where \u201cspin\u201d is mostly likely to enter into the paper, namely the title, abstract, results, and conclusion sections, and any summary or \u201c<a href=\"http:\/\/jama.jamanetwork.com\/article.aspx?articleid=185952\">what this study adds<\/a>\u201d statements that authors are now sometimes asked to supply. These portions of research papers should instead be written by disinterested parties with subject matter expertise.<\/p>\n<p>I have no illusion that these things will come to pass but I can dream, can\u2019t I? During the question and answer session fellow panelist Nancy Shute turned to me and said \u201cI\u2019m impressed by your radicalism.\u201d I\u2019ll take that as a compliment!<\/p>\n<p><strong>Elizabeth Loder<\/strong> is US research editor, <em>BMJ <\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>It would be hard to collect a more fascinating bunch of topics or people in a hotel conference room. The 2013 Selling Sickness conference recently held in Washington, DC was [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2013\/03\/06\/elizabeth-loder-how-medical-journals-can-help-stop-disease-mongering\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[116,1357],"tags":[],"class_list":["post-24939","post","type-post","status-publish","format-standard","hentry","category-editors-at-large","category-us-health-care"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Elizabeth Loder: How medical journals can help stop disease mongering - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2013\/03\/06\/elizabeth-loder-how-medical-journals-can-help-stop-disease-mongering\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Elizabeth Loder: How medical journals can help stop disease mongering - The BMJ\" \/>\n<meta property=\"og:description\" content=\"It would be hard to collect a more fascinating bunch of topics or people in a hotel conference room. 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