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Press Release:
'Spin' in media reports of scientific articles
Press releases and news stories reporting the results of randomized controlled trials often contain "spin"—specific reporting strategies (intentional or unintentional) emphasizing the beneficial effect of the experimental treatment—but such "spin" frequently comes from the abstract (summary) of the actual study published in a scientific journal, rather than being related to misinterpretation by the media, according to French researchers writing in this week's PLOS Medicine.
"Spinning" the reporting of clinical trials could give physicians and patients unrealistic expectations about new treatments. It is important to know the source of "spin" and so French researchers, led by Isabelle Boutron from the Université Paris Descartes, looked for the presence of "spin" in a sample of 70 press releases, and 41 associated news stories, of randomized controlled trials and investigated the source of the "spin".
The authors found that 33 (47%) of press releases contained "spin" and also identified "spin" in the conclusions of 28 (40%) study abstracts published in scientific journals. Furthermore, 21 (51%) of the associated news stories were reported with "spin", mainly the same type of '"spin"' as those identified in the press release and article abstract conclusions. Importantly, "spin" could lead readers to overestimate the benefits of the treatment.
The authors conclude: "Our results highlight a tendency for press releases and the associated media coverage of randomized controlled trials to place emphasis on the beneficial effects of experimental treatments. This tendency is probably related to the presence of "spin" in conclusions of the scientific article's abstract. "
They continue: "Our work highlights that this inappropriate reporting could bias readers' interpretation of research results."
The authors add: "Consequently, reviewers and editors of published articles have an important role to play in the dissemination of research findings and should be particularly aware of the need to ensure that the conclusions reported are an appropriate reflection of the trial findings and do not overinterpret or misinterpret the results."
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Misrepresentation of Randomized Controlled Trials in Press Releases and News Coverage: A Cohort Study.
Yavchitz A, Boutron I, Bafeta A, Marroun I, Charles P, et al.
PLoS Med 9(9) 2012
Background
Previous studies indicate that in published reports, trial results can be distorted by the use of “spin” (specific reporting strategies, intentional or unintentional, emphasizing the beneficial effect of the experimental treatment). We aimed to (1) evaluate the presence of “spin” in press releases and associated media coverage; and (2) evaluate whether findings of randomized controlled trials (RCTs) based on press releases and media coverage are misinterpreted.
Methods and Findings
We systematically searched for all press releases indexed in the EurekAlert! database between December 2009 and March 2010. Of the 498 press releases retrieved and screened, we included press releases for all two-arm, parallel-group RCTs (n = 70). We obtained a copy of the scientific article to which the press release related and we systematically searched for related news items using Lexis Nexis.
“Spin,” defined as specific reporting strategies (intentional or unintentional) emphasizing the beneficial effect of the experimental treatment, was identified in 28 (40%) scientific article abstract conclusions and in 33 (47%) press releases. From bivariate and multivariable analysis assessing the journal type, funding source, sample size, type of treatment (drug or other), results of the primary outcomes (all nonstatistically significant versus other), author of the press release, and the presence of “spin” in the abstract conclusion, the only factor associated, with “spin” in the press release was “spin” in the article abstract conclusions (relative risk [RR] 5.6, [95% CI 2.8–11.1], p<0.001). Findings of RCTs based on press releases were overestimated for 19 (27%) reports. News items were identified for 41 RCTs; 21 (51%) were reported with “spin,” mainly the same type of “spin” as those identified in the press release and article abstract conclusion. Findings of RCTs based on the news item was overestimated for ten (24%) reports.
Conclusion
“Spin” was identified in about half of press releases and media coverage. In multivariable analysis, the main factor associated with “spin” in press releases was the presence of “spin” in the article abstract conclusion.
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