Dec 23, 2014

TV Medical Show Claims Not Backed by Science

Most people know that they can’t believe everything they see on TV, though many assume that talk shows featuring well-known medical doctors are giving them valid health information.

However a new article in the British Medical Journal examining the medical advice given on TV talk shows finds that many of the claims are unproven or unsubstantiated. The researchers examined 40 randomly-selected episodes for each of the two most popular medical shows, The Dr. Oz Show and The Doctors, to examine and rate their content. From those episodes they randomly selected 80 of the stronger recommendations from each show and researched what evidence was available in the published, peer-reviewed literature to support those recommendations.

The results are sobering for anyone who heeds advice from these shows:
“We could find at least a case study or better evidence to support 54% of the 160 recommendations (80 from each show). For recommendations in The Dr Oz Show, evidence supported 46%, contradicted 15%, and was not found for 39%. For recommendations in The Doctors, evidence supported 63%, contradicted 14%, and was not found for 24%.”

Dr. Oz and the Magic Beans

Perhaps the most famous example of the sort of problems that the study describes emerged in 2012 when celebrity TV doctor Mehmet Oz endorsed green coffee bean extract as a “magic weight-loss cure” on his show. Oz was reprimanded by Sen. Claire McCaskill, D-Mo., on Capitol Hill for promoting dubious and discredited supplements and treatments. Dr. Oz acknowledged of the products he features and promotes on his show: “I recognize that oftentimes they don’t have the scientific muster to present as fact.”

The example of coffee bean extract was raised: “Green coffee bean extract, which Dr. Mehmet Oz promoted on his show as a ‘magic weight-loss cure,’ had one scientific study backing up the extract’s purported effects … When asked specifically about the green coffee bean extract, Oz cited a study that found people who took the supplements did lose weight. However, that study was funded by the product’s manufacturer,” according to LiveScience.com.

Scientific consensus, of course, cannot be built on a single study, no matter how well designed. For doctors to determine that a drug or therapy should be used by patients — it is safe and effective, its benefits can be demonstrated beyond placebo and outweigh its side effects, and so on — dozens of studies should be consulted.

Any single clinical study, or even handful of studies, may be wrong for any number of reasons ranging from poor research design to faulty statistical analysis. The fact that the single study demonstrating the efficacy of green coffee bean extract in weight loss was funded by its manufacturer does not, by itself, discredit its results. Many perfectly valid studies are paid for by companies with a financial interest in the results. But it does mean that any potential conflicts should be noted — which they were not.

Read more at Discovery News

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