テレビをみていて、
「嘘つき!」
という事が、癖になってしまった。
その番組に出ている芸能人の反応をみて、
昔、超能力者のユリゲラーの番組で、
「スプーンが曲がった!」と、
言って、自分でスプーンを曲げていた芸能人を思い出す。
「わびしい」と感じる・・・・
2015年1月6日の記事を再掲載する。
・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・
「テレビの医療番組」をやめさせよう
医療ジャーナリスト:宇野良治
テレビニュースで、科学研究について新しく発表された研究について解説するのはいいだろう。
しかし、バラエティー番組で、医療を取り上げるのはもう、おしまいにしてほしい。
これらの番組は、ある一方の方向へ誘導し、時間内にまとめようとするシナリオが前提である。紹介されるのは、ある学説の一方的な展開であり、そこには議論もディベートもない。
そのため、利益誘導が行われる。
テレビで「この食べ物が痩せる」と言えば、
たちまち、売り切れになる。
もし、テレビディレクターが先物取引していたら、
大儲けである。
全く専門外の医者がテレビのシナリオ通りに発言しているという今日の健康番組は、完全にショーであるが、
それを、あたかも本当のように信じてしまうのが日本人である。
一生、知らなくてもいい病気の知識を与え、
テレビを見るものを恐怖に陥れ、
症状が似ているからと、全国民が病院を受診したら、
医療費が跳ね上がる。
つまり、「テレビ番組が医療費を増加させている」と思うのである。
症状が似ているからと無駄に受診する多くの人の医療費は、
症状が似ているからと受診して病気が見つかる医療費を
はるかに超えているのは間違いない。
ここは、ひとつ、国の規制が必要だろう。
これは、米国でも問題になっている。
・・・・・・・・・・・・・・・
ほとんどのテレビ医療アドバイス、研究ショーには証拠がない
http://www.medscape.com/viewarticle/837467
No Evidence for Most TV Medical
Advice, Study Shows
Diana
Swift
December 26, 2014
Patients should be
skeptical about claims and recommendations made on mainstream television
medical talk shows, according to a Canadian media study published
onlineDecember 17 in the British
Medical Journal.
In many cases, investigators
found that specific details on the magnitude of benefit or harm and the cost
and inconvenience of following recommendations were lacking, and evidence
supporting them was contradictory or absent. Viewers had little basis for
informed decision making.
The prospective observational
study, led by Christina Korownyk, MD, associate professor, family medicine,
University of Alberta, Edmonton, Canada, randomly recorded 40 episodes each of
the widely watched programs The
Dr. Oz Show andThe Doctors from early January 2013 to early May
2013 and assessed all recommendations made on both shows.
These influential
internationally syndicated shows, which in 2012 to 2013 each attracted 2 to 3
million daily viewers, typically featured a host or hosts and guests discussing
one to five health topics per episode and making an average of 11 or 12
recommendations to consumers, some of which were stronger than others. On both
shows, the visitors made a substantial proportion of health recommendations:
65% on Dr. Oz and 33% on The Doctors.
To critically assess the
content of these shows, experienced evidence reviewers independently searched
and then, as a team, evaluated the evidence for 80 pieces of advice, randomly
selected from what they considered stronger recommendations.
The most frequent topic on both
programs was general medical/public health advice ("Get vaccinated";
"Sneeze or cough into your sleeve to prevent the spread of germs"),
followed by non-weight-loss dietary advice; for example, on immune-boosting
diets. The combination of dietary and weight-loss advice represented 43.2% of
the topics discussed on Dr. Oz and 16.8% of those on The Doctors.
On Dr. Oz, the recommendations
were most often dietary (39.2%; eg, "Carb-load your plate at
breakfast"), although the researchers reported no direct links to specific
dietary products. On The
Doctors, the most common advice involved consulting a healthcare provider
(17.8%): "Go to your primary care doctor or talk to their nurse before
going to the [emergency department] to help relieve the load in the [emergency
department]." Potential conflicts of interest of hosts and guests were
acknowledged only four times out of 924 recommendations.
On both shows, exercise took a
definite back seat to diet, with dietary advice accounting for 39% of
recommendations vs 5% for exercise on Dr.
Oz and 10% versus 5% on The Doctors.
On either program, a specific
benefit was mentioned for only about 40% of recommendations. Even less commonly
mentioned were the magnitude of benefit (<20%), potential harms (<10%),
costs (<15%), and potential conflicts of interest (<1%). "We did
come across a couple that had evidence of harm associated with them, and we are
compiling this data now," Dr Korownyk told Medscape Medical News.
Overall, the Alberta
investigators found that 87 of the 160 recommendations assessed (54%; 95%
confidence interval, 47% - 62%) had some level of published evidence to support
them. Believable or somewhat believable evidence supported 33% of
recommendations from The Dr.
Oz Show, and 53% onThe Doctors.
Conversely, believable or
somewhat believable evidence was found against 11% (Oz) and 13% (Doctors)
of the recommendations. For slightly more than 1 in 3 (Oz) and 1 in 4 (Doctors)
recommendations, no evidence was found. "Approximately half of the
recommendations have either no evidence or are contradicted by the best
available evidence," the authors write.
Among the limitations of the
study, the authors acknowledge the shows' complexity, the subjective nature of
much of the advice, and the difficulty of distinguishing between what was said
and what was implied. They raised the question of whether medical talk shows
should provide more than entertainment. "If the shows are perceived as
providing medical information or advice, viewers need to realize that their
recommendations may not be supported by higher evidence or presented with
enough balanced information to adequately inform decision making."
The study was partly supported
by a research scholarship through the University of Alberta. The authors have
disclosed no relevant financial relationships.
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