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Interpretation
– the hardest
thing to do




                Satu Lipponen   11.6.2012
Why I chose this topic?
 News agenda
 Web 24/
 No specialties
 Fast reactions
 Several channels
 At the very core of professionalism
 Every journalist should know their basic science




                           Satu Lipponen            11.6.2012
Structure

 1) Example of a research and its interpretation
  – CT scan

 2) Other examples of the difficulty of interpretation of statistics
  – Brain tumours, prostate cancer, breast cancer


 3) Journalistic habits sometimes blur interpretation
  – Wrong narratives
  – Faulty reasoning and exaggeration




                                   Satu Lipponen               11.6.2012
Some frames for this presentation
 I am responsible for communications at the Cancer Society of
 Finland, one of the biggest public health organisations in Finland
 We provide information to patients, public, journalists, experts,
 decision-makers, those to be screened, health promotion
 messages to specific groups
 Syöpä-Cancer Magazine 6 times a year in 2 languages,
 circulation about 140 000 copies – managing editor
 Focus Tutkimus – editor-in-chief
 Cancer.fi with around 80 000 individual visitors per month
 Science journalism: Cancer Foundation and the Finnish Cancer
 Registry




                                 Satu Lipponen              11.6.2012
Science journalism is now topical

 President of the Finnish Association of Science Journalists and
 Editors (1st term, elected annually)
 President of the 8th World Conference of Science Journalists,
 Helsinki 24-26 June, 2013




                                 Satu Lipponen            11.6.2012
Case 1: CT scans and risk of cancer

 Radiation exposure from CT scans in childhood could triple the
 risk of leukaemia and brain cancer
 Although CT scans are very useful clinically, potential cancer
 risks exist from associated ionising radiation, in particular for
 children who are more radiosensitive than adults. Researchers
 aimed to assess the excess risk of leukaemia and brain tumours
 after CT scans in a cohort of children and young adults.
 Published online in Lancet Oncology 7 June




                                 Satu Lipponen             11.6.2012
Satu Lipponen   11.6.2012
Researchers conclude:

 Use of CT scans in children to deliver cumulative doses of about
 50 mGy might almost triple the risk of leukaemia and doses of
 about 60 mGy might triple the risk of brain cancer. Because
 these cancers are relatively rare, the cumulative absolute
 risks are small: in the 10 years after the first scan for
 patients younger than 10 years, one excess case of
 leukaemia and one excess case of brain tumour per 10 000
 head CT scans is estimated to occur. Nevertheless, although
 clinical benefits should outweigh the small absolute risks,
 radiation doses from CT scans ought to be kept as low as
 possible and alternative procedures, which do not involve
 ionising radiation, should be considered if appropriate.




                                 Satu Lipponen            11.6.2012
Is this news?




                Satu Lipponen   11.6.2012
Is this news – science journalism?

 Yes, it is a new finding
 Confirms earlier findings
 Clinical treatments in childhood should be considered carefully
 Long term effects of treatments are important
 How can people assess the meaning of this in their own life?
 Likely to influence on medical practices/ pros and cons of CT
 Does it make parents suspicious for necessary scans?
 Is there extra worry/ the scale is small?
 In Finland this did not make big news
 Why?




                                 Satu Lipponen             11.6.2012
There is a lot medical research available

 Prominent science and medical publishers have efficient press
 services – a lot of information
 Medical science is especially dominated by publications – but
 news agenda is mainly about politics, sports, finances and
 entertainment – rarely science
 Pharmaceutical industry - professionals in communication
 Even if you are excited, your boss is not
 How meaningful this news is to the public?
 ”Significant that 50 mGy might almost triple the risk of leukaemia
 and doses of about 60 mGy might triple the risk of brain cancer”,
 risks are higher than expected




                                  Satu Lipponen             11.6.2012
Why are there more cancer cases?
 More brain tumours
 More breast cancers after 1987 in Finland
 More prostate cancer?
 Why some cancers are declining?




                           Satu Lipponen     11.6.2012
Satu Lipponen   11.6.2012
Better machines, aging populations

 This propably explains why there are more tumours
 People live longer
 But what about other reasons?
 Politics of medicine
 Who is setting the agenda of media
 There is also lobbying – commercial interests combine with
 advocacy groups
 Cancer screenings are good example




                                Satu Lipponen            11.6.2012
PSA tests and prostate cancer




                    Satu Lipponen   11.6.2012
Screening and breast cancer




                    Satu Lipponen   11.6.2012
Journalistic traps

  Wrong narratives
  In the UK BBC reported 9 June about a woman who was
  terminally ill and treated herself with vitamin C therapy,
  reflexology, aromatherapy and acupuncture, alongside further
  chemotherapy
  Now several well known people are supporting her on the battle
  that doctors are wrong




                                 Satu Lipponen            11.6.2012
Satu Lipponen   11.6.2012
Satu Lipponen   11.6.2012
Satu Lipponen   11.6.2012
Satu Lipponen   11.6.2012
More about this theme/contacts

   Satu Lipponen, toim. Syöpä,
   media & julkisuus (Helsinki
   2010)
   Tupakkayhtiöt –elokuvien
   kummit (Helsinki 2008)

www.cancer.fi
>järjestö>julkaisut>raportit

satu.lipponen@cancer.fi
@Lipponen5

Thank you!


                                 Satu Lipponen   11.6.2012

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Interpretation of Medical Research: An Essential Journalism Skill

  • 1. Interpretation – the hardest thing to do Satu Lipponen 11.6.2012
  • 2. Why I chose this topic? News agenda Web 24/ No specialties Fast reactions Several channels At the very core of professionalism Every journalist should know their basic science Satu Lipponen 11.6.2012
  • 3. Structure 1) Example of a research and its interpretation – CT scan 2) Other examples of the difficulty of interpretation of statistics – Brain tumours, prostate cancer, breast cancer 3) Journalistic habits sometimes blur interpretation – Wrong narratives – Faulty reasoning and exaggeration Satu Lipponen 11.6.2012
  • 4. Some frames for this presentation I am responsible for communications at the Cancer Society of Finland, one of the biggest public health organisations in Finland We provide information to patients, public, journalists, experts, decision-makers, those to be screened, health promotion messages to specific groups Syöpä-Cancer Magazine 6 times a year in 2 languages, circulation about 140 000 copies – managing editor Focus Tutkimus – editor-in-chief Cancer.fi with around 80 000 individual visitors per month Science journalism: Cancer Foundation and the Finnish Cancer Registry Satu Lipponen 11.6.2012
  • 5. Science journalism is now topical President of the Finnish Association of Science Journalists and Editors (1st term, elected annually) President of the 8th World Conference of Science Journalists, Helsinki 24-26 June, 2013 Satu Lipponen 11.6.2012
  • 6. Case 1: CT scans and risk of cancer Radiation exposure from CT scans in childhood could triple the risk of leukaemia and brain cancer Although CT scans are very useful clinically, potential cancer risks exist from associated ionising radiation, in particular for children who are more radiosensitive than adults. Researchers aimed to assess the excess risk of leukaemia and brain tumours after CT scans in a cohort of children and young adults. Published online in Lancet Oncology 7 June Satu Lipponen 11.6.2012
  • 7. Satu Lipponen 11.6.2012
  • 8. Researchers conclude: Use of CT scans in children to deliver cumulative doses of about 50 mGy might almost triple the risk of leukaemia and doses of about 60 mGy might triple the risk of brain cancer. Because these cancers are relatively rare, the cumulative absolute risks are small: in the 10 years after the first scan for patients younger than 10 years, one excess case of leukaemia and one excess case of brain tumour per 10 000 head CT scans is estimated to occur. Nevertheless, although clinical benefits should outweigh the small absolute risks, radiation doses from CT scans ought to be kept as low as possible and alternative procedures, which do not involve ionising radiation, should be considered if appropriate. Satu Lipponen 11.6.2012
  • 9. Is this news? Satu Lipponen 11.6.2012
  • 10. Is this news – science journalism? Yes, it is a new finding Confirms earlier findings Clinical treatments in childhood should be considered carefully Long term effects of treatments are important How can people assess the meaning of this in their own life? Likely to influence on medical practices/ pros and cons of CT Does it make parents suspicious for necessary scans? Is there extra worry/ the scale is small? In Finland this did not make big news Why? Satu Lipponen 11.6.2012
  • 11. There is a lot medical research available Prominent science and medical publishers have efficient press services – a lot of information Medical science is especially dominated by publications – but news agenda is mainly about politics, sports, finances and entertainment – rarely science Pharmaceutical industry - professionals in communication Even if you are excited, your boss is not How meaningful this news is to the public? ”Significant that 50 mGy might almost triple the risk of leukaemia and doses of about 60 mGy might triple the risk of brain cancer”, risks are higher than expected Satu Lipponen 11.6.2012
  • 12. Why are there more cancer cases? More brain tumours More breast cancers after 1987 in Finland More prostate cancer? Why some cancers are declining? Satu Lipponen 11.6.2012
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  • 14. Better machines, aging populations This propably explains why there are more tumours People live longer But what about other reasons? Politics of medicine Who is setting the agenda of media There is also lobbying – commercial interests combine with advocacy groups Cancer screenings are good example Satu Lipponen 11.6.2012
  • 15. PSA tests and prostate cancer Satu Lipponen 11.6.2012
  • 16. Screening and breast cancer Satu Lipponen 11.6.2012
  • 17. Journalistic traps Wrong narratives In the UK BBC reported 9 June about a woman who was terminally ill and treated herself with vitamin C therapy, reflexology, aromatherapy and acupuncture, alongside further chemotherapy Now several well known people are supporting her on the battle that doctors are wrong Satu Lipponen 11.6.2012
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  • 22. More about this theme/contacts Satu Lipponen, toim. Syöpä, media & julkisuus (Helsinki 2010) Tupakkayhtiöt –elokuvien kummit (Helsinki 2008) www.cancer.fi >järjestö>julkaisut>raportit satu.lipponen@cancer.fi @Lipponen5 Thank you! Satu Lipponen 11.6.2012