Evidence map›Paper›PMID 34078634›Full record

ArticleBMJ open2021

Journalists' views on media coverage of medical tests and overdiagnosis: a qualitative study.

Mary O'Keeffe, Brooke Nickel, Thomas Dakin, Chris G Maher, Loai Albarqouni, Kirsten McCaffery, Alexandra Barratt, Ray Moynihan

Abstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Post-COVID-19 changes in care-seeking behaviors among Chinese cancer survivors: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
  5. How Do Australians Manage Diagnostic Testing Risks? Focus Groups Linked to a Model of Behaviour Change.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  6. The media, healthcare messaging, and the doctor-patient relationship.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  7. Article
  8. Review
  9. Article
  10. Cancer overdiagnosis: a challenge in the era of screening.Journal of the National Cancer Center · 2022
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mary O'KeeffeInstitute for Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia mary.okeeffe@sydney.edu.au.ORCID 0000-0001-7104-9248
Brooke NickelSydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-8100-4278
Thomas DakinSydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0003-4452-1863
Chris G MaherInstitute for Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-1628-7857
Loai AlbarqouniInstitute for Evidence-Based Healthcare, Bond University, Gold Coast, Queensland, Australia.ORCID 0000-0002-4114-9106
Kirsten McCafferySydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0003-2696-5006
Alexandra BarrattSydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-2561-3319
Ray MoynihanInstitute for Evidence-Based Healthcare, Bond University, Gold Coast, Queensland, Australia.ORCID 0000-0001-9283-742X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePromotional media coverage of early detection tests is an important driver of overdiagnosis. Following research evidence that global media coverage presents the benefits of testing healthy people far more frequently than harms, and gives little coverage to overdiagnosis, we sought to examine journalists' views on media reporting of tests, overdiagnosis, and strategies to improve critical reporting on tests.

designQualitative study using semistructured telephone interviews. Interviews were conducted between February and March 2020 and were audiorecorded and transcribed verbatim. Framework thematic analysis was used to analyse the data. PARTICIPANTS AND

settingTwenty-two journalists (mainly specialising in health reporting, average 14.5 years' experience) based in Australia.

resultsThis sample of journalists acknowledged the potential harms of medical tests but felt that knowledge of harms was low among journalists and the public at large. Most were aware of the term overdiagnosis, but commonly felt that it is challenging to both understand and communicate in light of strong beliefs in the benefits of early detection. Journalists felt that newsworthiness in the form of major public health impact was the key ingredient for stories about medical tests. The journalists acknowledged that factors, like the press release and 'click bait culture' in particular, can influence the framing of coverage about tests. Lack of knowledge and training, as well as time pressures, were perceived to be the main barriers to critical reporting on tests. Journalists felt that training and better access to information about potential harms would enable more critical reporting.

conclusionsEffectively communicating overdiagnosis is a challenge in light of common beliefs about the benefits of testing and the culture of current journalism practices. Providing journalists with training, support and better access to information about potential harms of tests could aid critical reporting of tests.

Indexed as

Mass MediaPublic HealthAustraliaHumansMedical OveruseQualitative Researchmedical journalismpreventive medicinepublic healthqualitative research

Identifiers

PMID34078634
PMCPMC8173287

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.