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Healthy Skepticism Library item: 14568

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Mitka M.
Direct-to-Consumer Advertising of Medical Devices Under Scrutiny
JAMA 2008 Nov 5; 300:(17):1985-1986.
http://jama.ama-assn.org/cgi/content/extract/300/17/1985?etoc


Abstract:

The increasing use of direct-to-consumer advertising of medical devices is making some physicians and legislators uneasy.

They question whether the public can truly comprehend, based on 60-second television commercials, ad pages in newspapers and popular magazines, or Internet pages, the benefits and risks of such device-based medical interventions as a total hip replacement or the use of stents in a percutaneous coronary intervention. They also are raising questions about how the US Food and Drug Administration (FDA) will handle its regulatory role over device advertising.

These concerns were highlighted in a Senate Special Committee on Aging hearing on September 17 called by committee chairman Sen Herb Kohl (D, Wis). Kohl has convened a series of oversight hearings exploring medical device and pharmaceutical marketing. “As with direct-to-consumer drug ads, the FDA has raised concerns about advertising restricted [not over-the-counter] medical devices; specifically, about whether appropriate risk and safety information . . .

 

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Cases of wilful misrepresentation are a rarity in medical advertising. For every advertisement in which nonexistent doctors are called on to testify or deliberately irrelevant references are bunched up in [fine print], you will find a hundred or more whose greatest offenses are unquestioning enthusiasm and the skill to communicate it.

The best defence the physician can muster against this kind of advertising is a healthy skepticism and a willingness, not always apparent in the past, to do his homework. He must cultivate a flair for spotting the logical loophole, the invalid clinical trial, the unreliable or meaningless testimonial, the unneeded improvement and the unlikely claim. Above all, he must develop greater resistance to the lure of the fashionable and the new.
- Pierre R. Garai (advertising executive) 1963