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Medical Forum / General / Cardiology / April 2005

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Doctors Influenced By Mention Of Drug Ads

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William Wagner - 27 Apr 2005 11:26 GMT
I guess they do not do all those TV adds for nothing.

Edit for Brevity and more is at

http://www.washingtonpost.com/wp-dyn/content/article/2005/04/26/AR2005042
601624.html

Will need to sign in.
........................................................................

Doctors Influenced By Mention Of Drug Ads
Offbeat Study Finds Familiar Brand Name Can Evoke Diagnosis

By Shankar Vedantam and Marc Kaufman
Washington Post Staff Writers
Wednesday, April 27, 2005; Page A01

Actors pretending to be patients with symptoms of stress and fatigue
were five times as likely to walk out of doctors' offices with a
prescription when they mentioned seeing an ad for the heavily promoted
antidepressant Paxil, according an unusual study being published today.

The study employed an elaborate ruse -- sending actors with fake
symptoms into 152 doctors' offices to see whether they would get
prescriptions. Most who did not report symptoms of depression were not
given medications, but when they asked for Paxil, 55 percent were given
prescriptions, and 50 percent received diagnoses of depression.
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The study adds fuel to the growing controversy over the estimated $4
billion a year the drug industry spends on such advertising. Many public
health advocates have long complained about ads showing happy people
whose lives were changed by a drug, and now voices in Congress, the Food
and Drug Administration and even the pharmaceutical industry are asking
whether things have gone too far.

Nearly every industrialized country bans such advertising, and
physicians said the new study raises new questions.

"It is a haphazard approach to health promotion that is driven primarily
by the pharmaceutical industry's interest in turning a profit," said
Matthew F. Hollon, an internist at the University of Washington in
Seattle, who wrote an editorial accompanying the study in today's
Journal of the American Medical Association. "The most overlooked
problem in the health care system today is the extent to which it is
permeated by avarice."

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Andrew B. Chung, MD/PhD - 27 Apr 2005 11:44 GMT
> I guess they do not do all those TV adds for nothing.
>
[quoted text clipped - 47 lines]
> problem in the health care system today is the extent to which it is
> permeated by avarice."

This is timely.  

Thanks, Bill :-)

The Lord's ways are truly inscrutable.

At His service,

Andrew

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
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menu boy - 27 Apr 2005 23:18 GMT
> I guess they do not do all those TV adds for nothing.

Our company did studies that showed the exact opposite.
This means nothing.
William Wagner - 27 Apr 2005 23:26 GMT
> > I guess they do not do all those TV adds for nothing.
>
> Our company did studies that showed the exact opposite.
> This means nothing.

I¹ll guess I take your advice and Ignore the man behind the screen.

Bill

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Vision problems? http://www.ocutech.com/ we own two.
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menu boy - 28 Apr 2005 15:46 GMT
> > > I guess they do not do all those TV adds for nothing.
> >
> > Our company did studies that showed the exact opposite.
> > This means nothing.
>
> I¹ll guess I take your advice and Ignore the man behind the screen.

I didn't offer any advice.
Jim Chinnis - 27 Apr 2005 23:46 GMT
"menu boy" <ilmobixSPAMIT@hotmail.com> wrote in part:

>> I guess they do not do all those TV adds for nothing.
>
>Our company did studies that showed the exact opposite.
>This means nothing.

I did wonder if they stacked the deck to show that DTC advertising
influences what patients get. They chose depression and Paxil.
There's evidence that antidepressants don't differ much and that
they don't differ much from placebo. If a distraught patient came
in to me wanting Paxil, I might well give it to him. Might
satisify him and help him feel better. Probably couldn't hurt.
Would I argue with him that he wasn't really *clinically*
depressed or that some competing drug might be better? I doubt it.
--
Jim Chinnis   Warrenton, Virginia, USA
Bill - 28 Apr 2005 00:05 GMT
> "menu boy" <ilmobixSPAMIT@hotmail.com> wrote in part:
>
[quoted text clipped - 13 lines]
> --
> Jim Chinnis   Warrenton, Virginia, USA

That's an interesting point. One might also speculate that the original ad
caused the individual to believe that he was depressed (in some instances) and
thus in need of a pill with the placebo effect.

Bill
Owen Lowe - 28 Apr 2005 05:08 GMT
> Our company did studies that showed the exact opposite.
> This means nothing.

I apologize... don't believe I caught the name of your company.

So your study showed that when a "patient" mentioned one of your
company's drugs to the doctor then the doctor acted oppositely and: a)
prescribed your competitor's med? or 2) refuted the "patient's" notion
that that course of treatment was warranted?

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"As democracy is perfected, the office of president represents,
more and more closely, the inner soul of the people. On some
great and glorious day the plain folks of the land will reach
their heart's desire at last and the White House will be adorned
by a downright moron."
H.L. Mencken (1880 - 1956)

Jeff - 28 Apr 2005 13:43 GMT
>> I guess they do not do all those TV adds for nothing.
>
> Our company did studies that showed the exact opposite.
> This means nothing.

You mean, when patients go in and mention the name of a drug, the docs
prescribe less of the drug?

What company is that?

Jeff
outrider - 28 Apr 2005 17:48 GMT
> > I guess they do not do all those TV adds for nothing.
>
> Our company did studies that showed the exact opposite.
> This means nothing.

Will you give us a link to this study? It must have been published.

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Zee
Juhana Harju - 28 Apr 2005 07:51 GMT
:: I guess they do not do all those TV adds for nothing.
::
[quoted text clipped - 49 lines]
:: overlooked problem in the health care system today is the extent to
:: which it is permeated by avarice."

This is the original study:

http://jama.ama-assn.org/cgi/content/short/293/16/1995

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Juhana

menu boy - 28 Apr 2005 15:52 GMT
> :: I guess they do not do all those TV adds for nothing.
> ::
[quoted text clipped - 53 lines]
>
> http://jama.ama-assn.org/cgi/content/short/293/16/1995

LMAO, a sample of 298?  Out of how many patients and doctors on the
planet?
 
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