Media reports may paint overly optimistic view of cancer, a new American study has found.
According to the report appearing in the March 22 issue of Archives of Internal Medicine, one of the JAMA/Archives journals, newspaper and magazine reports about cancer seem to discuss aggressive treatment and survival more than death, treatment failure or adverse events. Almost none of the media coverage mentions end-of-life palliative or hospice care.
It is estimated that one in two men and one in three women will be diagnosed with cancer in their lifetime, according to background information in the report. Of these, nearly half will die of cancer or related complications.
The authors say: "These figures have given cancer a prominent place in news reporting."
Jessica Fishman and colleagues at the University of Pennsylvania, Philadelphia, carried out a content analysis of cancer news reporting between 2005 and 2007 in eight large U.S. newspapers and five national magazines. Of 2,228 cancer-related articles that appeared, a random sample of 436 was selected (312 from newspapers and 124 from magazines). Trained coders determined the proportion of articles devoted to various cancer-related topics.
The articles were most likely to focus on breast cancer (35.1 percent) or prostate cancer (14.9 percent), and 87 (20 percent) discussed cancer in general. A total of 140 (32.1 percent) focused on individuals surviving or being cured of cancer, whereas 33 (7.6 percent) focused on one or more patients who were dying or had died of cancer. Ten articles (2.3 percent) focused on both survival and death.
The authors write: "It is surprising that few articles discuss death and dying considering that half of all patients diagnosed as having cancer will not survive.
"The findings are also surprising given that scientists, media critics and the lay public repeatedly criticize the news for focusing on death."
Moreover, 57 articles (13.1 percent) reported that aggressive cancer treatments can fail to extend life or cure the disease, or that some cancers are incurable. Less than one-third of the articles (131 or 30 percent) mentioned adverse events linked to cancer treatments, such as nausea, pain or hair loss.
Most articles (249, or 57.1 percent) discussed aggressive treatments exclusively, but almost none (two, or 0.5 percent) discussed end-of-life care only and only 11 (2.5 percent) discussed both.
According to the authors: "For many patients with cancer, it is important to know about palliative and hospice care because this information can help them make decisions that realistically reflect their prognosis and the risks and potential benefits of treatment."
After adjusting for article length, there were no differences between magazine and newspaper articles in regards to any of these factors, the authors say.
The authors conclude: "How often should the news media discuss treatment failure, adverse events, end-of-life care and death and dying? Although there is no quantifiable answer, the same educational goals that ideally drive news coverage of cancer treatment and survival should also compel news organizations to address these topics.
"The media routinely report about aggressive treatment and survival presumably because cancer news coverage is relevant to a large portion of the population, and, for the same reason, imilar attention should be devoted to the alternatives." (ANI)
