Direct-to-consumer internet promotion of robotic prostatectomy exhibits varying quality of information Journal Article


Authors: Mirkin, J. N.; Lowrance, W. T.; Feifer, A. H.; Mulhall, J. P.; Eastham, J. S.; Elkin, E. B.
Article Title: Direct-to-consumer internet promotion of robotic prostatectomy exhibits varying quality of information
Abstract: Robotic surgery to remove a cancerous prostate has become a popular treatment. Internet marketing of this surgery provides an intriguing case study of direct-to-consumer promotions of medical devices, which are more loosely regulated than pharmaceutical promotions. We investigated whether the claims made in online promotions of robotic prostatectomy were consistent with evidence from comparative effectiveness studies. After performing a search and crosssectional analysis of websites that mentioned the procedure, we found that many sites claimed benefits that were unsupported by evidence and that 42 percent of the sites failed to mention risks. Most sites were published by hospitals and physicians, which the public may regard as more objective than pages published by manufacturers. Unbalanced information may inappropriately raise patients' expectations. Increasing enforcement and regulation of online promotions may be beyond the capabilities of federal authorities. Thus, the most feasible solution may be for the government and medical societies to promote the production of balanced educational material. © 2012 Project HOPE-The People-to-People Health Foundation, Inc.
Keywords: united states; internet; government; prostatectomy; surgical risk; medical society; health promotion; cross-sectional study; clinical effectiveness; consumer; robotics; anesthetic recovery; consumer health information; robotic prostatectomy; advertising as topic; information storage and retrieval
Journal Title: Health Affairs
Volume: 31
Issue: 4
ISSN: 0278-2715
Publisher: Project HOPE  
Date Published: 2012-04-01
Start Page: 760
End Page: 769
Language: English
DOI: 10.1377/hlthaff.2011.0329
PROVIDER: scopus
PUBMED: 22492893
PMCID: PMC3897330
DOI/URL:
Notes: --- - "Export Date: 2 July 2012" - "CODEN: HEAFD" - "Source: Scopus"
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MSK Authors
  1. Elena B Elkin
    163 Elkin
  2. John P Mulhall
    601 Mulhall
  3. Andrew Feifer
    18 Feifer
  4. James Eastham
    537 Eastham
  5. Joshua Mirkin
    7 Mirkin