Direct-To-Consumer Prescription Drug Advertising: Trends, Impact, And Implications

Wilkes, Michael S; Bell, Robert A.; Kravitz, Richard L.

doi:10.1377/hlthaff.19.2.110

Cited by 332 publications

(272 citation statements)

References 19 publications

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“…This has raised concerns that the DSHEA guidelines may not be followed and moreover may confuse consumers. 18 Although health care professionals know how to access clinical trial results and have access to reliable information about herbal products, this information may not reach the consumer because most patients do not discuss their herbal medication use with their health care professionals. 1 In addition, approximately half of consumers believe that their physicians are prejudiced against supplement use.…”

mentioning

confidence: 99%

Use of Herbs Among Adults Based on Evidence-Based Indications: Findings From the National Health Interview Survey

Bardia

Nisly

Zimmerman

et al. 2007

Mayo Clinic Proceedings

115

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OBJECTIVE-To examine the extent to which US adults use herbs (herbal supplements) in accordance with evidence-based indications. PARTICIPANTS AND METHODS-The Alternative Health supplement of the 2002 NationalHealth Interview Survey (NHIS) is part of an annual, nationally representative survey of US adults. It contains data on adults' use of the 10 herbs most commonly taken to treat a specific health condition in the past year (January 1 to December 31, 2002). The Natural Standard database was used to formulate evidence-based standards for herb use. These standards were applied to the NHIS data to identify groups of people who used herbs appropriately and inappropriately, using a multivariable logistic regression model. RESULTS-Of the 30,617 adults surveyed, 5787 (18.9%) consumed herbs in the past 12 months; of those, 3315 (57.3%) used herbs to treat a specific health condition. Among people who used only 1 herb (except echinacea and ginseng), approximately one third used it consonant with evidencebased indications. Women and people with a college education were more likely to use herbs (with the exception of echinacea) concordant with scientific evidence. Adults younger than 60 years and black adults were significantly less likely to use herbs (with the exception of echinacea) based on evidentiary referents than their counterparts. However, for echinacea users, no significant differences were detected.CONCLUSION-Roughly two thirds of adults using commonly consumed herbs (except echinacea) did not do so in accordance with evidence-based indications. Health care professionals should take a proactive role, and public health policies should disseminate evidence-based information regarding consumption of herbal products.Since the early 1990s, the use of complementary and alternative medicine, including dietary supplements, has increased substantially. A benchmark national survey revealed that in the United States use of any complementary and alternative medicine modality increased from 33.8% in 1990 to 42.7% in 1997, 1 and a 2002 study found that 62% of those surveyed used some form of complementary and alternative medicine in the past 12 months. 2 Specifically, dietary supplement use has increased substantially, with herbal supplement use increasing more than use of other complementary and alternative medicine modalities. 1,3,4 Sales of dietary supplements increased from $8.8 billion in 1994 to an estimated $15.7 billion in 2000 and $18.8 billion in 2003; this is an increase of more than 100% in the past 10 years. 5-7One important reason why dietary supplement use has increased is that these agents have become more widely available, in part because of the minimal regulatory requirements for Therefore, it is important to understand whether herbal supplements (herbs) are being used on the basis of available scientific data. However, research examining the basis on which consumers use these products is scant. Whether consumers are using herbs based on scientific evidence, folklore, or tradition is unclear. The ...

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mentioning

confidence: 99%

Use of Herbs Among Adults Based on Evidence-Based Indications: Findings From the National Health Interview Survey

Bardia

Nisly

Zimmerman

et al. 2007

Mayo Clinic Proceedings

115

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“…First, it makes consumers believe they suffer from a condition that can and should be treated by using a drug, a condition that otherwise would have gone unnoticed and for which treatment would not have been required or for which other forms of treatment are just as effective, if not more so (e.g., psychotherapy for depression). Second, for a given condition or disease patients often request a particular brand-name drug although a much cheaper and sometimes more effective and safer generic version is available (Wilkes et al 2000).…”

Section: Advertising and Marketingmentioning

confidence: 99%

In favour of a Millian proposal to reform biomedical research

Reiss

2010

Synthese

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One way to make philosophy of science more socially relevant is to attend to specific scientific practises that affect society to a great extent. One such practise is biomedical research. This paper looks at contemporary U.S. biomedical research in particular and argues that it suffers from important epistemic, moral and socioeconomic failings. It then discusses and criticises existing approaches to improve on the status quo, most prominently by Thomas Pogge (a political philosopher), Joseph Stiglitz (a Nobel-prize winning economist) and James Robert Brown (a philosopher of science). Finally, it sketches an alternative proposal and argues for its superiority. The proposal has four components: changing the intellectual property regime; instituting independent clinical research; aligning innovators' and patients' interests; and enacting additional regulation.

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“…2 To reinforce the magnitude of the problem in the United States, current per-capita drug spending is more than $300 per year, an all-time high. 5 Interestingly, the European counterpart of the Food and Drug Administration (FDA), the European Agency for the Evaluation of Medicinal Products, has worked to minimize similar mistakes in prescribing the wrong drug by insisting that new drug names coming to market differ from existing names by at least three letters. 6 Various organizations in the United States work to prevent confusing new names of medications from coming to market.…”

Section: Patient Safety Officementioning

confidence: 99%

Sound‐alike and Look‐alike Drugs An Overdue Opportunity to Reduce Medical Errors

Propp¹

2000

Academic Emergency Medicine

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Direct-To-Consumer Prescription Drug Advertising: Trends, Impact, And Implications

Cited by 332 publications

References 19 publications

Use of Herbs Among Adults Based on Evidence-Based Indications: Findings From the National Health Interview Survey

Use of Herbs Among Adults Based on Evidence-Based Indications: Findings From the National Health Interview Survey

In favour of a Millian proposal to reform biomedical research

Sound‐alike and Look‐alike Drugs An Overdue Opportunity to Reduce Medical Errors

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