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  1. Article ; Online: Overcoming overuse: the way forward is not standing still-an essay by Steven Woloshin and Lisa M Schwartz.

    Woloshin, Steven / Schwartz, Lisa M

    BMJ (Clinical research ed.)

    2018  Volume 361, Page(s) k2035

    Language English
    Publishing date 2018-05-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.k2035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Direct-to-Consumer Low-Testosterone Clinics-Where Is the Federation of State Medical Boards?

    Woloshin, Steven / Gill, Lisa L

    JAMA internal medicine

    2023  Volume 183, Issue 4, Page(s) 288–289

    MeSH term(s) Humans ; United States ; Specialty Boards ; Testosterone/therapeutic use
    Chemical Substances Testosterone (3XMK78S47O)
    Language English
    Publishing date 2023-02-20
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 2699338-7
    ISSN 2168-6114 ; 2168-6106
    ISSN (online) 2168-6114
    ISSN 2168-6106
    DOI 10.1001/jamainternmed.2022.7008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The Increasing Incidence of Early-Onset Colorectal Cancer.

    Woloshin, Steven / Kramer, Barnett S

    The New England journal of medicine

    2022  Volume 387, Issue 1, Page(s) 91–93

    MeSH term(s) Colorectal Neoplasms/epidemiology ; Humans ; Incidence ; SEER Program
    Language English
    Publishing date 2022-07-06
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc2206652
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: What to Know About the Alzheimer Drug Aducanumab (Aduhelm).

    Woloshin, Steven / Kesselheim, Aaron S

    JAMA internal medicine

    2022  Volume 182, Issue 8, Page(s) 892

    MeSH term(s) Alzheimer Disease/drug therapy ; Amyloid beta-Peptides ; Antibodies, Monoclonal, Humanized/therapeutic use ; Drug Approval ; Humans ; United States ; United States Food and Drug Administration
    Chemical Substances Amyloid beta-Peptides ; Antibodies, Monoclonal, Humanized ; aducanumab (105J35OE21)
    Language English
    Publishing date 2022-06-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2699338-7
    ISSN 2168-6114 ; 2168-6106
    ISSN (online) 2168-6114
    ISSN 2168-6106
    DOI 10.1001/jamainternmed.2022.1039
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Communicating health information with visual displays.

    Woloshin, Steven / Yang, Yanran / Fischhoff, Baruch

    Nature medicine

    2023  Volume 29, Issue 5, Page(s) 1085–1091

    Abstract: Well-designed visual displays have the power to convey health messages in clear, effective ways to non-experts, including journalists, patients and policymakers. Poorly designed visual displays, however, can confuse and alienate recipients, undermining ... ...

    Abstract Well-designed visual displays have the power to convey health messages in clear, effective ways to non-experts, including journalists, patients and policymakers. Poorly designed visual displays, however, can confuse and alienate recipients, undermining health messages. In this Perspective, we propose a structured framework for effective visual communication of health information, using case examples of three common communication tasks: comparing treatment options, interpreting test results, and evaluating risk scenarios. We also show simple, practical ways to evaluate a design's success and guide improvements. The proposed framework is grounded in research on health risk communication, visualization and decision science, as well as our experience in communicating health data.
    MeSH term(s) Humans ; Communication
    Language English
    Publishing date 2023-05-08
    Publishing country United States
    Document type Journal Article ; Review ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 1220066-9
    ISSN 1546-170X ; 1078-8956
    ISSN (online) 1546-170X
    ISSN 1078-8956
    DOI 10.1038/s41591-023-02328-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Overdiagnosis: it's official.

    Woloshin, Steven / Kramer, Barnett

    BMJ (Clinical research ed.)

    2021  Volume 375, Page(s) n2854

    Language English
    Publishing date 2021-11-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.n2854
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Bad news: how the media reported on an observational study about cardiovascular outcomes of COVID-19.

    Alderighi, Camilla / Rasoini, Raffaele / De Fiore, Rebecca / Ambrosino, Fabio / Woloshin, Steven

    BMJ evidence-based medicine

    2024  

    Language English
    Publishing date 2024-04-17
    Publishing country England
    Document type Letter
    ISSN 2515-4478
    ISSN (online) 2515-4478
    DOI 10.1136/bmjebm-2023-112814
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: The New USPSTF Mammography Recommendations - A Dissenting View.

    Woloshin, Steven / Jørgensen, Karsten Juhl / Hwang, Shelley / Welch, H Gilbert

    The New England journal of medicine

    2023  Volume 389, Issue 12, Page(s) 1061–1064

    Language English
    Publishing date 2023-09-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMp2307229
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Therapeutic Value of Drugs Frequently Marketed Using Direct-to-Consumer Television Advertising, 2015 to 2021.

    Patel, Neeraj G / Hwang, Thomas J / Woloshin, Steven / Kesselheim, Aaron S

    JAMA network open

    2023  Volume 6, Issue 1, Page(s) e2250991

    MeSH term(s) Humans ; Advertising ; Television ; Drug Industry
    Language English
    Publishing date 2023-01-03
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2022.50991
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Assessing How Consumers Interpret and Act on Results From At-Home COVID-19 Self-test Kits: A Randomized Clinical Trial.

    Woloshin, Steven / Dewitt, Barry / Krishnamurti, Tamar / Fischhoff, Baruch

    JAMA internal medicine

    2022  Volume 182, Issue 3, Page(s) 332–341

    Abstract: Importance: The US Food and Drug Administration (FDA) authorized SARS-CoV-2 rapid at-home self-test kits for individuals with and without symptoms. How appropriately users interpret and act on the results of at-home COVID-19 self-tests is unknown.: ... ...

    Abstract Importance: The US Food and Drug Administration (FDA) authorized SARS-CoV-2 rapid at-home self-test kits for individuals with and without symptoms. How appropriately users interpret and act on the results of at-home COVID-19 self-tests is unknown.
    Objective: To assess how users of at-home COVID-19 self-test kits interpret and act on results when given instructions authorized by the FDA, instructions based on decision science principles, or no instructions.
    Design, setting, and participants: A randomized clinical trial was conducted of 360 adults in the US who were recruited in April 2021 to complete an online survey on their interpretation of at-home COVID-19 self-test results. Participants were given 1 of 3 instruction types and were presented with 1 of 4 risk scenarios. Participants were paid $5 and had a median survey completion time of 8.7 minutes. Data analyses were performed from June to July 2021.
    Intervention: Participants were randomized to receiving either the FDA-authorized instructions (authorized), the intervention instructions (intervention), or no instructions (control), and to 1 of 4 scenarios: 3 with a high pretest probability of infection (COVID-19 symptoms and/or a close contact with COVID-19) and 1 with low pretest probability (no symptoms and no contact). The intervention instructions were designed using decision science principles.
    Main outcomes and measures: Proportion of participants in the high pretest probability scenarios choosing to quarantine per federal recommendations and perceived probabilities of infection given a negative or positive COVID-19 test result. A Bonferroni correction accounted for multiple comparisons (3 instruction types × 4 scenarios; α = 0.004).
    Results: After excluding 22 individuals who completed the survey too quickly, the responses of 338 participants (median [IQR] age, 38 [31 to 48] years; 154 (46%) women; 215 (64%) with a college degree or higher) were included in the study analysis. Given a positive test result, 95% (322 of 338; 95% CI, 0.92 to 0.97) of the total participants appropriately chose to quarantine regardless of which instructions they had received. Given a negative test result, participants in the high pretest probability scenarios were more likely to fail to quarantine appropriately with the authorized instructions (33%) than with the intervention (14%; 95% CI for the 19% difference, 6% to 31%; P = .004) or control (24%; 95% CI for the 9% difference, -4% to 23%; P = .02). In the low pretest probability scenario, the proportion choosing unnecessary quarantine was higher with the authorized instructions (31%) than with the intervention (22%; 95% CI for the 9% difference, -14% to 31%) or control (10%; 95% CI for the 21% difference, 0.5% to 41%)-neither comparison was statistically significant (P = .05 and P = .20 respectively).
    Conclusions and relevance: The findings of this randomized clinical trial indicate that at-home COVID-19 self-test kit users relying on the authorized instructions may not follow the Centers for Disease Control and Prevention's quarantine recommendations, producing unintended risks and unnecessary disruptions. Redesigned instructions that follow decision science principles may improve compliance.
    Trial registration: ClinicalTrials.gov Identifier: NCT04758299.
    MeSH term(s) Adult ; COVID-19/diagnosis ; COVID-19 Testing/methods ; Comprehension ; Female ; Humans ; Male ; Middle Aged ; Quarantine ; Self-Testing ; United States ; United States Food and Drug Administration
    Language English
    Publishing date 2022-01-31
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, P.H.S. ; Video-Audio Media
    ZDB-ID 2699338-7
    ISSN 2168-6114 ; 2168-6106
    ISSN (online) 2168-6114
    ISSN 2168-6106
    DOI 10.1001/jamainternmed.2021.8075
    Database MEDical Literature Analysis and Retrieval System OnLINE

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