instruction:
Given a paragraph, generate a claim that is supported by the given paragraph. 1) The claim must contain information from within the paragraph. 2) A sentence within the paragraph can be used as a claim. 3) The claim should not have contradictions within the paragraph. 4) The claim should be at most one sentence long.
question:
"While these studies examined prostate cancer mortality rates and treatment outcomes, monetary costs are an important part of the larger conversation about the value of screening. There are significant financial costs associated with population-wide screenings, along with the follow-up diagnostic procedures and treatments that these studies suggest are of little benefit. The reporter should have referenced costs of screening and treatments at least briefly. There are two studies involved here, each with its own methodology, outcomes and limitations. Under the circumstances the news report describes the findings adequately, using a broad brush. The report states that the U.S. study found no decline in death risk in the screened population, while the European study showed a 20 percent reduced risk of death–yet it also documented considerable overtreatment. The reporter gets points for using the always valuable ""number needed to treat"" measure to describe the European findings: 48 additional men would need to be treated to prevent one death from prostate cancer. The story focuses in part on the harms of overdiagnosis and overtreatment. The story is based on results of two high-quality clinical trials, and it describes the methodologies sufficiently. The story does an excellent job of laying out the caveats very early: that the results won’t end the controversy over the value of prostate cancer screening; and that the studies continue and may provide clearer answers in the future. The reporter gets extra points for mentioning too that the two studies aren’t directly comparable. The report does nothing to exaggerate the effects of prostate cancer or its treatments. The reporter includes comments from the lead authors of the two studies, the author of a related editorial in the New England Journal of Medicine, and a physician representing the American Cancer Society. The story adequately explains that screening options include the PSA blood test and the digital rectal exam. The story also refers to the options for treatment after a cancer is identified, indicating that ""there’s no agreement on the best treatment approach""–watchful waiting, surgery, hormone therapy or radiation. The wide use of the PSA test is implied throughout the story. No claims are made for the novelty of the screening techniques or the findings of the study. The story does not appear to draw directly from press releases of NIH, the Washington University School of Medicine, or others publicizing the results."
answer:
Studies don’t end prostate cancer test controversy


question:
Since the De Queen Medical Center Inc. closed, residents have had to travel at least 30 miles (50 kilometers) for medical care at hospitals in Howard and Little River counties or McCurtain County in Oklahoma. Dr. Steve Cole, the county’s Rural Development Authority chairman, said Thursday that building a hospital would ensure the community has access to health care, the Texarkana Gazette reported. “We want a hospital to be run by people who care,” said Cole. “We want to make sure people receive proper health care.” De Queen Mayor Jeff Brown said that he backs the proposed sale tax increase. It remains uncertain how much the sales tax would need to be hiked or when it would be put on the ballot, according to the county’s officials. An online sales tax handbook guide shows that the current sales tax rate in De Queen, Arkansas, is 9.625%, with Sevier County receiving slightly more than 2%. The De Queen Medical Center was recently put into receivership to prevent owners Jorge Perez and Ricardo Perez from spending or transferring the facility’s assets. Sevier County Circuit Judge Tom Cooper chose director of nursing Rachel Matheson as the medical center’s receiver. “DMCI is insolvent and unable to pay its debts as they become due. Employees of DMCI have either been laid off or have quit their employment because they have not been paid. Further, health care professionals essential to the operation of DMCI and to continued licensure of the hospital have discontinued providing medical services,” according to an order that Cooper signed last month. Cole said he admires the hospital’s 34 employees who worked without being compensated prior to the facility closing. “They were the 34 heroes. Few people would do what they did and not get paid,” said Cole. ___ Information from: Texarkana Gazette, http://www.texarkanagazette.com
answer:
Sevier County may consider sales tax hike to build hospital.


question:
No discussion of costs. Yes, we know that it’s too early to use this in clinical settings, but the story makes the case that this builds on research following patients for as long as 12 years. Any predictive test would hold appeal for many people – so cost ramifications are important to discuss even at this early stage. Both tests are available at the present time so that with a little bit of digging, the costs could have been provided. We’ll give the story a satisfactory grade for providing context for the projected benefits of the test: “A new study suggests that biomarkers found in cerebrospinal fluid (fluid that surrounds the spinal cord and brain and acts as a protective cushion) could predict who would develop Alzheimer’s disease 90% of the time among patients with mild cognitive impairment, a condition characterized by measurable memory problems. … Knowing which patient with mild cognitive impairment patients may go on to develop Alzheimer’s is vital information for researchers, who are looking for treatments for the fatal brain disease. The current thinking is that interventions will be most effective when given to a patient as early as possible.” But the story is quick to note that it’s too early to use this as a diagnostic tool in clinical settings. The story did make several stabs at touching on harms, reporting: “Some of the participants, who were originally found to be stable with mild cognitive impairment after about five years, went on to develop Alzheimer’s disease during the longer follow-up. That suggests that a five-year follow-up period is not long enough to determine how well biomarkers can predict which patients will develop Alzheimer’s disease, researchers say.” And it did end with this: “As scientists gain more insight into predicting Alzheimer’s, aging adults may struggle with the question of whether they want to know their risk,  especially since there’s still no cure. Some people want to enroll in clinical trials as soon as they start showing symptoms; others would rather be ignorant of their status since there is no cure.” We think these could have been framed more clearly as potential harms, but we’ll give the story the benefit of the doubt on this one. The story did an adequate job explaining what the study found, what it might mean, but what it does not yet mean. There was no disease-mongering in the story. In fact, it explained that “not everyone with this condition is a good candidate for an Alzheimer’s trial.” One independent expert’s comments added needed perspective to the findings. That independent expert added this important reminder: “What I tell people is: If they’re worried about their thinking abilities, that they should make an appointment with a neuropsychology or a neurologist to get an evaluation,” Brinkman says. “The way we diagnose Alzheimer’s disease is by evaluating the behavior and the risk factor medical profile, not by looking at biological markers at this point.” Again, the independent expert’s perspective was important: “When these sorts of studies get published, Brickman and other doctors get phone calls from aging adults wondering whether they should be getting spinal taps to assess their risk. But it’s too early to use this as a diagnostic tool in clinical settings, says Brickman. Down the road, the “fantasy” is that asymptomatic people will be able to get a biomarker test to determine whether they’ll one day get Alzheimer’s, but that’s not possible right now, he adds.” The story was clear that: It’s clear that the story did not rely solely or largely on a news release.
answer:

Spinal tap may predict Alzheimer’s years ahead