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:
According to the story, brand-name aromatase inhibitors cost between $340 and $420 a month, but the story also points out that lower-costing, generic versions are available in the U.S. It would have been useful had the story also provided cost information for the other preventive drug options, tamoxifen and raloxifene. A particular strength of this story is its presentation of data. Dr. Winer, an independent source included in the story, translates a 65% risk reduction to mean that exemestane may reduce a woman’s risk of developing breast cancer from 3% to 1%. Not only does the story provide absolute risk, but it also presents the number needed to treat. According to the study authors, 26 women would need to take exemestane for five years to prevent a single case of breast cancer. It should be noted, however, that few women in the study completed five years of therapy. Since this is being used as a preventive measure in healthy women, side effects are very important and data should have been provided. The story indicates that “slightly” more women taking exemastane experienced hot flashes, fatigue, sweating, insomnia, and joint pain, compared to those taking placebo pills. It would have been helpful to note, for example, that 40% in the exemestane group experienced a hot flash versus 32% in the placebo group. Citing older research, the story indicates that that joint pain, muscle aches, problems having sex, and vaginal dryness may be more evident with a longer duration of use. The story makes it clear that the study was a large-scale, placebo-controlled, randomized trial, which enrolled over 4500 women in North America and Europe. The women included had at least one risk factor for breast cancer. It also notes that given the significant risk reduction associated with exemestane, the study was stopped after 3 years to give women in the control arm the option of taking exemestane to prevent possible breast cancers. More information regarding participants’ characteristics, including age and race would have been helpful. This story did not engage in disease-mongering. In addition to including experts not affiliated with the exemestane study, the story also notes that the it was funded by the Canadian Cancer Society, the Avon Foundation, and Pfizer. In addition, the writer points out that the study lead and a few other authors have received speaking fees from Pfizer and other pharmaceutical companies that make cancer drugs. This story compares the benefits and harms of exemestane with tamoxifen; however, a mention of how these compare with raloxifene, would have been useful. The availability of aromatase inhibitors is not in question. It’s clear from the story that aromatase inhibitors are currently used to prevent breast cancer recurrences. It’s also clear that this is the first study evaluating its utility for preventing the first instance of breast cancer in healthy women with a higher risk of developing the disease. The story does not appear to be based on the press release.
answer:
Hormone-blocking drug reduces breast cancer risk


question:
Entitled “Beyond The Physical: A Symposium on Mental Health in Sports,” the forum will feature a series of panels with current and former NFL players as well as mental health organizations, caregivers, medical providers and media personalities. The aim is to raise awareness of mental health and promote a culture in which people, including athletes, are encouraged to seek help and support to achieve overall wellness. Confirmed panelists include NFL wide receiver and co-founder of Project 375 Brandon Marshall;  former NFL cornerback Asher Allen; former Pro Bowl running back Warrick  Dunn; Atlanta Falcons senior director of player affairs Kevin Winston; and representatives from Active Minds, Mental Health America (MHA) of Georgia, the American Psychological Association, and Campaign to Change Direction. “May is Mental Health Awareness Month and the NFL is pleased to partner with the NFLPA and Cigna to increase awareness and decrease the stigma around mental health ...” said Dwight Hollier, the NFL’s vice president of wellness and clinical services. “This effort is especially important in light of the messages young athletes receive about toughness and the need to be strong all the time. Through our discussions with caregivers, athletes, professionals and others, we will shine a light on mental health in sports and discuss ways to support athletes and others on the journey toward total wellness.” ___ For more NFL coverage: http://www.pro32.ap.org and http://www.twitter.com/AP_NFL
answer:

NFL, union to host symposium on mental health on May 14.