Q: 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.
"A comment about the overall cost of endoscopic sinus surgery, as well as insurance coverage and likely out-of-pocket expenses for patients, would have been appropriate in this story. In addition, the costs associated with the equipment and upkeep are also important considerations. However, the story didn't mention costs. This story focuses almost exclusively on the experience of one patient, a practice we generally think should be avoided. In this case, however, the patient in question was a health columnistwith the Boston Globe who brings a well-informed and appropriately skeptical perspective to the story. Whereas many storiesseek out patients who embody the best possible outcome for a new technology or procedure, thispatient describes an incremental benefit that was ""disappointing"" in size butin the end, still worth the trouble. Instead of getting 5 or more sinus infections per year, she now gets 3 or 4 infections that are not as badasbefore. In addition, the story emphasizes that surgery is ""rarely a cure"" and should be viewedas a ""last resort"" for most patients with sinus problems. We wishmorestorieswere this measured in their assessment of medicalbenefits. The story refers off-handedly to the possibility of""poking through to the brain or into the orbit of an eye,"" but it fails to explain that these events are very rare but real risks of the surgery. While extremely unlikely, it's possible for surgeons to accidentallydamagethe optic nerve, resulting in blindness, or to puncture the base of the skull, resulting in cerebrospinal fluid leakage. Other less serious,but more common complications are also possible. The story didn't mentionany of them. While we appreciated this story'scarefully calibrated tone and conspicuous lack of hype, we felt its discussion of the evidence was inadequate. The story quotes a surgeonwho says thatendoscopic surgery improves quality of life for patients""probably in over 90 percent of the cases."" But we're not given enough information to determine how this estimate was formulated orif it is representative oftypical patient outcomes. The surgeon might be talking about his own personal experience treating patients, which could be much better than average if he's an experienced surgeon working at a top-tier institution. Adding to our concerns, there is at least some published evidencesuggesting that endoscopic sinus surgeryis lesseffective than thisstory indicates. For example,asystematic review of randomized controlled trials couldn't find evidence that the procedure was more effective than medical therapy. Granted, this review included only 3 studies and could have involvedslightly different procedures than the one discussed in this story. But if there is more persuasive evidence to substantiate theprocedure's benefits,the story should havereferred to it directly instead ofpassing alongthe surgeon's second-hand estimates. There was no disease-mongering in this story. The story makes it clear that the surgery being described is a last-ditch approach for people with intractable problems. The story reliesheavily on the perspective of Judy Foreman, the health columnist and patient, and her surgeon,Ralph Metson, neither of whom have any conflicts of interest that we could identify. While it would have been nice to hear from an expert who wasn't involved in this particular case,the story does enough to satisfy the criterion. The story's sidebargives detailed descriptions of alternatives to surgery, including nasal irrigation and corticosteroid nasal sprays. The story states that about300,000 people a yearundergo sinus surgery, making it one of the most commonly performedprocedures in the U.S. However, it does not provide statistics on the number or percentage of those procedures that are performed endoscopically and the type of hospital setting in which they are done. Enodoscopic surgery with CT guidance as described in the story may be out of the reach of smaller community based practitioners. We'll call this satisfactory, but some additional detailwould have been appropriate. The story didn't attempt to oversell the novelty of this procedure. It is clear that this story didn't rely on a news release."
A:
Surgery For Sinus Misery: Better, But Still No Cure