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Are doctors reading medical journals to stay current on the latest information?

By Carol & Richard Eustice, About.com

Updated May 02, 2005

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Question: Are doctors reading medical journals to stay current on the latest information?
Are doctors reading medical journals to keep up on the latest research developments? Are doctors bypassing medical journals and getting their basic information from pharmaceutical companies? Every patient would like to believe their doctor consumes vast amounts of medical information from journals and research papers. Is it so?
Answer: Doctors and the public get much of their information from the pharmaceutical companies. Let's take the Vioxx example. Vioxx was touted by the pharmaceutical companies and their marketing machines as a safer pain reliever than what was available to date. In fact, studies did show by virtue of the fact that they blocked the action of the "Cox-2 inflammatory enzyme and not the Cox-1 enzyme which protected the stomach" that it was less likely to cause a potential life threatening bleeding ulcer.

Yet, the pharmaceutical companies never looked at the possibility that these newer Cox-2 inhibitors could increase the risk of heart attack and strokes by blocking these enzymes even though there was a suggestion of this possibility in the scientific literature. As a result many doctors were not aware of this fact and did not discuss the potential risk with their patients.

Patients on the other hand were clamoring to try these medications after seeing advertisements all over the media. In summary, doctors need to do better by reading literature that is not sponsored by the pharmaceutical industry. The pharmaceutical industry needs to limit consumer driven advertisement seen frequently on television and in newspapers and magazines. Finally, I would recommend that consumers wait at least a year or longer if possible before beginning a medication that is new to the market. During that time, many more patients will have tried the drug than had been studied to get FDA approval. As a result, more information about the potential risk of the medication will become known.

Answer provided by Scott J. Zashin, M.D., clinical assistant professor at University of Texas Southwestern Medical School, Division of Rheumatology, in Dallas, Texas. Dr. Zashin is also an attending physician at Presbyterian Hospitals of Dallas and Plano. He is a fellow of the American College of Physicians and the American College of Rheumatology and a member of the American Medical Association. Dr. Zashin is author of Arthritis Without Pain - The Miracle Of Anti-TNF Blockers. The book is a must-have for anyone on one of the biologic drugs (Enbrel, Remicade, Humira) or considering the biologic drugs. Read my review of the book.

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