The draft updated NICE guidance for ME/CFS highlights the unreliability of subjective outcome measures in non-blinded trials

Author:

Vink Mark1ORCID,Vink-Niese Alexandra2

Affiliation:

1. Family and Insurance Physician, The Netherlands

2. Independent Researcher, Germany

Abstract

The National Institute for Health and Care Excellence (NICE) recently published its draft updated guideline on the diagnosis and management of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). NICE concluded that ME/CFS is a complex multisystem chronic medical condition for which graded exercise therapy should not be used and cognitive behavioural therapy is only a supportive therapy and not a treatment or cure. The draft guidance also highlighted the unreliability of subjective outcome measures in non-blinded trials. High quality randomised controlled ME/CFS trials are now needed to find pharmacological treatments that lead to substantial objective improvement and restore the ability to work.

Publisher

SAGE Publications

Subject

Applied Psychology

Reference23 articles.

1. A systematic review describing the prognosis of chronic fatigue syndrome

2. Specialist treatment of chronic fatigue syndrome/ME: a cohort study among adult patients in England

3. Dutch Health Council (2018) Aan: De Voorzitter van de Tweede Kamer der Staten-Generaal Nr. 2018, Den Haag 19 maart 2018 Gezondheidsraad| Nr. 2018/07. Available at: https://huisartsvink.files.wordpress.com/2021/01/gezondheidsraad-kernadvies_me_cvs.pdf (accessed 22 December 2020).

4. PACE team response shows a disregard for the principles of science

5. FOIA request to QMUL (2016) FOIA request 2014/F73 Dataset file. Available at: https://sites.google.com/site/pacefoir/pace-ipd_foia-qmul-2014-f73.xlsx Readme file, https://sites.google.com/site/pacefoir/pace-ipd-readme.txt (accessed 22 December 2020).

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