The paper Says that answering these three questions “yes, no, no” is consistent with PEM– Aren’t you agreeing?
I agree that those questions aren’t very helpful in identifying PEM, But are relevant to ME/CFS, And could be useful in assessing the status of those in other cohorts who also answered...
Cohort quality assessed by cohort overlap
Those in C3 (hospital G93.3 code) come out best, C2 (PQ ME/CFS) worst
The simplest way the study assesses cohort quality is by how much is a diagnosis in one cohort supported by diagnosis in another data field (i.e. in another cohort). I've graphed this...
Thanks – and I just didn’t want you to think that I hadn’t even bothered to read the abstract (where the acronyms are spelt out) before asking a question!
Thanks very much for that. I was also struck by the clean separation for biological variables – like you say, that’s pretty rare. Unless there’s a selection criteria effect.
I’m still struggling little to understand the biological big picture and how important this is in the illness. But a link...
Look neat analysis
For the benefit of those of us not keeping up with this work, would you be able to explain what we are seeing here that is important, preferably spelling out the acronyms for CBF and CO, which muddle my brain?
I am interested in CBF and the CO work, and these findings look...
Where is missing data missing from, and why?
Summary: All UKB participants have baseline assessment data (with self-reported serious illnesses), and almost all have hospital records (with diagnosis codes). Nearly half have GP records (with diagnosis codes), and a third completed the Pain...
Sorry, I haven’t been keeping up. Interesting analysis But 28% of that group reported good or excellent health, and they were other issues –, Though I don’t think it’s so bad a cohort because it’s not simply “self-reported“. People People were asked if they had a serious illness or disability...
Thanks for the responses, @forestglip and @jnmaciuch.
My concern about AUC wasn't anything to do with diagnosis (it's too low to be useful), but as a way to demonstrate the biological validity of the findings. The authors say:
My italics above.
In this case, they are stressing the...
Could you just spell that out, please.
My first quote is from the para, which begins with a discussion of simulations and concludes with the data on and "independent dataset" you quote. The next part begins, "To evaluate the performance of Heal2 on real ME/CFS data..." Are you saying the...
Like you, I find the discussion fascinating, especially after 30 years with little happening in research.
But maybe this is the time to raise some methodological concerns. I haven't been able to read the whole paper or all this thread, and I'm likely to be wrong about a lot of this. There are...
Your poetry resonates with me. Yo capture the experience of severe ME with beautiful language striking imagery. Above all, you convey the emotional impact of this life.
I think it’ll be great when these findings are published because they will finally give us a fairly solid reference point. At the moment, it’s not that hard to find study results to support most theories. Thesse reference points will make much of the literature more interpretable.
But until we know that’s the case, I don’t think we should take it on trust. I gather the AUC for the replication cohort wasn’t very impressive here, which doesn’t inspire confidence.
I’m pretty sure the experience of GWAS was that you do need decent sample sizes to get reliable results – not just more results. The early history was getting almost everything wrong. The exceptions are where you are looking for very big differences, like your ankylosing spondylitis example...
I understanding is that the bare minimum for whole genome sequencing is 1000, which I think is bigger than this study. But as with GWAS Bigger is much better. Sequencing is incredible expensive, so I’m pretty sure the largest sample size is for greater power to understand the problem. But I’d...
This gets even more exciting. Like the posts on self-reports, this tries to understand how the cohorts were selected rather than the data itself.
G93.3 in hospital records (1997-203), Cohort 3, C3
Hospital records cover those 'occupying a bed', so inpatients and day patients, but not...
Data defining the cohorts:
2. Self-report of ME/CFS (Cohort 2, C2)
Experience of Pain Questionnaire (optional and online, 2019-2020)
This questionnaire directly asks if respondents have ME/CFS:
Have you ever been told by a doctor that you have had any of the following conditions? There are a...
Data defining the four cohorts of this study.
1. Self-report of chronic fatigue syndrome (defining cohort C1)
This comes from the baseline assessment (and visits 2-4 where made), and it looks like participants were not prompted with a question about CFS.
Participants completed a touchscreen...
Relevant background about the UK Biobank cohort
The UK Biobank was set up as a prospective study of mid- to late-life illnesses. Via the NHS, it invited over 9 million people aged 40 to 69 who lived close to a string of assessment centres to take part. Over 502,000 people were recruited, over...
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