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  1. Hutan

    Effectiveness of a symptom-clinic intervention ... multiple and persistent physical symptoms, 2024, Burton, Deary et al

    Well yes, and even then 'conceivably' is doing a lot of heavy lifting. As @rvallee would say, the giant spaghetti monster in the sky is conceivable, it doesn't mean it is likely. As Nightsong said the Toussaint paper suggested the standard error of measurement was 2.3, which seemed to be...
  2. Hutan

    Effectiveness of a symptom-clinic intervention ... multiple and persistent physical symptoms, 2024, Burton, Deary et al

    Of the 354, 176 were assigned to usual care and 178 to the intervention 135 assigned to usual care made it to 52 weeks; 144 in the intervention made it to 52 weeks. The numbers used in the Intention to Treat Analysis were those still present at 52 weeks, so did not include people who withdrew...
  3. Hutan

    Effectiveness of a symptom-clinic intervention ... multiple and persistent physical symptoms, 2024, Burton, Deary et al

    7837 people identified from GP records 891 excluded or not sent a participation pack - mostly due to the GP saying they aren't suitable e.g. because their symptoms probably are due to a real disease, probably also some GPs would know some patients would not be receptive 6946 sent the...
  4. Hutan

    Effectiveness of a symptom-clinic intervention ... multiple and persistent physical symptoms, 2024, Burton, Deary et al

    It looks as though harms were reported by participants, but I assume that if the participants stopped participating and weren't contactable, then the harm wouldn't be reported. There is no indication that medical records were checked during that following year or that there was any feedback from...
  5. Hutan

    Effectiveness of a symptom-clinic intervention ... multiple and persistent physical symptoms, 2024, Burton, Deary et al

    Randomisation; masking A big deal is made of randomised allocation of people to the treatments. But that is rather insignificant when the participants knew whether they were allocated to the active treatment or 'nothing'. Just noting that quote about some interviews of participants they did -...
  6. Hutan

    Effectiveness of a symptom-clinic intervention ... multiple and persistent physical symptoms, 2024, Burton, Deary et al

    Diagnosis See the post upthread for the list of questions in the PHQ-15. I note that women have to answer an additional question about periods, and I think most menstruating women would answer at least 'bothered a little' about period symptoms. So, the PHG-15 and the diagnosis approach makes...
  7. Hutan

    Effectiveness of a symptom-clinic intervention ... multiple and persistent physical symptoms, 2024, Burton, Deary et al

    Introduction What nonsense - that a third of referrals from GPs to specialists is due to functional disorders and physical symptoms disproportionate to detectable physical disease. And then they say the quote above, about multiple physical symptoms, which actually has nothing to do with the...
  8. Hutan

    Assessing Functional Capacity in [ME/CFS]: A Patient Informed Questionnaire [FUNCAP], 2024, Sommerfelt et al

    I'm noting the different responses from forum members to this questionnaire, which is a PROM, and the MEA-funded work of Sarah Tyson's team. The developers of FUNCAP consulted widely and meaningfully and with humility, and adapted their product as a result of the feedback. PEM is central, with...
  9. Hutan

    Measuring cerebral hypoperfusion with Doppler ultrasound

    I'm pretty sure though that the orthostatic intolerance in my children and I started at the same time as all the other symptoms. And so that was at a stage when we were continuing to try to function as normal, doing sport and being active. It's a long time ago now, and I guess there must have...
  10. Hutan

    UK:ME Association funds research for a new clinical assessment toolkit in NHS ME/CFS specialist services, 2023

    Some posts have been moved to a new thread: Annual reviews for ME/CFS
  11. Hutan

    News from Scandinavia

    You can help here: Norwegian guidelines in development: help with a literature search
  12. Hutan

    2025-2026 Norwegian chronic fatigue guidelines - draft published

    Welcome to the forum, it's great to have you here. That's exciting news and good that the user organisations have a seat at the table. Yes. Although, I worked with a regional health authority that made guidance to doctors when they were faced with a person complaining of exhaustion/tiredness...
  13. Hutan

    Guillain Barre Syndrome

    I'm so sorry about your Dad's illnesses. They do seem like they might be a clue as to what happened to you. ITP - is that immune thrombocytopenia?
  14. Hutan

    News from the Visegrád Countries - Czech Republic, Poland, Slovakia and Hungary

    Thanks @Wyva, so we have a whole batch of papers on poorly conceived studies to look forward to. When no cognitive dysfunction shows up, I often wonder about the selection of the participants. I think we might have expected some worse performance on more of the named tests e.g. the trail making...
  15. Hutan

    Adam Mastroianni - blogs on research methodology

    Click on the tag at the top left of the thread - 'Mastroianni' - for more content by Adam Mastroianni e.g. The Rise and Fall of Peer Review, 2022, Mastroianni [Preprint] Things could be better, 2022, Mastroianni and Ludwin-Peery
  16. Hutan

    Stigmatisation in clinical consultations for persistent physical symptoms/functional disorders: A best fit framework synthesis, 2024, Treufeldt et al

    What then do they think are the problems? Society's belief that objectively measurable disorders are more real and worthy than other disorders. Negative stereotypes Actions to stigmatise - the things clinicians do and say Discriminatory outcomes So, rather than investigating if the...
  17. Hutan

    Stigmatisation in clinical consultations for persistent physical symptoms/functional disorders: A best fit framework synthesis, 2024, Treufeldt et al

    And that's the end of that possible source of stigma as far as the authors are concerned - when actually power differences and the magnification of them by a 'functional' diagnosis are the heart of the problem. If the authors are reading this - maybe look again at what you so readily dismissed...
  18. Hutan

    Stigmatisation in clinical consultations for persistent physical symptoms/functional disorders: A best fit framework synthesis, 2024, Treufeldt et al

    If only they put the same effort applied to acronyms to examining the evidence for the views they hold. Someone has been paying multiple PhD students to work on the problem of marketing psychosomatic medicine better. Oh, but it is very hard to keep all those acronyms straight. Just a paragraph...
  19. Hutan

    Stigmatisation in clinical consultations for persistent physical symptoms/functional disorders: A best fit framework synthesis, 2024, Treufeldt et al

    1. Create the stigma 2. Categorise the stigma There's definitely a sense of hand-wringing from a number of these papers on FND stigma. "Here we are, trying to help these difficult patients that no one else wants, and they aren't appreciating just how insightful our help is. What can we tweak...
  20. Hutan

    Modern environmental factors

    Hopefully they will consider the obvious issue with this, that activity correlates with the weather. A sunny day, especially in winter, is likely to have someone with mild or moderate ME/CFS being more active, getting outside. Then, they have the pay back of PEM, and, because weather reverts to...
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