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  1. ME/CFS Science Blog

    Cochrane Review: 'Exercise therapy for chronic fatigue syndrome', Larun et al. - New version October 2019 and new date December 2024

    So I'm going to change the original summary I've posted on Minimal Important Differences (MID). The studies of Ward et al. 2014 and Swigris et al. 2010 gave values of 7.1 and 3 as MID but these were norm-based. Recalculated these would be somewhere around 16.5 and 7.1. Thanks to Dolphin for...
  2. ME/CFS Science Blog

    Cochrane Review: 'Exercise therapy for chronic fatigue syndrome', Larun et al. - New version October 2019 and new date December 2024

    I don't know. We're mostly doing the calculation to get the original value. The study the Cochrane review cites for the minimal important difference (MID) for physical function uses a norm-based value of 7.1 Norm-based values are not very relevant to the MID estimate needed and they tend to be...
  3. ME/CFS Science Blog

    Cochrane Review: 'Exercise therapy for chronic fatigue syndrome', Larun et al. - New version October 2019 and new date December 2024

    Some more info from here: https://c-path.org/wp-content/uploads/2017/05/2017_session5_scoringfinal.pdf EDIT: if we use the formula here, the 7.1 norm-based score would correspond to an original score of 16.54.
  4. ME/CFS Science Blog

    Cochrane Review: 'Exercise therapy for chronic fatigue syndrome', Larun et al. - New version October 2019 and new date December 2024

    You could be right. Swigris et al. 2010 said they recalculated the MID raw value for Kosinski et al. 2000 (reported as 7.7) to a norm-based value of 3. Your formula is not far off 3 x 24/10 =7.2 So for the Ward et al. study the raw value would be 7.1 x 24/10 = 17 points. If we would use a...
  5. ME/CFS Science Blog

    Cochrane Review: 'Exercise therapy for chronic fatigue syndrome', Larun et al. - New version October 2019 and new date December 2024

    I've been searching but can't really find the full explanation. I suspect it's explained in this reference: Ware JE, Kosinski M, Bjorner JB, Turner-Bowker DM, Gandek B, Maruish ME. User's manual for the SF-36v2 Health Survey. 2nd ed. QualityMetric Incorporated; Lincoln, RI: 2007. I found some...
  6. ME/CFS Science Blog

    Cochrane Review: 'Exercise therapy for chronic fatigue syndrome', Larun et al. - New version October 2019 and new date December 2024

    Yes, That's probably my mistake. The value of 3 for the SF-36, for example, was a normalised value. I'm trying to figure out how to recalculate them to the raw score because the study that Larun et al. cited (Ward et al. 2014) also used a normalised. It gave a MID of 7.1. I suspect the raw...
  7. ME/CFS Science Blog

    Cochrane Review: 'Exercise therapy for chronic fatigue syndrome', Larun et al. - New version October 2019 and new date December 2024

    Wouldn't that be visible as a smaller standard deviation (SD)? In the three anchoring studies the SD was 6.6, 5.2 and 5.8 so not particularly lower than in CFS samples, I guess. To be honest, I also had problems interpreting the data in these three studies that used the anchoring method for...
  8. ME/CFS Science Blog

    Cochrane Review: 'Exercise therapy for chronic fatigue syndrome', Larun et al. - New version October 2019 and new date December 2024

    Thanks for pointing this out! Yes, it was a normalized score. I didn't realize this could make a big difference to points on the scale. The Ward et al. (2014) study that Larun et al. cite was also a normalized score. It would be interesting to recalculate it to the original scores. I haven't...
  9. ME/CFS Science Blog

    Cochrane Review: 'Exercise therapy for chronic fatigue syndrome', Larun et al. - New version October 2019 and new date December 2024

    9) Minimally important differences I’ve been reading up on the issue of minimally important differences (MID), the smallest difference that patients are likely to consider important. The authors of the Cochrane review have used MID to suggest that the treatments effects they found are clinically...
  10. ME/CFS Science Blog

    Cochrane Review: 'Exercise therapy for chronic fatigue syndrome', Larun et al. - New version October 2019 and new date December 2024

    Don't think so. Mean baseline score and standard deviation for the exercise group: 1335.27 (280.99) Mean baseline score and standard deviation for the control group: 1317.78 (296.55) They have excluded the results of Jason 2007 for physical function because of baseline difference (a correct...
  11. ME/CFS Science Blog

    2019 Cochrane Methods Symposium: Developing robust review protocols with increasingly diverse evidence, 21st October, Chile

    Didn't know that. Higgins is a big name. He's the main author of the Cochrane handbook, both the old and new version. He's also from Bristol.
  12. ME/CFS Science Blog

    Cochrane Review: 'Exercise therapy for chronic fatigue syndrome', Larun et al. - New version October 2019 and new date December 2024

    So Wise & Brown (2005) say that "The minimal clinically important difference (MCID) for the 6MWT is conservatively estimated to be 54-80 meters." The difference between the improvements in meters walked in the GET group (67 meters) and SMC (22 meters) was 45 meters, so less than 54-80 meters...
  13. ME/CFS Science Blog

    MEAction: Join Our Values and Policy Initiative! September 2019

    This is from the GRADE handbook: Link: https://gdt.gradepro.org/app/handbook/handbook.html#h.3183vuv3ey12
  14. ME/CFS Science Blog

    MEAction: Join Our Values and Policy Initiative! September 2019

    Interesting ME Action interview with Wilhelmina Jenkins about ethnicity and the undiagnosed: https://www.meaction.net/2019/10/14/race-ethnicity-and-m-e-why-we-need-to-build-a-more-inclusive-movement-and-why-it-matters/ Powerful quote:
  15. ME/CFS Science Blog

    A proposal for ME Action: a commitment to evidence-based medicine

    Thanks for your support, you're on the list now. Welcome to the forum. Hope you'll stick around.
  16. ME/CFS Science Blog

    Cochrane Review: 'Exercise therapy for chronic fatigue syndrome', Larun et al. - New version October 2019 and new date December 2024

    8) Lack of blinding Larun et al. have downgraded the quality of evidence of pretty much all outcomes in their review due to a lack of blinding with one level. I don’t think this adequately addresses the risk of bias. A 2014 review by Hrobjartsson et al. on trials that compared blinded and...
  17. ME/CFS Science Blog

    Cochrane Review: 'Exercise therapy for chronic fatigue syndrome', Larun et al. - New version October 2019 and new date December 2024

    Thanks for giving your perspective @Lucibee As someone with no statistical background, I was surprised that baseline differences are ignored in these meta-analyses. I was messing around with the data on oxygen consumption during an exercise test, to see what the result would be if someone were...
  18. ME/CFS Science Blog

    Cochrane Review: 'Exercise therapy for chronic fatigue syndrome', Larun et al. - New version October 2019 and new date December 2024

    Yes, the link I posted was to the 2001 protocol (https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD003200/full). For some reason, I can't access it while others can. I'm looking for people with the same problem as me. The same problem applies to the 2019 amendment of the review...
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