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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

    @Sly Saint What do you mean by 3 added studies? As far as I know, no studies have been added to the data. In their discussion section, they mention 2 relevant RCT's (GETSET and Marques et al. 2015) that have been published since their literature search but the data of these aren't included in...
  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

    Just noticed that the changes made to the Cochrane review are not normally described as an update (which would include a new literature search and inclusion of new studies/data) but as an amendment. I have now changed this to the overviews I posted.
  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

    I see but I really meant something else. When I said something 'better' I referred to response bias and patients filling in the questionnaire in a way that pleases the investigators. Statistics isn't really my thing but here's basically the point I'm trying to make: the effect size is a...
  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

    The following changes were proposed but rejected: 1) Objective outcomes Tom Kindlon and Robert Courtney noted that with the exception for health resource use, Larun et al. have not reported on objective outcomes. The randomized trials included in the review had data on outcomes such as exercise...
  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

    Do you mean that some patients had such severe fatigue that they still would have the maximum score even after an improvement in fatigue? That could be but I suspect than in the trials changes on the CFQ were mostly determined by response bias, placebo effects and other non-clinical effects...
  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

    To clarify for others: Larun et al. set the minimal important difference (MID) for SF-36 physical function at 7 points, citing two studies, one on patients rheumatoid arthritis and one on patients with heart disease: Ward MM, Guthrie LC, Alba MI. Clinically important changes in short form 36...
  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

    A SMD of 0.64 seems pretty large compared to a 3.4 point difference on a 33 point scale. Just a thought: Is it possible that the SMD was inflated because the standard deviation in the studies was low? Some trials used the 11-point version of the Chalder Fatigue Scale, which has ceiling effects...
  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

    To clarify what I mean: I did a quick Pubmed search using the terms: (Chalder Fatigue Scale) AND (minimally important difference OR clinically significant). It gives only 10 results including the relevant paper by Sabes-Figuera et al. and the paper on Lupus which the authors was used in the...
  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

    As their source they refer to: Ridsdale L, Godfrey E, Seed P: Chronic Fatigue in general practice: authors reply. Br J Gen Pract 2001, 51:317–318 Which reads: Ok that's it. I don't trust a word of what Larun et al. or Cochrane say anymore .... I really thought they would have checked that...
  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

    Could this be it: Sabes-Figuera et al. (2012). Cost-effectiveness of counselling, graded-exercise and usual care for chronic fatigue: evidence from a randomised trial in primary care.BMC Health Serv Res. 2012 Aug 20;12:264. doi: 10.1186/1472-6963-12-264. It says: So they argued that a change...
  11. ME/CFS Science Blog

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

    While I was searching I found this one by Crawley on the "minimally clinically important difference of the SF-36 physical function subscale for paediatric CFS/ME". https://hqlo.biomedcentral.com/track/pdf/10.1186/s12955-018-1028-2
  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

    I thought it might be useful to get an overview of the major changes compared to the 2017 version. I prefer focusing on the main comparison of exercise therapy versus a passive control condition. I’ll update this forum post if anyone notices other changes so that we’ll maintain an overview of...
  13. ME/CFS Science Blog

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

    Thanks @Anna H and @MSEsperanza! I have now added you both to the list.
  14. ME/CFS Science Blog

    Survey of activity pacing across healthcare professionals informs a new activity pacing framework for chronic pain/fatigue, 2019, Antcliff et al

    Not sure what you mean. There isn't a rapid response section for this article. I have sent my letter to the editors of the journal but they responded that "The journal does not accept commentaries based on the review/opion of one author's work." So then I have posted my comments on Pubpeer...
  15. ME/CFS Science Blog

    Survey of activity pacing across healthcare professionals informs a new activity pacing framework for chronic pain/fatigue, 2019, Antcliff et al

    @PhysiosforME I would indeed be happy if you steal some of my wording. :) Thanks very much for your efforts on this. Please let me know if I can be of any help.
  16. ME/CFS Science Blog

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

    Thank you Ravn, also for your help in drafting the letter. Will add you to the list.
  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

    Still, haven't been able to read the full study, but I suspect that this will be one of the main points that should be raised. I've tried to mention it here: https://www.s4me.info/threads/david-tuller-trial-by-error-cochranes-report-on-courtneys-complaint.8555/#post-150341 Most of the data come...
  18. ME/CFS Science Blog

    EU Petition 2019 - opportunity to lobby for funding for ME research

    Thanks, Strategist. I'll add it to the pdf-version if that's ok with you. [EDIT: It's not exactly clear but I think those words were from Dolors Montserrat, chair of the Committee on Petitions, who was being translated instantaneously from Spanish.]
  19. ME/CFS Science Blog

    EU Petition 2019 - opportunity to lobby for funding for ME research

    The members of parliament asked the keep the petition open and I think this was accepted. So that probably means that people can still sign the petition.
  20. ME/CFS Science Blog

    EU Petition 2019 - opportunity to lobby for funding for ME research

    I'm adding a pdf-version of the transcript here: (somehow a Word-document was too large to post here) [EDIT: this version had been updated to include the final comments which I forgot but Strategist has kindly transcribed - see posts below]
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