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Nothing to apologise for. This is what needs to be done with all studies and claims. Torn apart and all the flaws and limitations exposed. It is a core essential part of science, and something to proud of being good at it, which you are. :thumbup:

While the analytics component is a critical part of overall methodology, and worthy of review on its own, did they also do a separate study on the non-analytical component, the part that constitutes the primary data generation/collection phase? No good checking how robust the analysis of the...

Thanks for that correction. :thumbsup:

A substantial reduction in pain, brain fog, PEM, and overall increase in the quantity and quality of activity capacity. I will also accept a full cure, a grovelling apology from the medical profession, the guilty being held to prompt formal public account, and a couple of million dollars to...

Yet another piece of evidence that all they are doing is modifying patients' questionnaire response behaviour, independent of any practical meaningful benefit.

We are whatever they need us to be for the purposes of the current study. Any and all results, or lack of them, confirm the psycho-behavioural model. I wish that was a joke.

salt intake to 10 g That is more than twice the generally recommended maximum level of daily sodium intake, and more like 5-10 times the optimal. So it delivers no meaningful benefit, and seriously increases your risk for stroke and kidney disease. Nah. I will pass on this one. :thumbsdown:

we can't rule out spontaneous recovery And you can't rule it in either. By its very definition you can't predict it, cause it, or rely on it. It has no role at all in future planning for an individual case. THAT IS WHAT SPONTANEOUS MEANS!

And which specifically encourages patients to view their symptoms in a different manner, and hence bias the reporting of outcomes. It is blatant systematic biasing of methodology from the start.

:muted:

And worse.

The tyranny of algorithms.

True, but it helps.

integrated, multidisciplinary care models multidisciplinary pathways patient-centred patient-practitioner collaborative model complex, multi-system conditions. Why am I not feeling confident about this?

“we are beginning to realize that there is this whole world out there that we had absolutely no insight into.” Not for the first time in the history of medicine, and undoubtedly not for the last. The problem is that the profession does not seem to learn the lesson from this clear history.

But won't be.

Relevant studies were identified through a non-systematic search of major electronic databases Not a useful contribution, then. multidisciplinary care :facepalm:

+1 The more of my life has been destroyed this disease, the more openly hostile I become to false hope. It is the worst possible response, and both the medical profession and patients need to stop indulging in it. If there is currently no realistic explanation and effective treatment – and...

That list is why I constantly bang on about the lack of adequate control in rehab/psychosomatic/BPS studies. They are simply not controlling for all this stuff, and the effect sizes alone that they are getting in the rehab treatment arms are not big enough to rule out those confounders. All...

:sneaky: