2025: The 2019/24 Cochrane Larun review Exercise Therapy for CFS - including IAG, campaign, petition, comments and articles

Discussion in '2021 Cochrane Exercise Therapy Review' started by S4ME News, Dec 22, 2024.

  1. Trish

    Trish Moderator Staff Member

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    If the review doesn't recommend for or against exercise they should be willing to attach an editorial note saying the review should not be used as evidence for clinical care.

    Edited.
     
    Last edited: Mar 4, 2025 at 7:17 AM
  2. Sean

    Sean Moderator Staff Member

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    Should not be used ?
     
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  3. Trish

    Trish Moderator Staff Member

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    Thanks.
     
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  4. bobbler

    bobbler Senior Member (Voting Rights)

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    Yes indeed

    and it is just a distract from the actual question being asked tactic.

    This is the excuse (why it happened) that comes after they should have corrected the date on the basis it was inappropriate/misleading with regard to why dates are on journals or reviews in the first place: the reflect when the work was done and how recent the material reviewed is

    it is an old review from 2017, then labelled 2019 that only included pre-2015 papers and methods

    that they’ve relabelled 2024

    and know full well that misleads reader to think some amend or update would have taken place to make it worthy of a new date

    to write back with tosh about ‘didn’t do it deliberately’ or ‘because it was convenient for us’ doesn’t make it any more appropriate or correct - so it should be corrected


    You wouldn’t offer a reprint with a new issue number on it if it was a print version/book - because there is nothing new

    and it isn’t a latest review - which is the material they won’t release of that latest protocol done by the writing group that they held onto for over a year before deciding to junk ‘the update’ to not release . So they haven’t attached any of the latest material even if what they did , nevermind mentioning new research that would/should be in any review since 2014/5 cut off this related one really only includes

    I think being misleading trumps any of these distractions of supposed ‘why it happened’ in the real question of ‘what is justified/appropruate/needing to be met to accord such a date’
     
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  5. Peter Trewhitt

    Peter Trewhitt Senior Member (Voting Rights)

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    Also there are examples where Cochrane have amended editorial notes without altering the publication date, for example with this very review in January 2025. Indeed it may be that changing the date in such circumstances is the outlier not the norm for Cochrane.

    What is it about the CFS Exercise review that requires Cochrane to alter its editorial practices? The extreme being when the previous editor in chief, Tovey, was planning to withdraw an early edition, Cochrane altered its policies to make it harder for a review to be withdrawn.
     
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  6. Trish

    Trish Moderator Staff Member

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    If you read part 1 of our complaint, it seems clear to me that Cochrane have broken their own rules about when to create a new citation.
    Complaint 2025-1: Creation of a new citation and publication date as a result of attaching an editorial note to an unchanged review

    The first part of the editorial note says:
    "This Editorial Note is for the above article, published online on 2 October 2019 on the Cochrane Library (https://www.cochranelibrary.com/), and has been issued by the Publisher, John Wiley & Sons Ltd, in agreement with the Cochrane Collaboration." [2]

    We understand this to mean that the publisher agreed that the note be attached to the 2019 version of the Review, that is version 8. They have not done so. There is no indication in the editorial note that the publisher agreed to republish the Review as a new version with a new publication date and version number, and with the only change being to add the editorial note.

    Quoting from Cochrane's policy on editorial notes:

    "Specifications for publishing and display
    Editorial notes are published as part of a standard publication workflow. To add an Editorial note to a published review – making no other changes to the review – use the 'Amended' What's new event (no new citation)." [3]

    Therefore Cochrane has failed to follow its own policy by republishing the 2019 version 8 of the Review as a new 2024 version 9, creating a new citation, instead of attaching the editorial note to version 8 and leaving the citation unchanged. Further, it has failed to follow the agreement with the publisher that the note is to be attached to the 2019 version.

    The only reasons we could find in Cochrane's editorial policy for creating a new version with a new date and a new citation, were the creation of an updated review, with all the requirements of an up to date literature search and up to date methodology, as we detail below in complaint 4A, the withdrawal of a review, or the creation of an update following a withdrawal. Clearly none of these applies in this case. [4]

    The effect of the 2024 date in the new citation is to suggest to readers that the Review represents the state of knowledge in 2024, when in fact the search for studies to be included was carried out in 2014 and Cochrane has acknowledged that review methodology has improved since the work on the review was done.

    Cochrane's response:

    "Cochrane decided to publish the editorial note in question with a new citation to ensure discoverability of our decisions regarding this review.

    This decision does not breach our editorial policy but uses operational discretion in applying the publication guidance regarding editorial notes. Neither the editorial note, nor the decision to publish it with a new citation, indicates that the 2019 version of the review has been updated in any way."

    They say they used "operational discretion in applying the publication guidance regarding editorial notes". But the bit I quoted is from editorial policy, not editorial guidance. As far as I can see they have breached editorial policy.
    The policy says:
    "To add an Editorial note to a published review – making no other changes to the review – use the 'Amended' What's new event (no new citation)."

    The other point we made in that section was that the editorial note says it was agreed with the publisher to be attached to the 2019 version of the review. They haven't done that, they have attached it to the 2024 version.

    Trying to get my head around how they have twisted to justify the new citation. They have played a trick by republishing the review with a new citation, and adding the editorial note to that one. So rather than breaking their policy by creating a new citation on the basis of adding an editorial note, which would be against their policy, they have created the new citation for no good reason, and added the editorial note to it. The editorial note does not appear in the list of amendments to either the 2019 version or the 2024 version. If you can make sense of that twisted reasoning, I'm a banana.
     
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  7. rvallee

    rvallee Senior Member (Voting Rights)

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    Ridiculous nonsense. This organization is completely unserious and has no principles.
     
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  8. ME/CFS Skeptic

    ME/CFS Skeptic Senior Member (Voting Rights)

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    If I recall correctly the planned update did not require a note with a new DOI. So it's rather strange to argue that they wanted a new citation to highlight the cancellation of the update.
     
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  9. ME/CFS Skeptic

    ME/CFS Skeptic Senior Member (Voting Rights)

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    Something different:

    On the Retraction Watch article on the Cochrane review, I noticed this comment:
    I wonder if this is
    Meredith Warshaw
    Center for Biostatistics in AIDS Research, Harvard School of Public Health
    ‪Meredith Warshaw‬ - ‪Google Scholar‬
     
  10. Utsikt

    Utsikt Senior Member (Voting Rights)

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    She fits the bill.

    I found this based on her LinkedIn, she has done some work in psychiatry and special needs education before getting into HIV/AIDS. She might be sympathetic to ME/CFS?

    https://uniquelygifted.org/resume.htm
     
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  11. Utsikt

    Utsikt Senior Member (Voting Rights)

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    This is her previous comment:

    Cochrane has forfeited all credibility. I read the the major study out of England of graded exercise therapy and it was appallingly bad. Among other things, the investigators changed their definition of remission from what was specified in the protocol in such a way that people could do worse after treatment yet meet the benchmark score for remission. Reviewers should never have approved their papers for publication, and Cochrane’s own reviewers should have recognized that the shoddy quality of the work meant it shouldn’t be included in any reviews or meta-analyses.
     
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  12. dave30th

    dave30th Senior Member (Voting Rights)

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    wow, I went to high school with Meredith but haven't seen her in years. I sent her the PACE trial when I was first working on it to get her input, and she's definitely sympathetic.
     
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  13. dave30th

    dave30th Senior Member (Voting Rights)

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    Yes, I sent Meredith the PACE trial way back then. We have occasional contact on Facebook.
     
  14. bobbler

    bobbler Senior Member (Voting Rights)

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    I was thinking this - that it doesn’t mean they think the methodology was a problem

    and their latest stuff has simply rebranded with the same old assumptions underlying things

    but I can see why they’d want that rebrand included

    It’s not the same as hearing them talk about seeing the light on method and information issues , and indeed on respect when pwme submit proper feedback and it being heard as intended etc

    I think if we started seeing proper changes along those lines I’d feel it was more about hearing the issue with harm and outcomes and wanting to ‘get things’ better

    I am interested however in it seeming the approach of the IAG might have been to agree a message they could all cooerdinate on?
     
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  15. rvallee

    rvallee Senior Member (Voting Rights)

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    I'm thinking they probably see some value in separating PEM vs non-PEM to preserve their industry and income streams. Even though it makes zero difference, which is actually the main takeaway. But by emphasizing that it's the problem, they keep the problem afloat with a distinction that no one can reliably identify.

    So if the issue is only that PEM is different, they can continue 'duing' the same ritual crap while claiming that if it doesn't work, it's because of PEM and, my guess again, you need CBT, not GET. They simply insist that it works for 'fatigue'.

    Or something like it. I can't ever see good intentions out of this industry. It's built to be parasitic and can't change. Its only valuable future is to fold and stop the grift, but these people made their career out of it so they can't let go. Especially so because their skills are entirely worthless anywhere else.
     
  16. bobbler

    bobbler Senior Member (Voting Rights)

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    Yes I’ve seen in other places that certain clinic’s have used their fatigue clinic model to eg get grants from cancer charities or maybe nhs to offer courses for fatigue post cancer

    and then there is FND

    and the PPS clinics

    interesting question here about whether there is becoming a competitive market between these, and with those specific entities who chose not to change then say ‘it’s ok if harms me/cfs cos we just serve cfs/me’ etc?

    ie how do BACME actually dovetail with those of that strategy?


    plus of course it’s that feeling the long covid money /funding impacts things and there of course there has been a bit more differentiating by mentioning PEM - even though I’m not sure we are sure all those mentioning PEM in LC mean the same thing as we do by PEM

    it would be interesting to break down the players in this market and if they all overlap with BACME?
     
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