Dynamed - Chronic Fatigue Syndrome - guideline

[ME/CFS Skeptic]

DynaMed is a clinical decision support resource from EBSCO. It provides evidence-based summaries of conditions with recommended actions. It has this guideline on 'Chronic Fatigue Syndrome' which was last updated on 11 December 2023.
https://www.dynamed.com/condition/chronic-fatigue-syndrome#GUID-FC3EF2F4-1366-41F0-A6D5-B34EFCF15A9C

I can only see a snippet but it doesn't look very good. Even if done by humans, it looks very automated with little critical thinking involved, just repeating what reviews said and abstracts from individual studies.

 

[alktipping]

I read that as the damned chronic fatigue syndrome .

 

[Nightsong]

Yes, rather poor. The content on UpToDate (a similar service by Wolters Kluwer) is better.

ETA: I know some people have volunteered to go through 2-day CPETs, but it's a little alarming for this to be recommended as testing for PEM with no indication that the "symptom exacerbation" may be long-lasting:

Additional testing that may be indicated based on symptoms.
For postexertional malaise, consider performing cardiopulmonary exercise tests (CPETS).
– 2 separate CPETS should be performed 24 hours apart, looking for significant inability to reproduce maximal or anaerobic threshold measures on the second day.
– This may lead to severe symptom exacerbation.

And these are the assessment scales it suggests:

Scales that are used or have been formally tested in patients with chronic fatigue syndrome (CFS) in a clinical setting include the Chalder Fatigue Scale, DePaul symptom questionnaire (DSQ-2), Multidimensional Fatigue Symptom Inventory, Fisk Fatigue Impact Scale, and The Krupp Fatigue Severity Scale.

Given the increasing popularity of such tools it may be worth dedicating some advocacy efforts to trying to get these improved.