Michael Sharpe skewered by @JohntheJack on Twitter

He doesn’t seem to understand that he can’t have both shaped NICE guidelines and not had any effect at the same time.
I think he's saying he just did the experiment; other people decided what to do with it. Technically this is true, and it reflects badly on NICE et al that they didn't see how unreliable the trial results were.

It also doesn't excuse Sharpe and the others from taking responsibility for correcting the record once the flaws were pointed out (although clearly he, at least, can't grasp the issues).
 
michael sharpe@profmsharpeNICE guidance were as they are before PACE. PACE has undoubtedly reinforced the view that CBT and GET are useful. But it was just a trial - others make their own judgements about treatment on this and other data - as you do.

The only thing that has reinforced the idea that CBT and GET are useful for ME is the SMC by promoting a trial that didn't stick to its protocol, recovery and improvement definitions.

The actual data from PACE proved that if you cook the books halfway through a trial you can claim success from your preferred treatments that you have been promoting for years.

If you can be simultaneously ill enough to enter the trial and both declared recovered at the same time the trial is bogus.

Its not a matter of interpretation its a matter of fact.

Thats why NICE are reviewing the evidence for GET and CBT and that's why MPs have called Sharpe out in parliament using real evidence.
 
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He doesn’t seem to understand that he can’t have both shaped NICE guidelines and not had any effect at the same time. It’s a one or the other deal.

I think finally after all these years of not being listened to about how bad the BPS crowd is Sharpe is doing more for us than we could ever do.

If policy makers and other docs don't wake up in abundance it will be amazing. Having said all that it still could takes years of bureaucracy and meetings to change policy.
 
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