UK Parliamentary debate today - Thursday 24th January 2019

Andy

Andy

Senior Member (Voting rights)
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I hope that any reference to Cochrane's work includes reference to this note on the Larun exercise review:
Addition of new published note 'The author team has re‐submitted a revised version of this review following the complaint by Robert Courtney. The Editor in Chief and colleagues recognise that the author team has sought to address the criticisms made by Mr Courtney but judge that further work is needed to ensure that the review meets the quality standards required, and as a result have not approved publication of the re‐submission. The review is also substantially out of date and in need of updating.

Cochrane recognises the importance of this review and is committed to providing a high quality review that reflects the best current evidence to inform decisions.

The Editor in Chief is currently holding discussions with colleagues and the author team to determine a series of steps that will lead to a full update of this review. These discussions will be concluded as soon as possible'.
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Moderator note:

The debate started later than expected. There were a lot of posts about when it might start. These are now redundant and are being deleted so people coming to the thread to catch up with the debate don't have to wade through pages of anticipation.

Edit: Done. 29 fewer posts for you to read!
 
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House of Commons briefing for the debate: http://researchbriefings.files.parliament.uk/documents/CDP-2019-0014/CDP-2019-0014.pdf

This is what they say on Cochrane:

A 2016 Cochrane review20 has since looked at the use of exercise in the management of patients with CFS. The review looked at randomised controlled trials published up to May 2014, it included eight studies

(including the PACE trial) with a total of 1,518 participants. The review concluded that moderate quality evidence showed that exercise therapy was more effective at reducing fatigue compared to passive treatment (e.g. waiting list, treatment as usual, relaxation, flexibility) or no treatment and that it had a positive effect on people’s daily physical functioning. The researchers suggested that further studies should be used to look at what type of exercise is the most beneficial for people with CFS. More detailed information about the review is provided on the Cochrane website.
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Pretty appalling that they omitted the notice I mentioned above, or any information on the problems identified by Cochrane.

Also pretty pissed off that they fail to mention the many issues that the PACE researchers have failed to respond to:

However, the PACE trial authors have defended the results of the trial27 and have responded to criticisms in medical journals28 and on the PACE trial webpage.29
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That briefing gives a really misleading view of things imo.
 
I hope Monaghan has been briefed on the Cochrane issues - if so she should be able to knock back any attempt to defend PACE/CBT/GET with reference to Cochrane's work, and make anyone taking this approach look a bit silly.
 
Esther12 said:
House of Commons briefing for the debate: http://researchbriefings.files.parliament.uk/documents/CDP-2019-0014/CDP-2019-0014.pdf

This is what they say on Cochrane:
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The review looked at randomised controlled trials published up to May 2014, it included eight studies (including the PACE trial) with a total of 1,518 participants. The review concluded that moderate quality evidence showed that exercise therapy was more effective at reducing fatigue compared to passive treatment (...)
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Esther12 said:
Pretty appalling that they omitted the notice I mentioned above, or any information on the problems identified by Cochrane.
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They also omitted the fact that Cochrane erroneously included the PACE trial as "randomised controlled trial" despite it being only a randomised trial.
 
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I'm counting and guessing 50 MPs?

It's hard to tell as some just seem to be leaving still after the last debate and the numbers may be going down

edit - less MPs now as the debate goes on
 
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