Australia: National Health and Medical Research Council (NHMRC): Development of ME/CFS guidelines

Discussion in 'Other reviews with a public consultation process' started by Dolphin, Jun 20, 2024.

  1. Utsikt

    Utsikt Senior Member (Voting Rights)

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    @Ravn I doubt they’ll change it, but they might be persuaded to do another survey because they missed the mark on this one.
     
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  2. rvallee

    rvallee Senior Member (Voting Rights)

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    This does not look promising. At all. Same old junk.
     
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  3. dave30th

    dave30th Senior Member (Voting Rights)

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    You never know! The local advocates have worked hard to even get to this point and seem to feel the health ministry is serious. I'm sure they'll fight hard for the guidelines to meet the needs--just as those on the NICE committee did. But I also assume there will be GET/CBT die-hards on whatever panel is developing them.
     
    Last edited: Mar 3, 2025
  4. Hutan

    Hutan Moderator Staff Member

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    Yes, but one of the local advocates has been a proponent of an expensive unproven therapy.

    It will be really disappointing if we see a guideline coming out recommending a range of supplements and other unproven treatments instead of making it clear that there are no treatments that have been shown to be useful. Australia has had a problem with 'ME/CFS specialist doctors' promoting all sorts of unproven ideas.

    Sorry, edited.
     
    Last edited: Mar 3, 2025
  5. dave30th

    dave30th Senior Member (Voting Rights)

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  6. Ravn

    Ravn Senior Member (Voting Rights)

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    I'm getting an address not found delivery failure message for the email contact listed on the survey website (copy-pasted twice and sent from two separate email accounts, same problem with both, not a typo issue on my side). There's also a contact phone number listed but I leave that to the Australians

    @Simone are you in contact with the survey organisers and able to forward the technical issues raised in this thread (the faulty email address and that not everyone gets to answer all questions)?
     
  7. Nightsong

    Nightsong Senior Member (Voting Rights)

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    On several other NHMRC pages relating to ME/CFS (link, link) there is an email address that begins me_cfs@ (with an underscore, not a dash). Perhaps that one will work?
     
  8. Ravn

    Ravn Senior Member (Voting Rights)

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    Good detective work. No reply yet but at least the email didn't bounce
     
  9. Simone

    Simone Senior Member (Voting Rights)

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    Thanks for highlighting the issue with the email account. I’ll provide NHMRC with the feedback that there’s an incorrect email address on some of their material
     
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  10. Ravn

    Ravn Senior Member (Voting Rights)

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    Thanks Simone

    Just for the record, my email to me_cfs@... (as guessed by Nightsong) didn't bounce but still no reply
     
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  11. Simone

    Simone Senior Member (Voting Rights)

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    The issue with the email has been fixed.

    As for replies, I think they’re being flooded with emails and things, which is slowing down responses.
     
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  12. Ravn

    Ravn Senior Member (Voting Rights)

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    I've obtained a PDF with all the survey questions but have been asked not share the document as they don't have the capacity to process a whole lot of paper submissions

    So just summarising here the questions I didn't get to see responding to the online survey as a patient (see post 38 for those I did see):

    Health professionals are asked about what guidance documents they're currently using, what their preferred guideline format would be and if there are any other tools they would like to see

    Researchers are asked about what research they're doing and who's funding it

    Organisations are just asked who they are
     
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  13. Hutan

    Hutan Moderator Staff Member

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    Last edited: Apr 15, 2025
  14. Hutan

    Hutan Moderator Staff Member

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    It feels very much like a survey done to tick the box of doing consultation. It's hard to provide much of value with that structure.

    I mentioned the need to search for harms, including harms of assuming that ME/CFS is a psychosomatic condition.
    Mentioned the NICE warning against the Lightning Process and the tendency of self-proclaimed ME/CFS experts to promote treatments that are not supported by evidence.
    I mentioned that some people with Long Covid meet ME/CFS criteria and should be diagnosed with ME/CFS, so that they can benefit from the ME/CFS guideline. And that there should be a link from any guidance about Long Covid to the ME/CFS guideline.
     
  15. InitialConditions

    InitialConditions Senior Member (Voting Rights)

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  16. Yann04

    Yann04 Senior Member (Voting Rights)

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    Worth filling in. Rather quick and possibly quite important.
     
  17. Sean

    Sean Moderator Staff Member

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  18. oldtimer

    oldtimer Senior Member (Voting Rights)

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    Me done too.
     
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  19. Nightsong

    Nightsong Senior Member (Voting Rights)

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    Submission from RACGP to NHMRC in response to the scoping survey for the development of clinical practice guidelines for ME/CFS:
    Link | Full letter (PDF)
     
  20. Utsikt

    Utsikt Senior Member (Voting Rights)

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    Why did they not mention that the GET studies have shown that it’s ineffective? It appears like they assume that it might still be an effective treatment. On what basis?
     
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