Mortality in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS): an updated analysis of memorial records, 2025, Sirotiak & Amro

Nightsong

Senior Member (Voting Rights)
ABSTRACT
Background: Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a disabling condition associated with substantial functional impairment. Although historically considered non-fatal, recent studies have suggested a link between ME/CFS and premature mortality.

Objective: To update and expand upon previous findings by analyzing reported deaths among individuals with ME/CFS from a public online memorial list.

Methods: We reviewed 505 entries from the National CFIDS Foundation memorial list as of October 2024. Two coders coded for age at death, sex, year, location, and cause of death.

Results: The average age of death was 52.5 years (SD = 16.7). Most individuals were female (73.0%) and resided in North America (68.9%). The most frequently reported causes of death were ME/CFS or complications (28.3%), suicide (25.4%), cancer (23.0%), and cardiovascular disease (14.2%). Suicide was associated with the youngest average age at death (43.3 years, SD = 14.4).

Conclusions: ME/CFS appears to be associated with notable mortality, with suicide, cancer, and cardiovascular causes of death being particularly common. Many entries list ME/CFS or its complications as a cause of death, indicating that notable proportions of affected individuals and those close to them perceive ME/CFS as directly involved in mortality. Increased clinical awareness and targeted screening may be particularly important.

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I don't trust research based on obituaries because somebody once used them to claim gay people had far shorter life expectancies in order to push their homophobic narrative that it's unnatural and dangerous.

There's huge potential for bias: Some people's obituaries won't mention ME/CFS depending on the personal preferences, demographics, age and cause of death. And we don't know anything about the proportion who are still alive.
 
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