Week beginning 14th December 2020
News, articles and videos
Germany On December 10, the patient organizations Deutsche Gesellschaft für ME/CFS, Fatigatio e.V., Lost Voices Stiftung and MillionsMissing Deutschland had a positive meeting with representatives of the Federal Ministry of Health and the Federal Ministry of Education and Research. A short summary report of the meeting has been made available on social media.
Summary
here Thread
here
The Netherlands While the Dutch already had a decent report on ME/CFS by their Health Council and a promising research agenda, their clinical guidelines still recommended GET/CBT. "Zorginstituut" has now finally decided to change these. Dutch patient organisations have requested this for a long time. The new NICE guideline will be used as a starting point.
Announcement
here Thread
here
M.E. Centraal/Finland "Helsinki University Hospital's outpatient clinic for Functional Disorders treats ME/CFS patients"
ME/CFS has been defined as a functional disorder by the Finnish Ministry of Social Affairs and Health. M.E. Centraal provides in this article some examples of the appalling consequences this has had for Finnish ME patients.
Article
here Thread
here
Science Media Centre - New Zealand "Researchers claim proof chronic fatigue syndrome is a bodily disease - Expert Reaction"
Expert comments on recent studies from Prof. Tate et al on mitochondrial dysfunction and epigenetic similarities in CFS. Comments are by Prof. Tony Hicket, Dr. Carolyn Wilshire, Dr. Lynette Hodges, Dr. Rosamund Vailings and Dr. Hemakumar Devan.
Article
here Thread
here
Norway Special care service for severe ME patients to open in spring 2021.
The institution Røysumtunet will soon have 12 places available for severe ME patients. This offer has been developed in close cooperation with the Norwegian ME Association. They also hope to be able to facilitate for research projects into ME.
Article
here (Norwegian) Article in English provided by EMEA
here Thread
here
The ME Association "New Leaflet: Pensions- obtaining an ill-health pension, prognosis & permanency in ME/CFS"
Article by Dr. Charles Shepherd from the ME Association with a summary of their new leaflet.
Article
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here
US - CDC ME/CFS Stakeholder Engagement and Communication (SEC) Call
The transcript, audio and slideshow from the September 23rd phone meeting are now available on the CDC website.
Transcript/audio/slides
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here
Solve ME/CFS Initiative Emily Taylor, Director of Advocacy and Community Relations has written an open letter to the author of an article in Psychology Today which contained outdated and incorrect statements about ME/CFS.
Letter
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here
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New draft NICE guideline for ME/CFS
BMJ Editorial "Updated NICE Guidelines on chronic fatigue syndrome"
In this guest editorial professors Lynne Turner-Stokes and Derick T Wade oppose the removal of CBT/GET as treatment approaches for ME in the NICE draft guideline. BMJ editorial
here
The editorial has received excellent responses from forum members.
Professor Emeritus Jonathan Edwards and expert witness in the guideline process calls the editorial "ill-informed, confused and unhelpful" and explains why
here.
Vice-chair of the Belgian ME/CFS Patient organisation 12ME, Michiel Tack, lists and responds to several problematic statements in the editorial
here.
Professor in psychology Brian Hughes has written an article about the BMJ editorial on his blog The Science Bit titled "Expert reaction to the BMJ editorial calling for the abandonment of standards"
here.
Thread
here
Physios for ME "View on NICE Guidelines"
Physios for ME have submitted their response to NICE draft guidance for ME/CFS with key focus on physiotherapy management. Their review document can be read in full at their website, where they've also provided a summary of key impressions and recommendations.
Response
here Thread
here
Scottish Sunday Express "Invest in research to let us be part of Scotland's future".
Excellent piece by Emma Shorter from #MEAction Scotland drawing parallels between ME and Long Covid, describing the devastating consequences of GET as treatment approach and about NICE's draft guideline with its removal of GET. She calls for a removal of GET in Scottish guidance as well and for more research funding for ME.
Thread with article
here
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Research news
DecodeME Update from this research project that they will be working with Solve ME to sign up study participants when launching in May. DecodeME will be licensing the You and ME registry digital platform which can be accessed by a computer or smartphone.
More information
here Thread
here
The University of Edinburgh is advertising a post of Administration Manager for DecodeME. Details
here
DecodeME The video of the second webinar by the Decode ME study management team, recorded on Wednesday 16 December, has now been made available on YouTube (one hour). The comments section lists questions asked along with time stamps to allow viewers to skip to a specific section of the video.
Video
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Solve ME/CFS Initiative The Webinar hosted by Solve ME/CFS Initiative on the NIH’s research on post-exertional malaise is now available on YouTube. Speakers include Barbara Stussman and Brian Walitt.
Thread with video
here
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Trial by Error by David Tuller
Professors Chalder and Crawley Join Forces to Push CBT for Kids
A critical look at the publication "Paediatric chronic fatigue syndrome: 25 year perspective" by professors Chalder, Crawley et al. Summarised: "..this 25-year review already smells like an antique".
Article
here Thread
here
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Biomedical research
Journal of Translational Medicine "Viruses belonging to
Anelloviridae or
Circoviridae as a possible cause of chronic fatigue" by Bjørn Grinde
Argues for a further investigation of a possible role of anello- and circoviruses in relation to CFS. "They normally replicate at a low level, but their activity increases in an immune suppressed host; and there are cases where they do reach the brain."
Paper
here Thread
here
Frontiers in Immunology "Impact of Long-Term Cryopreservation on Blood Immune Cell Markers in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Implications for Biomarker Discovery" by Elisabet Gómez-Mora et al
"Our findings show that some of the previously identified immune markers in T and NK cell subsets become unstable after cell biobanking, thus limiting their use in further immunophenotyping studies for ME/CFS".
Paper
here Thread
here
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Other research
Healthcare
“Could Cognitive Behavioural Therapy Be an Effective Treatment for Long COVID and Post COVID-19 Fatigue Syndrome? Lessons from the Qure Study for Q-Fever Fatigue Syndrome” by Vink and Vink-Niese
In this paper, Dutch ME/CFS patient and physician Mark Vink makes a detailed analysis of the Qure study: a trial of doxycycline and cognitive behavioural therapy for patients suffering from Q fever fatigue syndrome. Vink and Vink-Niese conclude that the Qure study suffered from several serious methodological problems such as relying on one subjective primary outcome and ignoring the objective measurements of activity levels.
Article
here Thread
here
Journal of Translational Medicine
“Potential causal factors of CFS/ME: a concise and systematic scoping review of factors researched” by Muller et al.
This Norwegian research team did a systematic review of primary studies that examined potential causal factors of ME/CFS. 1161 primary studies were included published between January 1979 and June 2019. The most common investigated topics were: immunological (297 studies), psychological (243), infections (198), and neuroendocrinal (198).
Article
here Thread
here
Journal of the Royal Society of Medicine
“Measuring improvement and deterioration in myalgic encephalomyelitis/chronic fatigue syndrome: the pitfalls of the Chalder Fatigue Questionnaire” by Kirke K.
Science for ME forum member Karen Kirke has published an excellent letter to the editor in response to Adamson et al.’s audit of the South London and Maudsley Persistent Physical Symptoms Research and Treatment Unit.
Letter
here Thread
here
Journal of Clinical Medicine
“The Prospects of the Two-Day Cardiopulmonary Exercise Test (CPET) in ME/CFS Patients: A Meta-Analysis” by Lim et al.
In this study, Korean researchers from Daejeon University did a systematic review of two-day cardiopulmonary exercise test results in ME/CFS patients compared to controls. 5 studies were included. The difference between patients and controls was highly significant for workload at the ventilatory threshold. The authors conclude that their results “show the potential of the two-day CPET to serve as an objective assessment of PEM in ME/CFS patients.”
Article
here Thread
here
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Covid-19 and ME
NICE "Covid-19 rapid guideline: managing the long-term effects of Covid-19".
This underwhelming guideline has spurred several reactions from the ME field. Covid-19 rapid guideline
here.
Dr. Charles Shepherd from the ME Association says to the Guardian: "... it is very disappointing to find that much of what we have learned about symptoms management in ME/CFS, especially the importance of having a period of post-infection convalescence followed by pacing and carefully keeping within an energy envelope, has not been acknowledged or incorporated into this guideline"
here.
Action for ME states on their website that they "are concerned to see no mention of the likelihood of developing M.E./CFS following Long Covid" and that "if those experiencing post-exertional malaise, a hallmark symptom of M.E./CFS, are treated following this guideline, they may experience a worsening of symptoms"
here.
Thread
here
The Atlantic "How Science Beat the Virus" by Ed Yong
Thorough overview article on the scientific approach to Covid-19 where ME is mentioned in section 4 as one disease that likely will benefit from this effort. "It's an opportunity we cannot lose", says Dr. Fauci on research into long-haul symptoms.
Article
here Thread
here
Other items of interest
healthing.ca "Will COVID unlock the secrets of chronic fatigue?"
Article
here Thread
here
Vox "The many strange long-term symptoms of Covid-19, explained"
Article
here Thread
here
Harvard Health Publishing "What are the long-lasting effects of COVID-19?"
Article
here Thread
here
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