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Science Media Centre Expert Reaction to PACE 2.5 year follow up

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1,446
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Sense about Science defending the PACE Trial and follow up authors. Poor misunderstood peeps.


Response to headlines suggesting ME 'is all in the mind'


Articles on Wednesday 28th October in the Daily Mail, the Daily Telegraph and others reported that new research on ME/CFS showed it to be a disease that was “all in the mind”, and that the research contradicted the view that ME/CFS is “chronic and cannot be alleviated”

The study, published in The Lancet Psychiatry, was a long-term follow-up to a study that suggested that cognitive behaviour therapy and graded exercise therapy were moderately effective ways of treating some people with ME/CFS.

Lead author of the study, Michael Sharpe, Professor of Psychological Medicine, University of Oxford:

"The study did not find that ME/CFS is ‘all in the mind’ – in fact it didn’t look at causes of the disease at all. People think that if these kinds of treatments help, it is saying something about the nature of the illness, which of course isn’t true. This study tells us nothing about the cause of the illness, just how to help people who have it. 'All in the mind' is also a hugely misleading description of conditions that might be associated with psychological and social factors.

"The study did not contradict the view that ME/CFS is a chronic illness. These treatments, which we have found previously to be moderately helpful, are not a cure, and they do not benefit everyone. But the good news is, the benefit of these treatments is still apparent two years later, and they do not lead to a relapse of the illness. This new finding should reassure patients who want to try these treatments."

Document type: For The Record

Published: 28 October 2015

http://www.senseaboutscience.org/fo...to-headlines-suggesting-me-is-all-in-the-mind

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SilverbladeTE

Senior Member
Messages
3,043
Location
Somewhere near Glasgow, Scotland
Those who do evil will suffer same in return sooner or later, by their own fault

If you prick us, do we not bleed?
If you tickle us, do we not laugh?
If you poison us, do we not die?
And if you wrong us, shall we not revenge?
If we are like you in the rest, we will resemble you in that.
If a Jew wrong a Christian, what is his humility? Revenge.
If a Christian wrong a Jew, what should his sufferance be by Christian example? Why, revenge.
The villainy you teach me I will execute—and it shall go hard but I will better the instruction.
 

SOC

Senior Member
Messages
7,849
Declared interests
Prof. Rona Moss-Morris: “Two authors of this study, Trudie Chalder and Kimberley Goldsmith, are colleagues of mine at King’s College London. I work with Trudie on other CFS work and with Kimberley on different work. I published a small study on GET in 2005. I am a National Advisor for NHS England for improving access to psychological therapies for long-term conditions and medically unexplained symptoms. Peter White (another author of the present study) is Chair of trial steering committee for an HTA NIHR-funded RCT I am working on with people with irritable bowel syndrome.”

Conflict of Interest
These people are all friends of mine. Their work reinforces mine, so any discredit to their work damages mine. Because they are my friends, I know they can't possibly be wrong.
 

Scarecrow

Revolting Peasant
Messages
1,904
Location
Scotland
Here's the rationale behind For the Record

http://www.senseaboutscience.org/for_the_record.php
When scientific evidence is misrepresented in the news, experts can set the record straight. 'For the record'pieces have responded to articles making dodgy science claims, ranging from junk food causing allergies, magnets easing the symptoms of menopause or that perfume can make your unborn baby infertile. - See more at: http://www.senseaboutscience.org/for_the_record.php#sthash.abMNbyrD.dpuf
Fair enough but lets back up a few steps here. How about you don't make dodgy science claims in your studies in the first place? Then perhaps the media might not be quite so confused about what your message is.
 

SOC

Senior Member
Messages
7,849
How could all those journalists have got the same incorrect interpretation after reading the same press release?
I wonder if the BPS folk have become so frantic that they are now shooting themselves in the foot. They put out a press release, which was taken up and happily supported by the press who apparently wanted to help the BPS cause. But instead of thanking the press for the support, the BPS folk are now blaming the press for the misinformation they themselves disseminated. That cannot be making friends in the media. The media just got shot in the back by someone they were supporting. Not a good idea to shoot the media when your campaign is all about propaganda and misinformation. The press may find itself more willing to believe our stories about BPS lies and abuse, and more interested into digging deeper into what the BPS crowd is up to.
 
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How the Science Media Centre influenced media reporting of PACE.

The Science Media Centre interviewed a long line of sycophantic 'Experts' to accompany the publication of PACE by the Lancet in 2011. They now sound like complete idiots. :




(The link does not work anymore)

http://www.sciencemediacentre.org/pages/press_releases/11-02-17_cfsme_trial.
Htm



17 February 2011
Expert reaction to Lancet study looking at treatments for Chronic Fatigue
Syndrome/ME



'The study made the first definitive comparison of various treatments for CFS/ME to deduce the most effective treatments.'



Dr Alastair Miller, Consultant Physician at Royal Liverpool University Hospital, Clinical lead for CFS services in Liverpool, Independent assessor of trial safety data for PACE trial and Principal Medical Advisor, Action for ME, said:

"Although NICE have previously recommended graded exercise and CBT as treatments for ME/CFS, this was on the basis of somewhat limited evidence in the form of fairly small clinical trials. This trial represents the highest grade of clinical evidence - a large randomized clinical trial, carefully designed, rigorously conducted and scrupulously analysed and reported. It provides convincing evidence that GET and CBT are safe and effective and should be widely available for our patients with CFS/ME."

"It is clearly vital to continue our research into biological mechanisms for ME/CFS but recent 'false dawns' for example, over the role of retroviruses (XMRV) have shown how difficult this can be. In the current absence of a biomedical model for the causation and the absence of any pharmacological intervention, we have a pragmatic approach to therapy that works and we should use it."




Dr Derick Wade, Consultant and Professor in Neurological Rehabilitation and Clinical Director, Enablement Directorate, Oxford Centre for Enablement, said:

"CFS is common, and it is vital to know whether treatments proposed and/or used are safe and are effective. Randomised controlled trials provide the best and only reliable evidence on safety and effectiveness of any
intervention in any condition. The trial design in this study was very good, and means that the conclusions drawn can be drawn with confidence.

"This is a very significant finding. It identifies that one commonly used intervention is not effective (and therefore should not be used), and it confirms the effectiveness of two treatments, and their safety. The study suggests that everyone with the condition should be offered the treatment, and every patient who wishes to be helped should be willing to try one or both of the treatments. It also means that we can allocate resources to treatments that will benefit patients and, more importantly, stop allocating treatments that do not have proven efficiency. Further research should identify ways that treatments derived from these may deliver greater benefits.

"Research needs to investigate both treatments and factors that increase the risk of developing CFS. However, it is probably more effective to research treatments, and proving a treatment is effective starts to give clues about
causative factors."




Dr Fergus Macbeth, Director of the Centre for Clinical Practice at NICE, said:

"We welcome the findings of the PACE trial, which further support cognitive behavioural therapy and graded exercise therapy as safe and effective treatment options for people who have mild or moderate CFS/ME. These findings are in line with our current recommendations on the management of this condition.

"We will now analyse the results of this important trial in more detail before making a final decision on whether there is a clinical need to update our guideline. Until then, healthcare professionals should continue to follow our existing recommendations, especially as this latest research appears to endorse them as best practice for the NHS."




Dr Esther Crawley, Consultant Paediatrician and Clinical Lead for the Bath Specialist Paediatrics Chronic Fatigue Syndrome/ME Service, said:

"All children with chronic fatigue syndrome and their parents are desperate for new research to understand how to treat this condition. The next step is to do a study like this for children to find out if these treatments work."




Prof Willie Hamilton, GP in Exeter and Professor of Primary Care Diagnostics, Peninsula College of Medicine and Dentistry, said:

"At least half of patients improved with CBT or GET. The study also allays fears that CBT or GET may be harmful. There are a minority of patients who didn't see improvement so the next step must try and find treatments to help them.

"This study matters: it matters a lot. CFS/ME is common, and causes a lot of suffering. Up until now we have known only that CBT and GET work for some people. We didn't know if pacing worked. This caused a real dilemma - especially for those in primary care. We didn't know whether to recommend pacing, or to refer for CBT or GET. Worse still, not all GPs have access to CBT or GET, so ended up suggesting pacing almost by default. This study should solve that dilemma.


"At a patient level, I now know what to suggest to my patients
. Almost as important, it sends a powerful message to PCTs - and the soon-to-be-formed GP consortia - that they must fund CBT or GET. NICE proposed that before
this study came out - the evidence is even stronger now."




Dr Brian John Angus, Clinical Tutor in Medicine and Honorary Consultant Physician, University of Oxford and Centre Leader for the PACE Trial in Oxford, said:

"This study is the largest ever done in CFS/ME and as such is critically important. The study should reassure patients that there is an evidence based treatment that can help them to get better and there is no need to worry about harm from the treatment. The other significant result is that looking at different ways of classifying the condition through different diagnostic criteria do not make any difference to the effect of treatments.

"We do not know what the underlying cause of CFS/ME is. There is ongoing research to find the cause, and I have been involved with this, but none of these studies has shown any consistent evidence of cause never mind any rationale for treatment. However in the meantime I see many patients in my clinic who need help with their fatigue. This was a pragmatic trial to help patients while there is no other treatment available.

"It was extremely rigorous. It was large and it was randomised. The study was carefully conducted in the manner of a drug intervention study to not only establish the superiority of one treatment over the other but also to carefully report any side effects or harm from those treatments. Since the treatments were therapies and not drugs stringent efforts were made to ensure the 'purity' of each treatment and to rapidly report any adverse effects. As a trial this involved a huge amount of checking and cross checking.

"This should mean that GET and CBT should be widely available throughout the country. Despite NICE recommendations I still see patients who are unable to access any treatment for their CFS/ME in their local GP area. Travelling is obviously difficult for patients with CFS/ME. The increase in the availability of CBT therapists for other conditions should be mirrored for CFS/ME.

"The trial was conducted to a high ethical standard. Patients were fully informed and randomised to the different treatments. It was rigorously performed. The study has definitively shown that there is no harm associated with GET."





Comparison of adaptive pacing therapy, cognitive behaviour therapy, graded exercise therapy, and specialist medical care for chronic fatigue syndrome
(PACE): a randomised trial, by Peter White et al, published in the Lancet at 00.01hr UK time Friday 18 February 2011.

To contact the above please contact the Science Media Centre on 020 7670 2980


Note for editors


The Science Media Centre (SMC) is an independent venture working to promote voices, stories and views from the scientific community to the news media when science is in the headlines. Over 50 sponsors including scientific
institutions, media groups, corporate organisations and individuals fund the Centre, with donations capped at 5% of the running costs to preserve its independence. The team at the Centre is guided by a respected Scientific Panel and Board of Advisors. This press release contains the personal opinions of those acknowledged; which represent neither the views of the SMC nor any other organisation unless specifically stated.


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SOC

Senior Member
Messages
7,849
Its clearly revealed that many so-called experts do not know how to spot even basic flaws in scientific papers. There is also the worry that if they let this slide, what else did they let slide? How much bad science has a free pass?
What? Experts from (gasp!) Oxford don't know how to spot the most basic flaws in scientific papers -- things that undergraduates at non-elistist universities could easily recognize? Tell me it isn't so! :eek:

Or maybe they're perfectly capable of recognizing fundamental flaws in research that any science undergraduate could see, but they are choosing to be corrupt and support fraudulent research.

Which is it, folks -- scientifically ignorant or morally corrupt?