G
gerwyn morris
Guest
I found this in Intern Med. 1995 Jul 15;123(2):81-8.
Chronic fatigue and the chronic fatigue syndrome: prevalence in a Pacific Northwest health care system.
Buchwald D, Umali P, Umali J, Kith P, Pearlman T, Komaroff AL.
University of Washington, Seattle, USA. The following quotes struck me straight away
Persons with chronic fatigue were evaluated using a questionnaire that requested information about medical history and fatigue and related symptoms; validated measures of functional status and psychological distress; a physical examination; and standardized blood tests. --this is how Wesselly assessed patients in an "attempt" to exclude patients with other conditions
A structured psychiatric interview was done in persons who APPEARED to meet the original Centers for Disease Control and Prevention (CDC) criteria for the chronic fatigue syndrome.
Chronic fatigue was reported by 590 persons (19%). Of these, 388 (66%) had a medical or psychiatric condition that could account for the fatigue. Of the 74 persons (37%) with chronic fatigue who were enrolled in the study, only 3 met the CDC criteria for the chronic fatigue syndrome. The remaining 71 persons were designated as having chronic fatigue alone.
I hope this illustrates just how easy it is to have patients meeting the Oxford Criterea to also APPEAR to meet the CDC requirements!
By the way the meeting that established The Oxford Criterea was sponsored by a pharmaceutical company-The Welcome trust-I wonder who they gave the money to? Any detectives out there?
I wont post any threads for a while as I,m probably overdoing it--I,ve just chased up references I,v seen in studies Nnd i thought this would be useful info I wonder if Prof Mclure is aware of the WHO's attitude to Wessellys diagnostic methodology-Perhaps someone could tell her
Chronic fatigue and the chronic fatigue syndrome: prevalence in a Pacific Northwest health care system.
Buchwald D, Umali P, Umali J, Kith P, Pearlman T, Komaroff AL.
University of Washington, Seattle, USA. The following quotes struck me straight away
Persons with chronic fatigue were evaluated using a questionnaire that requested information about medical history and fatigue and related symptoms; validated measures of functional status and psychological distress; a physical examination; and standardized blood tests. --this is how Wesselly assessed patients in an "attempt" to exclude patients with other conditions
A structured psychiatric interview was done in persons who APPEARED to meet the original Centers for Disease Control and Prevention (CDC) criteria for the chronic fatigue syndrome.
Chronic fatigue was reported by 590 persons (19%). Of these, 388 (66%) had a medical or psychiatric condition that could account for the fatigue. Of the 74 persons (37%) with chronic fatigue who were enrolled in the study, only 3 met the CDC criteria for the chronic fatigue syndrome. The remaining 71 persons were designated as having chronic fatigue alone.
I hope this illustrates just how easy it is to have patients meeting the Oxford Criterea to also APPEAR to meet the CDC requirements!
By the way the meeting that established The Oxford Criterea was sponsored by a pharmaceutical company-The Welcome trust-I wonder who they gave the money to? Any detectives out there?
I wont post any threads for a while as I,m probably overdoing it--I,ve just chased up references I,v seen in studies Nnd i thought this would be useful info I wonder if Prof Mclure is aware of the WHO's attitude to Wessellys diagnostic methodology-Perhaps someone could tell her