Petition: Opposing MEGA

lilpink

Senior Member
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lilpink said:
All very Orwellian I’m afraid.

That horse has long bolted. We already live in a mass surveillance society, where insurers, marketeers, corporations are busy number-crunching our data for their own end. Facebook anyone ?

Perhaps the wisest amongst us don’t subscribe to Facebook. But putting that aside, as I understand it OMEGA is not against the principle of sharing data on a massive scale but questions the trustworthiness of those who are in charge of the MEGA project and how they plan to use, and MISUSE, the data patients provide.

Eafw said

“We can, as much as we are able, expect any decent scientist to work within current ethical data guidelines and laws - and we do need to have clear statements on data protection, conflicts of interest etc - but this idea that the system will be overturned or the entire BPS network will collapse overnight if a bunch of us sign a petition saying we want rid of Crawley - that is ridiculously, hopelessly naive.”


IMO Crawley and the White/Wessely School have demonstrated that they are quite happy to

· run roughshod over data protection,

· fail to declare conflicts of interests,

· misrepresent the results from their research

· block attempts to reveal the truth

And I have heard on the grapevine that Crawley may have taken and used patient data for the NOD without informed consent so also likely flouting ethical data guidelines and laws since the NOD has now been used for their research. They have proved that they are not ‘decent scientists’, many would argue that they should not be called scientists at all. That is why we want rid of Crawley, and all BPS researcher involvement and then I’m sure patients would be perfectly happy to risk sharing their data with the wider world. Who’s being naïve?
 

trishrhymes

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2,158
lilpink said:
All very Orwellian I’m afraid.
....

And I have heard on the grapevine that Crawley may have taken and used patient data for the NOD without informed consent so also likely flouting ethical data guidelines and laws since the NOD has now been used for their research. They have proved that they are not ‘decent scientists’, many would argue that they should not be called scientists at all. That is why we want rid of Crawley, and all BPS researcher involvement and then I’m sure patients would be perfectly happy to risk sharing their data with the wider world. Who’s being naïve?

What's the NOD? And what data has she used?
 

lilpink

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Regarding Prof Andrew Morris, University of Edinburgh. He isn't the same Morris as the one here http://impact.ref.ac.uk/casestudies2/refservice.svc/GetCaseStudyPDF/28021

Let's be careful not to accuse the innocent of having a BPS agenda.

The implication wasn't to conflate the two (Morris with a single 's' and Morriss with a double 's') ..but quite clearly to recognise that Prof David Ford has an interest in E-records research when we know the Nottingham Tool is being used to filter patients deemed to have MUPS dx (in England). In no way did I imply what you seem to have think I've implied, ie that the two 'Morrises' are the same person.
 

lilpink

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What's the NOD? And what data has she used?


The NOD is the National Outcomes Database for CFS/ME patients – Esther Crawley’s baby, which she has now handed over to Simon Collin at Bristol. My knowledge is sketchy on this but I do know that they have been collecting data on patients for many many years now from CFS/ME clinics all over the country and have data on over 10,000 adults and children stored in the NOD. Esther Crawley is VERY proud of her achievement! They have been using the data to produce papers which they relate to PACE findings as well as looking at other parameters. They would claim that the data was routinely collected at the CFS/ME clinics and that the whole thing can be classed as a ‘service evaluation’ so patient consent wasn’t required. However, as I understand it, the patients involved were asked to fill in many additional and time-consuming questionnaires to normal at the beginning of ‘treatment’ and again after 12 months.

What constitutes a ‘service evaluation’ is fairly well-defined under HRA rules – generally information gathered as normal part of the service provided, usually on a local basis etc. The establishment of a huge national database would be expected to be subject to ‘research rules’ because of its size and scope, and because data would clearly be passed away from the control of the normal healthcare team. Research rules demand that proper informed patient consent is obtained. However I have heard that a patient referred to the Frenchay service in Bristol (who didn’t even have an ME diagnosis at the time) was sent many NOD questionnaires (the usual suspects quite similar to the PACE questionnaires) which they were asked to fill in and take to their first appointment in order to ‘save time’ at their appointment. There was no explanation as to how the information would be used or how it would be stored, no mention of the NOD at this time and it was only mentioned in passing on the letter sent out to their home with the year one questionnaires. I think this patient may be considering taking this matter to the Health Research Authority, if they do it will be interesting to see what transpires.
 

Cinders66

Senior Member
Messages
494
In haste….

My understanding is that a PRELIMINARY PROPOSAL has to be submitted in January 2017

A great deal of discussion is obviously going on at the moment regarding all aspects of the protocol - including patent selection, the inclusion of people with severe ME/CFS, the use of ME Biobank samples. the composition/membership of the planning group etc etc

No final decisions have been made - which is why the MEA wants to play a constructive (and critical where necessary) role in what is happening right now

As already stated, The MEA supports the AIMS of this study - because we believe that -omic research does have a role to play in the wider ME/CFS research portfolio and having recruited a collection of leading experts in the different branches of -omics it would be crazy to ditch this study before the protocol has even been agreed

As previously noted, the MEA will only endorse the MEGA study if we are happy with the content of the protocol re patient selection etc that will form part of the preliminary application next year
In haste….

My understanding is that a PRELIMINARY PROPOSAL has to be submitted in January 2017

A great deal of discussion is obviously going on at the moment regarding all aspects of the protocol - including patent selection, the inclusion of people with severe ME/CFS, the use of ME Biobank samples. the composition/membership of the planning group etc etc

No final decisions have been made - which is why the MEA wants to play a constructive (and critical where necessary) role in what is happening right now

As already stated, The MEA supports the AIMS of this study - because we believe that -omic research does have a role to play in the wider ME/CFS research portfolio and having recruited a collection of leading experts in the different branches of -omics it would be crazy to ditch this study before the protocol has even been agreed

As previously noted, the MEA will only endorse the MEGA study if we are happy with the content of the protocol re patient selection etc that will form part of the preliminary application next year

So a year after announcement there's not enough protocol decision made for a preliminary application yet?
Yet MEA are still asking people on Facebook page to show support via petition when you might not even endorse it yet?
It's clear Esther Crawley's role is not going to be mentioned here, discussed , let alone challenged by the CMRC charities so I guess we can assume that patient objection will be over ruled. So it mainly comes down to criteria , recruitment and selection?
 

batteredoldbook

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147
I think the pretense of normality is a dangerous thing.

In reality we have a reasonably expressed doubt that UK medical research is following the scientific method. We have a UK CFS/ME research collaborative that won't discuss the biggest bit of UK CFS/ME research. We have M.E charities that block and shun M.E patients. We have M.E advocates who threaten and are abusive towards people with M.E and their doctors. And, finally, we have a community of physicians and patients who tolerate this state of affairs. Many support and play a part within it. Others are indifferent or seek to blame a handful of hate figures. I suggest this is not a normal situation. This is fiddling while Rome burns.

MEGA is something we might try if things were "ok". Things are not ok. Ok?
 
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Snowdrop

Rebel without a biscuit
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Is it possible to give NOD a closer look? ie How is data collected what is being said about the data in terms of findings?
 

Snowdrop

Rebel without a biscuit
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I notice @batteredoldbook 's earlier suggestion regarding having researchers sign a statement to the effect that they understand and agree that the evidence for CBT/GET as treatment is insufficient to warrant support for those treatments has been ignored. If researchers can be asked to sign agreements to not harass and such why not this?
It's certainly a fast road to getting to the nub of things.

I know that the UK establishment has made no such move but as so called 'experts' in ME they should be at a knowledge level where they have read and considered the research and formed an opinion on the quality, no?

ETA: I don't expect that removing EC and other dodgy people from the study is viable.
This is why I suggested that MEGA should just be cancelled. The risk of contamination is too high.
 

Esther12

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13,774
MEGA is something we might try if things were "ok". Things are not ok. Ok?

Yeah, I am worried about normalising people like Crawley, and this being presented as patient acceptance of her work and how she has treated us.

I had been supportive of the CMRC, but the more we learn about it the more I think that it could be a mistake for us politically.
 

Aurator

Senior Member
Messages
625
That real functional impairment was what I was saying was driving patients to see their doctors, regardless of whether or not doctors believed them (though I agree that would influence desire to return to see their doctor: though as Jonathan Edwards says, that's a problem that could affect research generally).
As AndyPR has already suggested, I think many of the genuine ME/CFS cases are rapidly deterred, post-diagnosis, from frequent visits to their GP as a consequence of the unique nature of the experience their particular illness gives them. The realisation, on the part of many genuine ME/CFS patients, that:

a). their GP probably doesn't accept that there is anything physically wrong with them;
b). there is nothing their GP can do to help them anyway once other medical problems have been ruled out;
c). they are too ill, or cannot justify the energy expenditure that would be required, to attend their GP's surgery;

functions very effectively as a triple whammy of deterrents militating against the likelihood that genuine ME/CFS sufferers will darken their GP's door very often - possibly in inverse proportion, in fact, to the severity of their physical impairment.

Meanwhile, the phoney, hypochondriacal ME/CFS patients keep booking regular appointments at their doctor's, ensuring that the minds of primary care practitioners remain even more skewed than they otherwise would have been (if the genuine patients showed up more often) towards the not unreasonable supposition that ME/CFS may just be hypochondria by another name.
 
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batteredoldbook

Senior Member
Messages
147
I don't support the application of singular blame to EC, PW, SW etc. I have tried to be clear (previous) that issue here is right across both medical and patient communities.

Every doctor and patient needs to act right away to halt British Medicine's fall from grace. Every patient and doctor needs to act now to challenge mistreatment and abuse, most especially when it arises from within their own community.

---------------------------
I think the pretense of normality is a dangerous thing.

In reality we have a reasonably expressed doubt that UK medical research is following the scientific method. We have a UK CFS/ME research collaborative that won't discuss the biggest bit of UK CFS/ME research. We have M.E charities that block and shun M.E patients. We have M.E advocates who threaten and are abusive towards people with M.E and their doctors. And, finally, we have a community of physicians and patients who tolerate this state of affairs. Many support and play a part within it. Others are indifferent or seek to blame a handful of hate figures. I suggest this is not a normal situation. This is fiddling while Rome burns.

MEGA is something we might try if things were "ok". Things are not ok. Ok?
 
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BurnA

Senior Member
Messages
2,087
And I have heard on the grapevine that Crawley may have taken and used patient data for the NOD without informed consent so also likely flouting ethical data guidelines and laws since the NOD has now been used for their research.

I think grapevine talk should stay on the grapevine.
 

Jo Best

Senior Member
Messages
1,032
Tymes Trust - source - https://www.facebook.com/tymestrust/posts/1844513862500414
3 hrs ·
MEGA - AN INTERIM COMMENT
All ME organisations should take a principled position on MEGA and be able to explain it. We are not supporting MEGA and we will be issuing a statement soon. We do wonder how in all conscience any ME organisation can support a study involving the same people who were responsible for PACE and MAGENTA.
https://www.facebook.com/tymestrust/posts/1844513862500414
 

Jo Best

Senior Member
Messages
1,032
From Invest in ME Research Newsletter -

Firstly a story about patient empowerment.

A UK group called MEGA (M.E./CFS Epidemiology and Genomics Alliance) has set up a petition for public support to help them obtain millions of pounds (estimated to be at least £9m) from research funding bodies for a prospective big scale -omics study of CFS/ME.

This group was formed by the CMRC collaborative - which Invest in ME Research has declined to join (http://www.investinme.org/IIME-Newslet-1304-01.htm) and which includes some who were responsible for, or heavily supported the PACE Trial.
Invest in ME Research were asked our opinion of this MEGA project.

We responded when first asked and published an initial statement based on the very few details available at the time.

Since that time many concerned and worried patients have set up and supported a counter petition - OMEGA - Opposing MEGA - in order to oppose the project.

The charity was asked for its views on this.

Invest in ME Research read the OMEGA petition (https://www.change.org/p/opposing-mega-a-vote-of-no-confidence-in-mega-research-for-me-cfs ) and we could only agree with the wording and sentiments of that petition.

Having looked at the MEGA project in more detail and of those behind the project we are now even more concerned by this probable waste of public and private funding required - as well as the deleterious effect this project will have on the future for people with ME and their families.

At this time this project, and some of those involved in the project, dictate to us that it should not command support from patients - let alone funding from any public or private sources.

Read both of our statements here - click here -
http://www.investinme.org/IIME-Newslet-1609-02a.htm

We support the sentiments in the OMEGA petition which states -
"No more wasting time, money, lives – not in our name."

28th October 2016
 

batteredoldbook

Senior Member
Messages
147
The scientific method, when run forwards, is about asking fair questions and accepting sometimes very difficult answers. It is a way of keeping us from fooling ourselves and each other. Conversely, the very same methodology, when run backwards, selects evidence to justify preconceptions. It tells us what we want to hear, rather than what is true.

Funding turns the crank handle on the scientific method and nine million pounds would surely turn the crank a lot of times. Before "MEGA" is funded, we would all be well advised to make certain that we are running the scientific method in a direction that truly benefits both medical science and people with M.E.

Science is powerful because it is the result of decades of rigor, honesty and integrity. These qualities are now desperately needed within individuals. Each of us must make the choice between seeking the truth or believing whatever happens to be convenient.

I think there is no-one here who cannot choose to make a contribution to the betterment of our medical and M.E communities.

@batteredoldbook
00:23 29/10/2016
 
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