The link is broken and just comes up with the pic below http://adc.bmj.com/content/early/2017/06/27/archdischild-2016-310622.full This link you have to ask permission
Now it's at http://dx.doi.org.sci-hub.cc/10.1136/archdischild-2016-310622, maybe due to it not being an "early" version anymore.The link is broken and just comes up with the pic below http://adc.bmj.com/content/early/2017/06/27/archdischild-2016-310622.full This link you have to ask permission
The diagnosis of CFS/ME should be reconsidered if none of the following key features are present:
post-exertional fatigue or malaise
PEM with a delay in onset of at least 24 hours or more being the norm is a prerequisite symptom for a NICE diagnosis. Only at the three or four month period should they then look for whether all the symptoms have gone or not to confirm ME or otherwise.Small correction:
They actually have it correct in terms of what NICE says:
There is no mention of the delay in onset on the NHS website:
they only say:
gets worse after activity or gentle exercise, such as a short walk
doing exercise or concentrating makes your symptoms worse"
but they do link to NICE so I suppose they think it's covered.
Is it my imagination or has the NHS page been updated to include these as I don't remember seeing them before?
doctors should consider diagnosing CFS if a person has fatigue and all of the following apply:
The person should also have one or more of these symptoms:...
- it is new or had a clear starting point (it has not been a lifelong problem)
- it is persistent or recurrent, or both
- it is unexplained by other conditions
- it substantially reduces the amount of activity someone can do
- it feels worse after physical activity
I thought this was interesting. I have rarely seen similar declarations in the ME/CFS literature.Competing interests
EC leads the Bath Specialist CFS/ME service. She is the principal investigator for FITNET-NHS, a trial investigating internet-delivered CBT and MAGENTA which is investigating the effectiveness and cost-effectiveness of Graded Exercise Therapy.
http://opus.bath.ac.uk/55202/1/ADC_...ronic_Fatigue_in_Childhood_Revision_clean.pdfFor what it's worth.
Practical management of chronic fatigue syndrome or myalgic encephalomyelitis in childhood
Paediatric chronic fatigue syndrome or myalgic encephalomyelitis affects at least 1% of secondary school children in the UK and is very disabling. Treatment is effective but few children get a diagnosis or access treatment. This paper summarises what we currently know about diagnosing and treating this important illness in childhood
note: it is behind a pay wall. I did not look for the full text.