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Updates to CDC and NHS treatment recommendations
CDC
- Post-exertional malaise is a new compulsory symptom
The CDC re-wrote its website, largely removing recommendations for graded exercise and CBT, now no longer mentions graded exercise, talks about activity within "energy envelope", some patients may not be able to do anything except daily living activities.
- Graded exercise not mentioned. Also see Elizabeth Unger of CDC - Medscape article.
- Diagnosis and Treatment of ME/CFS Syndrome: A Systematic Review of the Evidence replaces 2014-2015 ARHQ review, links to pdf
- CDC treatment
- "There is no cure or approved treatment for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). However, some symptoms can be treated or managed."
- Healthcare providers tool-kit rewritten, separate advice for post-exertional malaise refers to anerobic exercise
Section Distribution
Not sure exactly how we should edit this but I don't think either CBT or GET deserve their own sections.
There should probably be one section that is something like: "Non-Pharmacological Therapies" under which we have CBT for coping with the illness and Occupational therapy etc.
And then another section called something along the lines of "Historical Treatments" or “Controversial Treatments” where we have GET and CBT intended as a cure. YannLK (talk) 14:44, 14 April 2024 (UTC)
- We could also discuss them under headings like "exercise" and "psychotherapy". That way we can put them in context of how exercise should be done (usually only stretching-like exercises; more only if patients think they can very slowly go to a higher baseline of exercise) and how psychotherapy should be done (based on coping, CBT-I for insomnia). —Femke 🐦 (talk) 07:11, 19 April 2024 (UTC)
- That sounds good to me :) YannLK (talk) 13:52, 19 April 2024 (UTC)
Usage of #Controversy section in PACE trial page
Hi, I made a page specifically on the PACE trial (with the help of Femke), and reused or rephrased some sentences and paragraphs from the Controversies section of this page. This is with the intention of heavily cutting down the mention of the PACE trial in this page, as as Femke has pointed out it is WP:UNDUE. YannLK (talk) 10:53, 4 May 2024 (UTC)
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