• J. Neurol. Neurosurg. Psychiatr. · Feb 2024

    Review

    NICE guideline on ME/CFS: robust advice based on a thorough review of the evidence.

    • Peter Walter Barry, Kate Kelley, Toni Tan, and Ilora Finlay.
    • National Institute for Health and Care Excellence, London, UK Peter.Barry@nice.org.uk.
    • J. Neurol. Neurosurg. Psychiatr. 2024 Feb 28.

    AbstractIn 2021, the National Institute for Health and Care Excellence produced an evidence-based guideline on the diagnosis and management of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), a disabling long-term condition of unknown cause. The guideline provides clear support for people living with ME/CFS, their families and carers, and for clinicians. A recent opinion piece published in the journal suggested that there were anomalies in the processing and interpretation of the evidence when developing the guideline and proposed eight areas where these anomalies were thought to have occurred. We outline how these opinions are based on a misreading or misunderstanding of the guideline process or the guideline, which provides a balanced and reasoned approach to the diagnosis and management of this challenging condition.© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.

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