by tonybritton on February 18, 2011:
“Results are at serious variance to patient evidence on both cognitive therapy and exercise therapy”
This is the response from The ME Association to the results of the PACE trial, which were published in The Lancet on Friday 18 February 2011
An abstract of the paper can be found here: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)60096-2/fulltext
The Lancet press release can be found here: http://www.meassociation.org.uk/?p=4621
The MEA will be producing a more academic response to The Lancet in due course.
All of the comments below can, if preferred, be placed as quotes from Dr Charles Shepherd, Hon Medical Adviser.
Headline comments from Dr Charles Shepherd, Hon Medical Adviser at the MEA:
“The largest ever clinical trial into the effects of CBT, GET and adaptive pacing therapy (APT) has produced results that are clearly at serious variance from those reported by the largest ever survey of patient opinion on these forms of treatment.
We find the trial results extremely worrying because pacing, in the form that the MEA recommends, may as a result be no longer be offered as a treatment option in NHS clinics. And at the same time, NICE may well strengthen its inflexible and unhelpful recommendations regarding CBT and GET.
We also fear that the way in which the results are already being reported in media headlines – eg Got ME? Just get out and exercise, say scientists – will lead some doctors to advise inappropriate exercise regimes that will cause a serious relapse.
This is not a good day for people with ME/CFS.
They have a complex multisystem illness that requires a range of treatment options based on their individual symptoms as well as the stage and severity of their illness” Read more>>