BMJ  2007;335:411-412 (1 September), doi:10.1136/bmj.39316.472361.80

Editorials

Chronic fatigue syndrome or myalgic encephalomyelitis

NICE guidelines pave the way forward for patients and doctors

The first 150 words of the full text of this article appear below.

The uncertainty inherent in making a diagnosis of chronic fatigue syndrome (CFS) is reflected by the variety of names (such as myalgic encephalomyelitis; ME) it has been given. The names reflect the hope that such labels can impose some certainty where little exists. Many doctors are reluctant to make a diagnosis of CFS, with half not even believing it exists.¹ The consequences of this uncertainty and reluctance have been that patients hear mixed messages and often receive poor, if any, care.² It is therefore a welcome relief that the National Institute for Health and Clinical Excellence (NICE) has just published clinical guidelines on the diagnosis and management of this disease.³ In this week's BMJ, Baker and Shaw summarise the guidelines.⁴

How has the development of these guidelines come about? Eleven years ago, three UK royal colleges agreed that CFS/ME existed as an independent diagnosis and that treatments were possible.⁵ . . . [Full text of this article]

¹ Barts and the London NHS Trust and Queen Mary School of Medicine and Dentistry, St Bartholomew's Hospital, London EC1A 7BE, ² Association of Young People with ME, PO Box 5766, Milton Keynes, MK10 1AQ, ³ Action for ME, Bristol BS1 6BY

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Relevant Article

Diagnosis and management of chronic fatigue syndrome or myalgic encephalomyelitis (or encephalopathy): summary of NICE guidance

R Baker and E J Shaw
BMJ 2007 335: 446-448. [Extract] [Full Text] [PDF]

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