Initial Statement on the PACE Trial

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The PACE Trial was recently published and demonstrate clearly what is wrong with the present way that vested interests have manipulated the establishment view about myalgic encephalomyelitis (ME/CFS) and forced tens of thousands of patients and their families to live in a continual state where no proper research is sanctioned, good science is denied and where pointless and biased studies are funded by a system which denies human rights. Simple facts:

The Pace Trial cost £5 million pounds of tax payers’ money.

Patients were opposed to the trial right from the start due to patient selection criteria - save from two unrepresentative organisations who have taken money from the government in order to accept their policies toward ME.

ME is a distinct neurological illness and has been classified as such since the 1969 by the WHO in ICD10-G93.3. Fatigue Syndrome has its own classification in F48.

It is in none of the patient groups’ interest in mixing these patient cohorts and trying to find a one size fits all management technique.

The purpose of any medical research should be the benefit of the patients and the PACE trial did not benefit ME patients but rather known vested interests who control what the media publish and what the Medical Research Council fund in relation to ME/CFS.

In recent years Invest in ME has been contacted more and more by patients or their carers asking for advice as the NICE guidelines recommendation of using CBT and GET has been forced upon them and patients have been bullied into activities beyond their limits.

This has led to some severe consequences such as suicide attempts but parents of children in such cases are often afraid of complaining due to fear of their children being taken into care.

We fear this is going to get worse now after these PACE trial results are being taken at face value.

How ironic it is that the Department of Health and the UK National Blood Services permanently prohibit people with ME/CFS from donating blood - their reasoning being that ME/CFS is a relapsing condition and this was to protect the health of patients. Yet now the message to the healthcare professionals from the PACE trial is that graded excercise and cognitive behaviour therapy are helpful - thus forcing vulnerable and physically ill people to risk further damage to their health.

By any measure the PACE trial was flawed and not of proper research. Using diagnostic criteria which do not define patients with ME/CFS and which exclude people with neurological disorders means that patients participating in this trial were of a heterogeneous variety – thus making the results completely irrelevant. This nullifies all of this study.

The PACE trial was designed, created and performed by those who view ME/CFS as a consequence of wrong illness beliefs or deconditioning.

The PACE trial was bogus science and have no relevance in the treatment of people suffering from myalgic encephalomyelitis.

References:

1 A Review on Cognitive Behavorial Therapy (CBT) and Graded Exercise Therapy (GET) in ME/CFS

2 Knowledge or Belief

3 Newsletter November 2009

4 Newsletter April 2008

5 Documented involvement of Viruses in ME/CFS

6 Leonard Jason The Development of a Revised Canadian Myalgic Encephalomyelitis Chronic Fatigue Syndrome Case Definition

7 IiME proposal for UK Centre of Excellence

8 IiME Statement on MRC Research Funding

9 The Lancet Paper - Comparison of adaptive pacing therapy, cognitive behaviour therapy, graded exercise therapy, and specialist medical care for chronic fatigue syndrome (PACE): a randomised trial


Last Update February 2011