Checking our Blind Spots: Current Status of Research Evidence Summaries in ME/CFS

ORCID

Todd Davenport: 0000-0001-5772-7727; J. Mark Van Ness: 0000-0001-5902-8735

Document Type

Article

Publication Title

British Journal of Sports Medicine

Department

Health, Exercise, and Sport Sciences Department

ISSN

0306-3674

DOI

10.1136/bjsports-2018-099553

Publication Date

7-17-2018

Abstract

The evidence-based practice (EBP) model hierarchically organises scientific information by level, from lowly case studies to lofty systematic reviews and clinical trials. Clinical trials best influence recommendations because they putatively have the greatest internal validity.1 This assumption is based on sound research ethics, such as scientific competence and good faith actors, as well as observed differences in outcomes. An EBP blind spot emerges when fundamental assumptions are unmet. Based on findings of a 2018 PEDro evidence summary in BJSM 2 and elsewhere,3 it now seems clear that scientific research in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) resides in a blind spot.

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