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. 2014 Apr 1;3(2):63-74.
doi: 10.1080/21641846.2015.1017344. Epub 2015 Aug 26.

Comparing and Contrasting Consensus versus Empirical Domains

Affiliations

Comparing and Contrasting Consensus versus Empirical Domains

Leonard A Jason et al. Fatigue. .

Abstract

Background: Since the publication of the CFS case definition [1], there have been a number of other criteria proposed including the Canadian Consensus Criteria [2] and the Myalgic Encephalomyelitis: International Consensus Criteria. [3].

Purpose: The current study compared these domains that were developed through consensus methods to one obtained through more empirical approaches using factor analysis.

Methods: Using data mining, we compared and contrasted fundamental features of consensus-based criteria versus empirical latent factors. In general, these approaches found the domain of Fatigue/Post-exertional malaise as best differentiating patients from controls.

Results: Findings indicated that the Fukuda et al. criteria had the worst sensitivity and specificity.

Conclusions: These outcomes might help both theorists and researchers better determine which fundamental domains to be used for the case definition.

Keywords: Myalgic Encephalomyelitis; biomarkers; case definitions; chronic fatigue syndrome.

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References

    1. Fukuda K, Straus SE, Hickie I, Sharpe MC, Dobbins JG, Komaroff A. The chronic fatigue syndrome: A comprehensive approach to its definition and study. Annals of Internal Medicine. 1994;121:953–959. - PubMed
    1. Carruthers BM, Jain AK, De Meirleir KL, Peterson DL, Klimas NG, Lerner AM, et al. Myalgic Encephalomyelitis/chronic fatigue syndrome: Clinical working case definition, diagnostic and treatments protocols. Journal of Chronic Fatigue Syndrome. 2003;11:7–115.
    1. Carruthers BM, van de Sande MI, De Meirleir KL, Klimas NG, Broderick G, Mitchell T, Stevens S. Myalgic Encephalomyelitis: International Consensus Criteria. Journal of Internal Medicine. 2011 (published online on 20 July 2011).doi: 10.1111/j.1365-2796.2011.02428. - PMC - PubMed
    1. Jason LA, Evans M, Brown M, Porter N, Brown A, Hunnell J, Lerch A. Fatigue scales and chronic fatigue syndrome: Issues of sensitivity and specificity. Disability Studies Quarterly. 2011;31 PMCID: PMC3181109. - PMC - PubMed
    1. Jason LA, Jessen T, Porter N, Boulton A, Njoku MG, Friedberg F. Examining types of fatigue among individuals with ME/CFS. Disability Studies Quarterly. 2009;29

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