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Not all fatigue is the same
Tuesday 4 January 2011
The Newcastle NHS Chronic Fatigue Syndrome Service: Not all fatigue is the same – Source: Journal of the Royal College of Physicians of Edinburgh, Dec 2010
[Note: To read the full text pdf of this article, click here]
In England the Department of Health has funded specialist clinical services aimed at diagnosing and managing the symptoms of chronic fatigue syndrome (CFS). These services are not available to those who do not fulfill the diagnostic criteria for CFS.
This service evaluation examined the proportion of those referred to a specialist CFS service fulfilling:
The CFS database was interrogated to include every patient referred to the Newcastle service from November 2008 to December 2009.
All medical notes were reviewed and the diagnosis, sex and age recorded. Data were compared to a previous service evaluation (2005–2007).
In 2008–2009, 260 subjects were referred: 19 referrals per month (260/14), compared with 17 referrals per month in 2005–2007 (375/24).
The proportion of patients diagnosed with CFS increased significantly compared with 2007 (36% [20/56] vs 60% [157/260]; p<0.0001).
Of the 40% of patients subsequently found not to have CFS:
This study found a significant increase in the proportion of patients referred to National Health Service (NHS) CFS services diagnosed with CFS.
A large proportion of patients presenting with fatigue are not eligible for referral to the Department of Health specialist fatigue services, which represents an unmet need in terms of symptom management in current NHS services.
Source: Journal of the Royal College of Physicians of Edinburgh, Dec 2010;40:304-7. By Newton JL, Mabillard H, Scott A, Hoad A, Spickett G. NIHR Biomedical Research Centre in Ageing and Institute for Ageing & Health, Newcastle University; Northern Regional CFS/ME Clinical Service, Newcastle upon Tyne Hospitals NHS Trust, UK. [Email: Julia.firstname.lastname@example.org]
The above originally appeared here.
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