{"id":13094,"date":"2017-05-24T08:19:02","date_gmt":"2017-05-24T08:19:02","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?p=13094"},"modified":"2017-05-24T08:19:02","modified_gmt":"2017-05-24T08:19:02","slug":"incidence-of-mecfs-among-u-s-nurses","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/incidence-of-mecfs-among-u-s-nurses\/","title":{"rendered":"Incidence of ME\/CFS among U.S. nurses"},"content":{"rendered":"<h3><strong>Research abstract:<\/strong><\/h3>\n<p><a href=\"http:\/\/www.tandfonline.com\/doi\/full\/10.1080\/21641846.2017.1323576?scroll=top&amp;needAccess=true\" target=\"_blank\" rel=\"noopener noreferrer\">Incidence of myalgic encephalomyelitis\/chronic fatigue syndrome in a large prospective cohort of U.S. nurses<\/a>, by Natalia Palacios, Kathryn C. Fitzgerald, Anthony L. Komaroff, Alberto Ascherio <span style=\"text-decoration: underline;\">in<\/span>\u00a0<em>Fatigue: Biomedicine, Health &amp; Behavior<\/em> [Published online: 18 May 2017]<\/p>\n<p>Background:<\/p>\n<p>The incidence of myalgic encephalomyelitis\/chronic fatigue syndrome (ME\/CFS), the rates of both under-diagnosis and over-diagnosis, and the nature of the onset of the condition have not been assessed in large studies of health professionals.<\/p>\n<p>Purpose<\/p>\n<p>To determine the cumulative incidence of ME\/CFS in a large population of health professionals, to examine the nature of the onset of the illness, and to estimate the frequency of both over-diagnosis and under-diagnosis of ME\/CFS.<\/p>\n<p>Methods<\/p>\n<p>We sent an email questionnaire to participants in the <a href=\"http:\/\/www.nurseshealthstudy.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Nurses&#8217; Health Study II (NHS II<\/a>), a large prospective cohort of female nurses.<\/p>\n<p>Forty-two thousand three hundred and ninety-four women completed the questionnaire, which included the 1994 Centers for Disease Control and Prevention (CDC) criteria for ME\/CFS.<\/p>\n<p>Results<\/p>\n<p>One-hundred and two women (240 per 100,000 surveyed) developed an illness that met criteria for ME\/CFS between 1989 and 2009. The onset of ME\/CFS was gradual in 40.6%, sudden (following flu-like illness or other precipitating events) in 18.8%, followed emotional or physical trauma in 32.3%, and was uncertain in the rest. Under-diagnosis was common: only 15 (15%) of the women who met criteria for ME\/CFS reported having been diagnosed. Over-diagnosis also was common: four times as many subjects had been diagnosed with ME\/CFS by community doctors as actually met criteria. The distribution of symptoms was not different in comparing cases with a sudden onset to those with a gradual onset.<\/p>\n<p>Conclusions<\/p>\n<p>In this large cohort of female nurses, we found a low cumulative incidence of ME\/CFS. Over-diagnosis and under-diagnosis were high, even in this medically sophisticated population.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Research abstract: Incidence of myalgic encephalomyelitis\/chronic fatigue syndrome in a large prospective cohort of U.S. nurses, by Natalia Palacios, Kathryn C. Fitzgerald, Anthony L. Komaroff, Alberto Ascherio in\u00a0Fatigue: Biomedicine, Health &amp; Behavior [Published online: 18 May 2017] Background: The incidence &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/incidence-of-mecfs-among-u-s-nurses\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[93,1189,3776,3775,86,801],"class_list":["post-13094","post","type-post","status-publish","format-standard","hentry","category-news","tag-diagnosis","tag-incidence","tag-kathryn-c-fitzgerald","tag-natalia-palacios","tag-nurses","tag-prof-anthony-komaroff"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-3pc","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/13094","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=13094"}],"version-history":[{"count":2,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/13094\/revisions"}],"predecessor-version":[{"id":13164,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/13094\/revisions\/13164"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=13094"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=13094"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=13094"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}