Trial By Error: Some Good News On Cochrane

David Tuller


By David Tuller, DrPH.

In what can only be characterized as a welcome surprise, Cochrane has rejected the revision of a 2014 review of exercise treatments for chronic fatigue syndrome, stating that the work does not meet the organization’s “quality standards.” Cochrane revealed the decision late Friday in a statement appended to the review, which itself was a revision of a review first published years earlier.

That review reported that exercise therapy, most often graded exercise therapy, was effective. Yet the review was a methodological mess. Two patients–Tom Kindlon and the late Robert Courtney—wrote extensive and cogent critiques after it was published. When the lead author of the review provided inadequate responses, Courtney filed a formal complaint with Cochrane.


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