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Post-exertional malaise
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====Retired criteria for Chronic fatigue syndrome==== The [[Oxford criteria]] has been retired from use after a number of [[Oxford_criteria#Criticisms|scientific critcisms]] were raised, including that it does not list PEM as a requirement or even a symptom.<ref name="P2PPreview2015">{{Cite journal | last = Haney | first = Elizabeth | last2 = Smith | first2 = M.E. Beth | last3 = McDonagh | first3 = Marian | last4 = Pappas | first4 = Miranda | last5 = Daeges | first5 = Monica | last6 = Wasson | first6 = Ngoc | last7 = Nelson | first7 = Heidi D. | date = Jun 16, 2015 | title = Diagnostic Methods for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: A Systematic Review for a National Institutes of Health Pathways to Prevention Workshop | url = http://annals.org/article.aspx?doi=10.7326/M15-0443|journal=Annals of Internal Medicine|language=en|volume=162|issue=12 | pages = 834|doi=10.7326/m15-0443|issn=0003-4819|via=}}</ref> Patients with the symptom of [[fatigue]], which many illnesses and diseases have, are incorrectly given the CFS diagnosis in research studies when the [[Oxford criteria]] is used. <blockquote>The [[United States]] [[National Institutes of Health]] (NIH) has issued a draft report that highlights the dire need for scientific research that will help find a cure for the millions of people suffering from [[ME/CFS|myalgic encephalomyelitis/chronic fatigue syndrome]] (ME/CFS) worldwide. The report also highlights the fact that the decades-old UK Royal Society of Medicine’s Oxford criteria for ME/CFS are severely “flawed,” and that continuing to use these criteria may “cause harm.” Further, the NIH report says that the Royal Society definition should “be retired” and replaced with a single case definition agreed to by the ME/CFS community.<ref name="Oxfordscrapped">{{Cite web|url=http://theargusreport.com/us-nih-report-calls-uk-definition-mecfs-scrapped/ | title = US NIH Report Calls for UK Definition of ME/CFS to be Scrapped | last = Swift | first=Penny | date = 2015-01-16 | website = The Argus Report|language=en-US|access-date=2019-02-28}}</ref></blockquote> {{See also|Oxford criteria}}
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