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==Recommendations== | ==Recommendations== | ||
Recommendation 1: "Physicians should diagnose myalgic encephalomyelitis/chronic fatigue syndrome if diagnostic criteria are met following an appropriate history, physical examination, and medical work-up. A new code should be assigned to this disorder in the International Classification of Diseases, Tenth Revision ([[ICD-10]]), that is not linked to “chronic fatigue” or “neurasthenia.”"<ref>{{Cite book | title = "Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Redefining an Illness"|language=en | url =https://www.nap.edu/read/19012/chapter/9#222 | pages = 222|isbn=978-0-309-31692-7|edition=|volume=|title-link=|access-date=2020-05-27 | date = 2015 | publisher=The National Academies Press | last = Institute of Medicine: Committee on the Diagnostic Criteria for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome | first = | authorlink = |veditors=|others=|doi=|oclc=|quote=|archive-url=|archive-date=|location=|editor-last = |editor-first = |editor1-link=|editor-last2 = |editor-first2 = }}</ref> | Recommendation 1: "Physicians should diagnose myalgic encephalomyelitis/chronic fatigue syndrome if diagnostic criteria are met following an appropriate history, physical examination, and medical work-up. A new code should be assigned to this disorder in the International Classification of Diseases, Tenth Revision ([[ICD-10]]), that is not linked to “chronic fatigue” or “neurasthenia.”"<ref>{{Cite book | title = "Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Redefining an Illness"|language=en | url =https://www.nap.edu/read/19012/chapter/9#222 | pages = 222|isbn=978-0-309-31692-7|edition=|volume=|title-link=|access-date=2020-05-27 | date = 2015 | publisher=The National Academies Press | last = Institute of Medicine: Committee on the Diagnostic Criteria for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome | first = | authorlink = |veditors=|others=|doi=|oclc=|quote=|archive-url=|archive-date=|location=|editor-last = |editor-first = |editor1-link=|editor-last2 = |editor-first2=}}</ref> | ||
Recommendation 2: "The Department of Health and Human Services should develop a toolkit appropriate for screening and diagnosing patients with myalgic encephalomyelitis/chronic fatigue syndrome in a wide array of clinical settings that commonly encounter these patients, including primary care practices, emergency departments, mental/behavioral health clinics, physical/occupational therapy units, and medical subspecialty services (e.g., rheumatology, infectious diseases, neurology)."<ref>{{Cite book | title = "Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Redefining an Illness"|language=en | url =https://www.nap.edu/read/19012/chapter/9#223 | pages = 223|isbn=978-0-309-31692-7|edition=|volume=|title-link=|access-date=2020-05-27 | date = 2015 | publisher=The National Academies Press | last = Institute of Medicine: Committee on the Diagnostic Criteria for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome | first = | authorlink = |veditors=|others=|doi=|oclc=|quote=|archive-url=|archive-date=|location=|editor-last = |editor-first = |editor1-link=|editor-last2 = |editor-first2 = }}</ref> | Recommendation 2: "The Department of Health and Human Services should develop a toolkit appropriate for screening and diagnosing patients with myalgic encephalomyelitis/chronic fatigue syndrome in a wide array of clinical settings that commonly encounter these patients, including primary care practices, emergency departments, mental/behavioral health clinics, physical/occupational therapy units, and medical subspecialty services (e.g., rheumatology, infectious diseases, neurology)."<ref>{{Cite book | title = "Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Redefining an Illness"|language=en | url =https://www.nap.edu/read/19012/chapter/9#223 | pages = 223|isbn=978-0-309-31692-7|edition=|volume=|title-link=|access-date=2020-05-27 | date = 2015 | publisher=The National Academies Press | last = Institute of Medicine: Committee on the Diagnostic Criteria for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome | first = | authorlink = |veditors=|others=|doi=|oclc=|quote=|archive-url=|archive-date=|location=|editor-last = |editor-first = |editor1-link=|editor-last2 = |editor-first2=}}</ref> | ||
Recommendation 3: "A multidisciplinary group should reexamine the diagnostic criteria set forth in this report when firm evidence supports modification to improve the identification or care of affected individuals. Such a group should consider, in no more than 5 years, whether modification of the criteria is necessary. [[National Institutes of Health funding|Funding]] for this update effort should be provided by nonconflicted sources, such as the [[Agency for Healthcare Research and Quality]] through its Evidence-based Practice Centers process, and foundations."<ref>{{Cite book | title = "Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Redefining an Illness"|language=en | url =https://www.nap.edu/read/19012/chapter/9#227 | pages = 227|isbn=978-0-309-31692-7|edition=|volume=|title-link=|access-date=2020-05-27 | date = 2015 | publisher=The National Academies Press | last = Institute of Medicine: Committee on the Diagnostic Criteria for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome | first = | authorlink = |veditors=|others=|doi=|oclc=|quote=|archive-url=|archive-date=|location=|editor-last = |editor-first = |editor1-link=|editor-last2 = |editor-first2 = }}</ref> | Recommendation 3: "A multidisciplinary group should reexamine the diagnostic criteria set forth in this report when firm evidence supports modification to improve the identification or care of affected individuals. Such a group should consider, in no more than 5 years, whether modification of the criteria is necessary. [[National Institutes of Health funding|Funding]] for this update effort should be provided by nonconflicted sources, such as the [[Agency for Healthcare Research and Quality]] through its Evidence-based Practice Centers process, and foundations."<ref>{{Cite book | title = "Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Redefining an Illness"|language=en | url =https://www.nap.edu/read/19012/chapter/9#227 | pages = 227|isbn=978-0-309-31692-7|edition=|volume=|title-link=|access-date=2020-05-27 | date = 2015 | publisher=The National Academies Press | last = Institute of Medicine: Committee on the Diagnostic Criteria for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome | first = | authorlink = |veditors=|others=|doi=|oclc=|quote=|archive-url=|archive-date=|location=|editor-last = |editor-first = |editor1-link=|editor-last2 = |editor-first2=}}</ref> | ||
Recommendation 4: "The committee recommends that this disorder be renamed “[[Systemic Exertion Intolerance Disease|systemic exertion intolerance disease]]” (SEID). SEID should replace myalgic encephalomyelitis/chronic fatigue syndrome for patients who meet the criteria set forth in this report."<ref>{{Cite book | title = "Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Redefining an Illness"|language=en | url =https://www.nap.edu/read/19012/chapter/9#228 | pages = 228|isbn=978-0-309-31692-7|edition=|volume=|title-link=|access-date=2020-05-27 | date = 2015 | publisher=The National Academies Press | last = Institute of Medicine: Committee on the Diagnostic Criteria for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome | first = | authorlink = |veditors=|others=|doi=|oclc=|quote=|archive-url=|archive-date=|location=|editor-last = |editor-first = |editor1-link=|editor-last2 = |editor-first2 = }}</ref> | Recommendation 4: "The committee recommends that this disorder be renamed “[[Systemic Exertion Intolerance Disease|systemic exertion intolerance disease]]” (SEID). SEID should replace myalgic encephalomyelitis/chronic fatigue syndrome for patients who meet the criteria set forth in this report."<ref>{{Cite book | title = "Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Redefining an Illness"|language=en | url =https://www.nap.edu/read/19012/chapter/9#228 | pages = 228|isbn=978-0-309-31692-7|edition=|volume=|title-link=|access-date=2020-05-27 | date = 2015 | publisher=The National Academies Press | last = Institute of Medicine: Committee on the Diagnostic Criteria for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome | first = | authorlink = |veditors=|others=|doi=|oclc=|quote=|archive-url=|archive-date=|location=|editor-last = |editor-first = |editor1-link=|editor-last2 = |editor-first2=}}</ref> | ||
==Cost== | ==Cost== |