A definition-based analysis of symptoms in a large cohort of patients with chronic fatigue syndrome.
De Becker, P, McGregor, N, De Meirleir, K·Journal of internal medicine·2001
This study looked at 2,073 patients with chronic fatigue to understand how well two common diagnostic criteria (Fukuda and Holmes) identify ME/CFS. The researchers found that the Holmes criteria selected patients with more severe symptoms, while the Fukuda criteria included a broader group with milder cases. Adding or removing certain symptoms from the current diagnostic criteria could help doctors better identify who truly has ME/CFS.