To round out my first year of Science Wednesdays, I wanted to talk a bit about a concept that helps address the heterogeneity of ME/CFS—stratification. This is such an important concept in complex research it actually spans both of the middle stages of the research process: “Recruitment, Data Collection” and “Data Analysis”.
The heterogeneity of ME/CFS likely impacts so much of what we understand (and don’t) about the disease. Stratification is probably the best way to address that while still being inclusive of the broader population with ME/CFS in a study.
Stratification is an important concept in research, especially for chronic complex diseases like ME/CFS, Long COVID, and similar conditions.
Stratification is, broadly speaking, the act of dividing a population into subgroups. In the context of research, stratification is a concept that spans across two stages of the research process:
OMF’s Melbourne ME/CFS Collaboration, for example, will utilize stratification in the analysis of their study called Serial Paediatrics Omics Tracking in Myalgic Encephalomyelitis (SPOT-ME). Their goal with stratification in this case is to understand how biological sex impacts the relationship between markers in the blood and symptoms in the participants. For more information about this project and the stratified analysis, you can read the SPOT-ME protocol paper in BMJ Open.
Stratification can be particularly important for research on heterogeneous diseases like ME/CFS and Long COVID. Through stratified analysis, study teams can get a more detailed or precise understanding of the disease and how it differs based on the characteristics that are used for the stratification. Down the road, that information can then enable better patient outcomes through practices like personalized medicine.
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