Evidence map›Paper›PMID 28476293›Full record

ArticleAtencion primaria2018

[Usefulness of serological studies for the early diagnosis of Lyme disease in Primary Health Care Centres].

María Esther Vázquez-López, Gonzalo Fernández, Pablo Díaz, Carolina Díez-Morrondo, Robustiano Pego-Reigosa, Amparo Coira-Nieto

Open access · goldAbstract read
In one paragraph

Article in Atencion primaria, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 97% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

María Esther Vázquez-LópezServicio de Pediatría, Hospital Universitario Lucus Agusti, Lugo, España. Electronic address: esther.vazquez.lopez@sergas.es.
Gonzalo FernándezUnidad de Epidemiología, Zoonosis y Salud Pública, Facultad de Veterinaria, Universidad de Santiago de Compostela, Lugo, España.
Pablo DíazUnidad de Epidemiología, Zoonosis y Salud Pública, Facultad de Veterinaria, Universidad de Santiago de Compostela, Lugo, España.
Carolina Díez-MorrondoUnidad de Reumatología, Hospital del Bierzo, Ponferrada, León, España.
Robustiano Pego-ReigosaServicio de Neurología, Hospital Universitario Lucus Agusti, Lugo, España.
Amparo Coira-NietoServicio de Microbiología, Hospital Universitario Lucus Agusti, Lugo, España.
Hospital Universitario Lucus Augusti · ESUniversidade de Santiago de Compostela · ESHospital El Bierzo · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe main aim of this study was to determine the usefulness of an early diagnosis of Lyme disease (LD) in Primary Health Care Centres (PHCC) using the ELISA test as serological screening technique.

methodsA retrospective study (2006-2013) was performed in order to determine the anti-Borrelia seropositivity in 2,842 people at risk of having LD. The possible relationship between the environment and the area of residence with anti-Borrelia seropositivity was also studied according to the origin of the specimens (PHCC/Hospital).

resultsOverall, 15.2% of samples were positive to Borrelia spp. Seropositivity was significantly higher in samples sent by PHCC doctors than those sent by Hospital doctors. Seropositivity was significantly higher in rural than in urban populations and in those who live in mountainous or flat areas. The percentage of seropositivity has increased over the years.

conclusionsThe role of the PHCC doctor is essential for achieving an early diagnosis of Lyme disease, as a higher percentage of seropositives was detected in samples submitted from PHCC. Furthermore, most early localised LD patients were diagnosed in PHCC, avoiding the appearance of sequelae. Therefore, detection of Borrelia specific antibodies using an ELISA assay is a useful screening test for patients at risk of LD.

Indexed as

Primary Health CareEarly DiagnosisEnzyme-Linked Immunosorbent AssayHealth FacilitiesHematologic TestsHumansLyme DiseaseResidence CharacteristicsRetrospective StudiesBorreliaELISAEnfermedad de LymeFactores de riesgoLyme diseaseRisk factorsSeropositividadSeropositivityWestern-Blot

Identifiers

PMID28476293
PMCPMC6836939
OpenAlexW2611099854

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.