Evidence map›Paper›PMID 29312942›Full record

ArticleFrontiers in medicine2017

The Clinical, Symptom, and Quality-of-Life Characterization of a Well-Defined Group of Patients with Posttreatment Lyme Disease Syndrome.

Alison W Rebman, Kathleen T Bechtold, Ting Yang, Erica A Mihm, Mark J Soloski, Cheryl B Novak, John N Aucott

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05305105 (Effects of Psilocybin in Post-Treatment Lyme Disease), which is not on this map. Cited by 85 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 1 pooled it
10.9field-weighted citation impact, top 1% 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.

NCT05305105 phase1completednot on this mapstarted 2022, after this paper: background citation

Effects of Psilocybin in Post-Treatment Lyme Disease

TypeinterventionalSponsorJohns Hopkins UniversityRan2022 to 2025Enrolled20ConditionsPost-Treatment Lyme Disease, Chronic Lyme Disease, Lyme Disease, ChronicArmsPsilocybin
3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 1 synthesis or guideline pooled it, 120 citations in OpenAlex.

  1. Long-Term Sequelae and Health-Related Quality of Life Associated With Lyme Disease: A Systematic Review.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Pooled it
  2. Review
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  11. The peptidoglycan ofScience translational medicine · 2025
    Article
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  13. Anti-RA33 Antibodies Are Present in Patients With Lyme Disease.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2025
    Observational
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25 more citing papers are in PubMed but not listed here.

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

7 authors at 2 institutions in 1 country.

Alison W RebmanDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Kathleen T BechtoldDepartment of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Ting YangDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Erica A MihmDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Mark J SoloskiDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Cheryl B NovakDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
John N AucottDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Johns Hopkins University · USJohns Hopkins Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe increased incidence and geographic expansion of Lyme disease has made it the most common vector-borne infection in North America. Posttreatment Lyme disease syndrome (PTLDS) represents a subset of patients who remain ill following standard antibiotic therapy for Lyme disease. The spectrum of symptoms and their impact on quality of life remain largely unexplored among patients with well-documented PTLDS.

objectiveTo characterize a case series of patients with well-documented PTLDS compared to a sample of healthy controls.

methodsSixty-one participants met the proposed case definition for PTLDS. Twenty-six healthy controls had neither a clinical history of Lyme disease nor current antibodies to

resultsCompared to controls, participants with PTLDS reported significantly greater fatigue, pain, sleep disturbance, and depression (Fatigue Severity Scale: 50.0 ± 10.6 vs. 19.8 ± 8.6; Short-Form McGill Pain Questionnaire: 13.7 ± 8.3 vs. 0.8 ± 1.9; Pittsburgh Sleep Quality Index: 10.1 ± 4.7 vs. 4.1 ± 2.1; Beck Depression Inventory-II: 15.1 ± 7.7 vs. 2.2 ± 3.2;

conclusionAlthough physical exam and clinical laboratory tests showed few objective abnormalities, standardized symptom questionnaires revealed that patients with PTLDS are highly and clinically significantly symptomatic, with poor health-related quality of life. PTLDS patients exhibited levels of fatigue, musculoskeletal pain, sleep disturbance, and depression which were both clinically relevant and statistically significantly higher than controls. Our study shows that PTLDS can be successfully identified using a systematic approach to diagnosis and symptom measurement. As the prevalence of PTLDS continues to rise, there will be an increased need for physician education to more effectively identify and manage PTLDS as part of integrated patient care.

Indexed as

case seriesLyme diseaseposttreatment Lyme disease syndromequality of lifesigns and symptoms

Identifiers

PMID29312942
PMCPMC5735370
OpenAlexW2771241464

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.