Evidence map›Paper›PMID 39443866›Full record

ArticleBMC primary care2024

Initial symptoms and late complication in Lyme neuroborreliosis from the perspective of patients and relatives: a qualitative study.

Anita Nymark, Lotte Huniche, Sigurdur Skarphedinsson, Helle Marie Christensen

Abstract read
In one paragraph

Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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. Article
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

4 authors.

Anita NymarkDepartment of Clinical Microbiology, Clinical Center for Emerging and Vector-Borne Infections, Odense University Hospital, J.B. Winsloews Vej 21, Entrance 245, 5000, Odense C, Denmark. Anita.Nymark@rsyd.dk.ORCID 0000-0003-0575-0719
Lotte HunicheDepartment of Psychology, University of Southern Denmark, Odense, Denmark.ORCID 0000-0002-7294-4815
Sigurdur SkarphedinssonClinical Center for Emerging and Vector-Borne Infections, Department of Infectious Diseases, Odense University Hospital, Odense, Denmark.ORCID 0000-0001-8440-7040
Helle Marie ChristensenDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.ORCID 0000-0001-6783-4112

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLyme borreliosis is by far the most common vector-borne infection in Western Europe. The most severe manifestation of Lyme borreliosis is Lyme neuroborreliosis (LNB). In LNB symptoms vary from mild to severe and may include late complications that involve both physical and/or neurocognitive constraints. An estimated 25-28% of the LNB population suffers from late complications. This study investigates patient and relative perspectives on everyday life with LNB symptoms, diagnosis, and treatment to identify areas for improvement of healthcare.

methodsA focus group was conducted at Odense University Hospital, Denmark. The focus group comprised 16 participants, nine patients diagnosed with LNB who had been treated at the Clinical Center for Emerging and Vector-borne Infections, and seven relatives of the patients' choice. The focus group lasted 2 ½ hours and was audio recorded as well as documented in field notes.

resultsData analysis was grounded in the conceptual framework of critical psychology and resulted in three main themes: (1) Burden of LNB symptoms in everyday life, (2) A break in the conduct of everyday life caused by LNB and (3) Need for transparent pathways to specialist knowledge.

conclusionsBefore diagnosis and treatment, each patient reported varying degrees of non-treatable pain, and cognitive and/or musculoskeletal symptoms. Visible physical symptoms were rare. All patients had experienced that their bodily symptoms remained unaddressed throughout numerous encounters with the healthcare system. The course of LNB comes with a break in patients' everyday lives and self-understandings affecting their ability to work and manage everyday activities. Patients and relatives strongly recommend a specialised LNB clinic.

Indexed as

Focus GroupsLyme NeuroborreliosisQualitative ResearchAdultAgedCost of IllnessDenmarkFamilyFemaleHumansMaleMiddle AgedFocus groupLyme neuroborreliosisPatient participationPatient perspectiveQualitative researchVector-borne diseases

Identifiers

PMID39443866
PMCPMC11498949

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.