Evidence map›Paper›PMID 41570190›Full record

ArticleEmerging infectious diseases2025

Nonspecific Symptoms Attributable to Lyme Disease in High-Incidence Areas, United States, 2017-2021.

Courtney C Nawrocki, Mark J Delorey, Austin R Earley, Sarah A Hook, Kiersten J Kugeler, Grace E Marx, Paul S Mead, Alison F Hinckley

Abstract read
In one paragraph

Article in Emerging infectious diseases, 2025. 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. Lyme borreliosis.Nature reviews. Disease primers · 2026
    Review
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

8 authors.

Courtney C Nawrocki
Mark J Delorey
Austin R Earley
Sarah A Hook
Kiersten J Kugeler
Grace E Marx
Paul S Mead
Alison F Hinckley

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

For some patients who have Lyme disease (LD), nonspecific symptoms can persist after treatment and impair quality of life. Estimating the frequency and duration of such symptoms is challenging. Using commercial insurance claims data from 2017-2021 for enrollees residing in states where LD is common, we identified 24,503 case-patients with LD and matched them (1:5) with 122,095 control-patients with other diagnoses by demographics, medical service date, and inpatient/outpatient setting. We compared relative frequencies of diagnosis codes for pain, fatigue, and cognitive difficulties between case-patients and control-patients in the year after diagnosis. Those symptom codes occurred 5.0% more frequently among case-patients than among control-patients and comprised »11.0% of the total symptom codes among case-patients. Symptom code frequency among case-patients declined significantly in the 6-12 months after LD diagnosis and reached levels similar to control-patients by the end of the year, with the exception of fatigue.

Indexed as

Lyme DiseaseAdolescentAdultCase-Control StudiesFatigueFemaleHumansIncidenceMaleMiddle AgedPainUnited StatesYoung AdultbacteriaBorreliacognitive impairmentfatigueLyme diseasepainpost-treatment Lyme disease syndromeUnited Statesvector-borne infections

Identifiers

PMID41570190
PMCPMC12829481

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.