Long term survival, health, social functioning, and education in patients with European Lyme neuroborreliosis: nationwide population based cohort study

BMJ : British Medical Journal
Niels ObelAnne-Mette Lebech

Abstract

To estimate long term survival, health, and educational/social functioning in patients with Lyme neuroborreliosis compared with the general population. Nationwide population based cohort study using national registers. Denmark. All Danish residents diagnosed during 1986-2016 as having Lyme neuroborreliosis (n=2067), defined as a positive Borrelia burgdorferi intrathecal antibody test and a clinical diagnosis of Lyme borreliosis, and a comparison cohort from the general population matched on sex and date of birth (n=20 670). Mortality rate ratios, incidence rate ratios of comorbidities, and differences in educational and social outcomes. Mortality among patients with Lyme neuroborreliosis was not higher than in the general population (mortality rate ratio 0.90, 95% confidence interval 0.79 to 1.03). Lyme neuroborreliosis patients had increased risk of haematological (incidence rate ratio 3.07, 2.03 to 4.66) and non-melanoma skin cancers (1.49, 1.18 to 1.88). At diagnosis, Lyme neuroborreliosis patients had slightly higher employment and lower disability pension rates. After five years, patients and comparison cohort members had similar numbers of hospital contacts (difference -0.22, 95% confidence interval -0.45 to 0.02, in-hosp...Continue Reading

Citations

Mar 29, 2019·Current Opinion in Infectious Diseases·John J Halperin
Oct 11, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Rasmus HaahrLars H Omland
Nov 28, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Stephen MacBeate Sander
Aug 3, 2019·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Cihan PapanTobias Tenenbaum
Dec 19, 2018·Frontiers in Neurology·Enea Gino Di DomenicoFabrizio Ensoli
May 23, 2019·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Viktor DahlAnders Wallensten
Mar 11, 2020·Brain and Behavior·Randi EikelandÅslaug Rudjord Lorentzen
Jan 28, 2021·JAMA Psychiatry·Malte M TetensLars H Omland
Nov 2, 2020·Journal of the Neurological Sciences·Mathilde ØrbækUNKNOWN DASGIB study group
Jul 2, 2019·Médecine et maladies infectieuses·X GockoUNKNOWN endorsed by the following scientific societies

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Methods Mentioned

BETA
enzyme linked immunosorbent assays

Software Mentioned

STATA
SPSS Statistics

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