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Published on: February 4, 2018
Chronic Lyme disease: a survey of Connecticut primary care physicians
Michael Johnson1, Henry M Feder
1University of Connecticut Health Center, Farmington, CT, USA.
Insights
A small percentage of Connecticut primary care physicians diagnose and treat chronic Lyme disease. Many remain undecided or do not believe in its existence, impacting patient care.
Area of Science:
- Infectious Diseases
- Public Health
- Medical Practice
Background:
- Chronic Lyme disease remains a debated diagnosis among medical professionals.
- Understanding physician practices is crucial for patient management and public health initiatives.
Purpose of the Study:
- To assess the frequency of chronic Lyme disease diagnosis and treatment by primary care physicians in Connecticut.
- To identify physician attitudes towards chronic Lyme disease.
Main Methods:
- A survey was distributed to a random sample of Connecticut primary care physicians.
- Physicians reported on their diagnosis and treatment of chronic Lyme disease over the past three years.
Main Results:
- Only 2.1% of surveyed physicians diagnose and treat chronic Lyme disease.
- 48.1% were undecided about its existence but did not treat it.
- 49.8% did not believe chronic Lyme disease exists.
Conclusions:
- A very small proportion of primary care physicians in Connecticut actively diagnose and treat chronic Lyme disease.
- Physician skepticism and lack of consensus on chronic Lyme disease present challenges for affected patients.
Objective:
To determine how frequently Connecticut primary care physicians are diagnosing and treating patients with chronic Lyme disease.
Study Design:
A survey was mailed to a random 33% sample of primary care physicians in Connecticut, which asked how many cases of Lyme disease and chronic Lyme disease they diagnosed and treated in the last 3 years.
Results:
The survey had a response rate of 39.1%. Physician respondents (n = 285) fit in one of 3 groups. Group 1 included 6 of 285 (2.1%) physicians who diagnose and treat patients with chronic Lyme disease. Group 2 included 137 of 285 (48.1%) physicians who are undecided on the existence of chronic Lyme disease, but did not diagnose or treat any patients with chronic Lyme disease. Group 3 included 142 of 285 (49.8%) physicians who do not believe in the existence of chronic Lyme disease.
Conclusion:
A small percentage (2.1%) of primary care physicians diagnose and treat patients for presumed chronic Lyme disease.
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