Queen's University, Kingston, ON, Canada.
J Prim Care Community Health. 2021 Jan-Dec;12:21501327211050744. doi: 10.1177/21501327211050744.
Lyme Disease (LD) is the most common tick-borne disease in North America. With the number of cases increasing yearly, Canadian healthcare professionals (HCP) rely on up-to-date and evidence-informed guidelines, instruction, and resources to effectively prevent, diagnose, and treat Lyme disease (LD). This review is the first of its kind to examine gray literature and analyze the diversity of recommendations provided to Canadian HCP about the prevention, diagnosis, and treatment of Lyme disease.
A gray literature review consisting of 4 search strategies was conducted to retrieve materials targeted to Canadian HCP. Searches within targeted websites, targeted Google searches, and gray literature databases, and consultation with content experts were done to look for continuing medical education (CME) events, clinical flow charts, webinars, videos, and reference documents that discussed the prevention, diagnosis, and treatment of Lyme disease.
A total of 115 resources were included in this study. Recommendations surrounding prevention strategies were less varied between materials, whereas diagnosis and treatment recommendations were more varied. Our findings suggest that Canadian HCP are met with varying and sometimes contradictory recommendations for diagnosing and treating LD.
Due to the increasing incidence of LD in Canada, there is a greater need for resource consistency. Providing this consistency may help mitigate LD burden, standardize approaches to prevention, diagnosis and treatment, and improve patient outcomes.
莱姆病(LD)是北美最常见的蜱传疾病。随着每年病例数量的增加,加拿大医疗保健专业人员(HCP)依赖最新的循证指南、指导和资源,以有效预防、诊断和治疗莱姆病(LD)。本综述是同类研究中的首例,旨在检查灰色文献,并分析向加拿大 HCP 提供的关于莱姆病预防、诊断和治疗的建议的多样性。
进行了一项灰色文献综述,包括 4 种搜索策略,以检索针对加拿大 HCP 的材料。在目标网站内进行搜索、针对目标的谷歌搜索、灰色文献数据库搜索,并咨询内容专家,以寻找讨论莱姆病预防、诊断和治疗的继续医学教育(CME)活动、临床流程图、网络研讨会、视频和参考文件。
本研究共纳入 115 项资源。预防策略相关的建议在材料之间的差异较小,而诊断和治疗建议的差异较大。我们的研究结果表明,加拿大 HCP 在诊断和治疗 LD 方面面临着不同的建议,有时甚至是相互矛盾的。
由于加拿大 LD 的发病率不断上升,对资源一致性的需求更大。提供这种一致性可能有助于减轻 LD 负担,标准化预防、诊断和治疗方法,并改善患者结局。