On December 3, I gave oral comments to the federal Tick-borne Disease Working Group. I focused on how use of the term “Post Treatment Lyme Disease Syndrome” (PTLDS) harms patients.

The term was initially introduced by the Infectious Diseases Society of America (IDSA) as a research definition. However, it has been conflated with clinical diagnosis, and has been used to deny Lyme patients the diagnosis and treatment they need to get well.

It also implies without evidence that patients received adequate treatment and that any remaining symptoms are caused by something other than an infection.

Public comments were limited to three minutes per person. However, I’ve expanded my remarks in this blog so that I can explain the issue with more detail and quote my sources.

What is Post Treatment Lyme Disease (PTLDS)?

The term PTLDS was first proposed in 2006 by the IDSA in its Lyme guidelines. It specifically incorporates the CDC surveillance case definition, meaning that a patient must satisfy the CDC surveillance criteria to be included in the term PTLDS.

The guidelines state, “Inclusion criteria: An adult or child with a documented episode of early or late Lyme disease fulfilling the case definition of the Centers for Disease Control and Prevention.” (Wormser 2006)

When the IDSA proposed the term, the authors said it was an “attempt to provide a framework for future research on this subject and to reduce diagnostic ambiguity in study populations.”

Is PTLDS the only research definition for chronic Lyme disease?

Research definitions can be loose or quite restrictive—and often depend on the data source.  For example, a review of physician’s records is likely to rely on physician diagnosis.

What the IDSA proposed here was highly restrictive, but somewhat similar to the entry criteria used in some of the National Institutes of Health’s randomized controlled trials for chronic Lyme disease. (Krupp, 2003; Klempner 2001; Fallon 2008)

These types of trials specifically recruit participants for the study. They may use restrictive entry criteria because they want to make sure that any treatment effect is not affected by other factors (for example, co-infections).

One known trade-off of using restrictive entry criteria in a study is that it will affect the ability of that trial to be generalized to people who were not included.

Thus, the results of a trial that only includes patients who test positive via the CDC’s two-tiered testing protocol for Lyme disease, will not apply to patients who do not test positive or who test positive by western blot alone. If a research definition excludes most patients who are seen by clinicians, it will not apply to most of the clinical population.

Broader criteria needed

A good example of using broader study criteria for a research sample in Lyme disease is a CDC cost-of-illness study by X. Zhang. It was published the same year the IDSA proposed the restrictive PTLDS definition.

Zhang used physician diagnosis as the entry criteria. He specifically rejected surveillance criteria, because it was not clinically relevant. He explained his reasoning in the study:

For the purpose of surveillance, a case of LD is defined as physician-diagnosed EM >5 cm or at least 1 late rheumatologic, neurologic, or cardiac manifestation with laboratory evidence of B. burgdorferi infection (16). These criteria were developed as an epidemiologic case definition intended for surveillance purposes only.

Although such a standard may aid comparison across clinical studies and facilitate development of research, exposure history and clinical features are critical. For example, treating patients with seasonal (summer) musculoskeletal flu-like symptoms in areas where LD is endemic may be clinically appropriate (12). Because the data for this study were collected directly from healthcare organizations and physicians, we used a clinical definition of LD. This definition was based on physicians’ determination in the medical record, according to patients’ clinical findings, tick exposure, and other relevant details (e.g., laboratory results).

In this study, clinically defined late-stage LD patients included those with later manifestations (neurologic involvement, cardiac involvement, and arthritis) and patients with chronic LD. (Zhang 2006)

Zhang’s definition is important because it shows that the appropriate definition for research depends on the type of study being conducted. Zhang’s study focused on costs and he wanted to include clinical cases because that is where costs are incurred.

Clinically relevant

Research definitions that are more clinically relevant have been used in other studies of Lyme disease. For example, Dr. Sam Donta used clinical diagnosis as his criteria in his 1997 study. (Donta 1997) One big data survey used clinical diagnosis coupled with positive lab serology or erythema migrans rash as its entry criteria. (Johnson 2014) A recent publication sets forth a detailed clinical definition of chronic or late Lyme disease that may prove useful in future studies. (Stricker 2018)

The best research definition will depend upon the goal of the research and whether it is more important to determine cause and effect in a narrow population or for the research to apply to the broader population of patients seen in clinical practice.

Research definitions should not be used for clinical care

But just as the selection of the most appropriate research definition will vary by goals of the study, the distinction between definitions appropriate for research and those appropriate for clinical care is key, because the goals of research are quite different from those of research.

The CDC’s Paul Mead explained why his agency’s surveillance definition (and research definitions) should not be applied to clinical care when he testified before the Connecticut Department of Public Health and the Connecticut Attorney General’s Office on January 29, 2004. He said:

A clinical diagnosis is made for the purpose of treating an individual patient and should consider the many details associated with that patient’s illness. Surveillance case definitions are created for the purpose of standardization, not patient care; they exist so that health officials can reasonably compare the number and distribution of “cases” over space and time. Whereas physicians appropriately err on the side of over-diagnosis, thereby assuring they don’t miss a case, surveillance case definitions appropriately err on the side of specificity, thereby assuring that they do not inadvertently capture illnesses due to other conditions.

No surveillance case definition is 100% accurate. There will always be some patients with Lyme disease whose illness does not meet the national surveillance case definition. For this reason, the CDC has stated repeatedly that the surveillance case definition is not a substitute for sound clinical judgment. Given other compelling evidence, a physician may choose to treat a patient for Lyme disease when their condition does not meet the case definition.

Likewise, the CDC has long cautioned against using surveillance definitions for diagnosis for all diseases because these definitions, like research inclusions—serve a very different purpose and are designed to measure only a fraction of clinical cases.

A surveillance case definition is a set of uniform criteria used to define a disease for public health surveillance. Surveillance case definitions enable public health officials to classify and count cases consistently across reporting jurisdictions. Surveillance case definitions are not intended to be used by healthcare providers for making a clinical diagnosis or determining how to meet an individual patient’s health needs.

Definitions exclude most Lyme patients

Patients encounter problems when the surveillance case definition or the restrictive research inclusion criteria for PTLDS are applied to clinical care. This is because these definitions exclude most patients.

It is no surprise that misapplication of either of these terms to clinical care has the same effect, since PTLDS specifically incorporates the surveillance criteria as part of its definition. Hence, cases counted under the surveillance definition miss 9 out of 10 cases.

Clinical data sources–notably a recent Quest lab study and a big data study by the FAIR insurance claims database— show that surveillance numbers are dwarfed by clinical cases. Likewise, the NIH funded chronic Lyme disease studies–which have used some variation of the surveillance criteria for enrollment–screened out most Lyme patients. The Klempner study screened out 97% of those who applied. (Klempner 2001)

Term implies that patients are no longer infected with Borrelia

Beyond the fact that the definition of PTLDS excludes most patients, the very language of the term “Post Treatment Lyme Disease Syndrome” assumes two things. First, that patients have received adequate treatment and second, that the cause of their continuing symptoms is a “post infectious” disorder.  There is no evidence that either of these assumptions is true.

Many case reports document culture-confirmed Lyme from patient biopsies and nobody knows what adequate treatment is for these patients. Patients also point out that “syndrome” is often used to imply that a medical condition does not exist or that it more psychological in nature than physical (for example, medically unexplained symptoms).

The Term PTLDS Harms Lyme Disease Patients by Denying Them Care

Lyme patients object to the terminology PTLDS not because patients are unscientific, but because definitions suitable for research and surveillance are inappropriate for clinical care.

These terms leave out the majority of patients by design and measure only the tip of the iceberg. Surveillance and research goals aim for methodological precision over clinical relevance. Patient care aims for early diagnosis, treatment and cure.

Physicians and insurers use PTLDS terminology to deny diagnosis, treatment, and reimbursement. Researchers are free to use restrictive research study enrollment criteria, but they should not “saddle” a medical condition clinically with unproven scientific assumptions about causality or adequacy of previous treatment. Nor should they misapply research definitions that exclude most patients to clinical care.

At its recent conference, IDSA member Dr. Amesh Adaja tweeted that the “upcoming Lyme guidelines will drop PTLDS terminology because it implies causality that hasn’t been established.”

I hope this is true. This terminology harms patients by excluding most of them from the hope of obtaining the diagnosis and treatment necessary to get well.

Lorraine Johnson, JD, MBA, is the Chief Executive Officer of LymeDisease.org. You can contact her at lbjohnson@lymedisease.org. On Twitter, follow her @lymepolicywonk. If you have not signed up for our patient-centered big data project, MyLymeData, please register now.

References:

1.Donta ST. Tetracycline therapy for chronic Lyme disease. Clin Infect Dis. 1997 Jul;25 Suppl 1:S52-6. Available from: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=9233665

2.Fallon BA, Keilp JG, Corbera KM, Petkova E, Britton CB, Dwyer E, et al. A randomized, placebo-controlled trial of repeated IV antibiotic therapy for Lyme encephalopathy. Neurology. 2008 Mar 25:992-1003. Available from: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17928580.

3.Klempner M, Hu L, Evans J, Schmid C, Johnson G, Trevino R, et al. Two controlled trials of antibiotic treatment in patients with persistent symptoms and a history of Lyme disease. The New England journal of medicine. 2001 Jul 12:85-92. Available from: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11450676.

4.Krupp LB, Hyman LG, Grimson R, Coyle PK, Melville P, Ahnn S, et al. Study and treatment of post Lyme disease (STOP-LD): a randomized double masked clinical trial. Neurology. 2003 Jun 24;60(12):1923-30. Available from: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=12821734.

5.Wormser GP, Dattwyler RJ, Shapiro ED, Halperin JJ, Steere AC, Klempner MS, et al. The clinical assessment, treatment, and prevention of Lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis. 2006 Nov 1;43(9):1089-134.

6.Zhang X, Meltzer MI, Pena CA, Hopkins AB, Wroth L, Fix AD. Economic impact of Lyme disease. Emerging infectious diseases. 2006 Apr;12(4):653-60. Available from: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16704815.