Table 1.
Probabilities | Low | Base | High |
---|---|---|---|
Probability of sequelae if EM is treated |
0.001 |
0.005 |
0.01 |
Probability of sequelae if EM is not treated |
0.54 |
0.83 |
0.99 |
Cardiac |
|
0.05 |
|
Neurologic |
|
0.15 |
|
Arthritic |
|
0.6 |
|
Treatment | |||
Probability of major adverse reaction |
0.0001 |
0.0005 |
0.001 |
Probability of minor adverse reaction |
0.03 |
0.05 |
0.1 |
Serology | |||
Sensitivity - P(Positive | Lyme) |
|
0.35 |
|
Specificity - P(Negative | No Lyme) | 0.98 |
Costs (2010 dollars) | Low | Base | High |
---|---|---|---|
Cost of amoxicillin or doxycycline for EM |
4 |
4 |
216 |
Major adverse reaction |
3140 |
5000 |
8258 |
Minor adverse reaction |
91 |
250 |
429 |
Cost of Lyme disease sequelae |
2003 |
4000 |
11496 |
Serology | 37 | 80 | 127 |
Costs are in 2010 US dollars.
EM, erythema migrans.