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<p>The National Institute for Health and Care Excellence (NICE) published a clinical
guideline on the diagnosis and management of Lyme disease in April 2018. Although
guidelines are not mandatory, when exercising their judgement, clinicians are expected
to take this guideline fully into account, alongside the individual needs, preferences
and values of their patients. NICE’s guideline does not recommend that doctors' surgeries
should declare the number of patients diagnosed with Lyme Disease, but includes a
research recommendation for “a large clinico-epidemiological study to collect data
on incidence, presenting clinical features, management and outcome of Lyme disease
in community and hospital settings in the UK”. NICE’s research recommendations are
designed to identify potential gaps in evidence to researchers working in specific
areas.</p>
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