Evidence map›Paper›PMID 21422304›Full record

Trial reportArchives of otolaryngology--head & neck surgery2011

Low-frequency repetitive transcranial magnetic stimulation to the temporoparietal junction for tinnitus.

Jay F Piccirillo, Keith S Garcia, Joyce Nicklaus, Katherine Pierce, Harold Burton, Andrei G Vlassenko, Mark Mintun, Diane Duddy, Dorina Kallogjeri, Edward L Spitznagel

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of otolaryngology--head & neck surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
3.0field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00567892 phase2completednot on this map

Collaborative Tinnitus Research at Washington University

TypeinterventionalSponsorWashington University School of MedicineRan2008 to 2011Enrolled55ConditionsSubjective TinnitusArmsrTMS
NCT01590264 nacompletednot on this mapstarted 2012, after this paper: background citation

rTMS Bimodal Treatment For Patients With Subjective Idiopathic Tinnitus: A Pilot Study

TypeinterventionalSponsorWashington University School of MedicineRan2012 to 2012Enrolled5ConditionsTinnitusArmsBimodal rTMS
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. A multidisciplinary systematic review of the treatment for chronic idiopathic tinnitus.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2017
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Article
  13. Article
  14. Tinnitus Update.Journal of clinical neurology (Seoul, Korea) · 2021
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Jay F PiccirilloDepartment of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, 660 S Euclid Ave, Campus Box 8115, St Louis, MO 63110, USA. piccirilloj@ent.wustl.edu
Keith S Garcia
Joyce Nicklaus
Katherine Pierce
Harold Burton
Andrei G Vlassenko
Mark Mintun
Diane Duddy
Dorina Kallogjeri
Edward L Spitznagel
Washington University in St. Louis · US

Funding

Collaborative Tinnitus Research at Washington UniversityR01DC009095 · NIDCD · WASHINGTON UNIVERSITY · PI PICCIRILLO, JAY F. · 2007 to 2010
$1.5M
NIDCD NIH HHS R01 DC009095
6 · The paper itself

Abstract

objectiveTo examine the effectiveness and safety of low-frequency repetitive transcranial magnetic stimulation (rTMS) to the temporoparietal junction in a cohort of patients with bothersome tinnitus.

designCrossover, double-blind, randomized clinical trial.

settingOutpatient academic medical center.

participantsFourteen adults aged 42 to 59 years with subjective, unilateral or bilateral, nonpulsatile tinnitus of 6 months' duration or longer and a score of 38 or greater on the Tinnitus Handicap Inventory (THI).

interventionsLow-frequency (1-Hz) 110% motor threshold rTMS or sham treatment to the left temporoparietal junction for 2 weeks.

main outcome measureThe difference in the change of the THI score between active and sham rTMS.

resultsActive treatment was associated with a median (95% confidence interval) reduction in THI score of 5 (0-14) points, and sham treatment was associated with a median reduction in THI score of 6 (-2 to 12) points. The difference in THI scores between the change associated with active and sham rTMS ranged from a 34-point reduction in THI score after active treatment to a 22-point increase after sham treatment, with a median difference change of only 1 point (-6 to 4 points).

conclusionsDaily low-frequency rTMS to the left temporoparietal junction area for 2 weeks is no more effective than placebo for patients with chronic bothersome tinnitus. Possible explanations for the negative findings are short duration of treatment, failure of rTMS stimulation over the temporoparietal area to affect the auditory cortex buried within the Sylvian fissure, or more widespread cortical network changes associated with severe bothersome tinnitus not amenable to localized rTMS effects. Trial Registration clinicaltrials.gov Identifier: NCT00567892.

Indexed as

AdultCross-Over StudiesDouble-Blind MethodElectroencephalographyFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedOccipital LobeSignal Processing, Computer-AssistedSoftwareTemporal LobeTherapy, Computer-AssistedTinnitus

Identifiers

PMID21422304
PMCPMC3140874
OpenAlexW200355707

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.