Evidence map›Paper›PMID 23599075›Full record

Trial reportJAMA otolaryngology-- head & neck surgery2013

Low-frequency repetitive transcranial magnetic stimulation to the temporoparietal junction for tinnitus: four-week stimulation trial.

Jay F Piccirillo, Dorina Kallogjeri, Joyce Nicklaus, Andre Wineland, Edward L Spitznagel, Andrei G Vlassenko, Tammie Benzinger, Jose Mathews, Keith S Garcia

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in JAMA otolaryngology-- head & neck surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00567892 (Collaborative Tinnitus Research at Washington University), which is not on this map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
4.5field-weighted citation impact, top 6% 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
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 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. Perceptual and Cognitive Effects of Focal Transcranial Direct Current Stimulation of Auditory Cortex in Tinnitus.Neuromodulation : journal of the International Neuromodulation Society · 2025
    Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Repetitive transcranial magnetic stimulation and drugs for 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
    Article
  16. Article
  17. Article
  18. Article
  19. Evidence and evidence gaps in tinnitus therapy.GMS current topics in otorhinolaryngology, head and neck surgery · 2016
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Jay F PiccirilloDepartment of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine, St Louis, MO63110, USA. piccirilloj@ent.wustl.edu
Dorina Kallogjeri
Joyce Nicklaus
Andre Wineland
Edward L Spitznagel
Andrei G Vlassenko
Tammie Benzinger
Jose Mathews
Keith S Garcia
Washington University in St. Louis · US

Funding

Sensory Function CoreP30DC004665 · NIDCD · WASHINGTON UNIVERSITY · PI CHOLE, RICHARD ARTHUR · 2001 to 2015
$8.0M
proj 3 - NINDS INSTIUTIONAL CENTER CORE GRANTS TO SUPPORT NEUROSCIENCE RESEARP30NS048056 · NINDS · WASHINGTON UNIVERSITY · PI MARCUS, DANIEL SCOTT · 2004 to 2014
$7.4M
DEVELOPMENT OF CLINICIAN/RESEARCHERS IN ACADEMIC ENTT32DC000022 · NIDCD · WASHINGTON UNIVERSITY · PI PICCIRILLO, JAY F. · 1989 to 2022
$5.6M
Collaborative Tinnitus Research at Washington UniversityR01DC009095 · NIDCD · WASHINGTON UNIVERSITY · PI PICCIRILLO, JAY F. · 2007 to 2010
$1.5M
NIDCD NIH HHS P30 DC004665NIDCD NIH HHS R01 DC009095NINDS NIH HHS P30 NS048056
6 · The paper itself

Abstract

importanceThis research examines the impact of 4 weeks of repetitive transcranial magnetic stimulation (rTMS) stimulation to the temporoparietal junction and compares the results of this longer duration of treatment with a similar stimulus protocol of only 2 weeks' duration.

objectiveTo examine the effectiveness and safety of 4 weeks of low-frequency rTMS to the left temporoparietal junction in a cohort of patients with bothersome tinnitus.

designCrossover, double-blind, randomized controlled trial.

settingOutpatient academic medical center.

participantsThe study population comprised 14 adults aged between 22 and 59 years with subjective, unilateral or bilateral, nonpulsatile tinnitus of 6 months' duration or greater and a score of 34 or greater on the Tinnitus Handicap Inventory (THI).

interventionsLow-frequency (1 Hz) 110% motor threshold rTMS or sham to the left temporoparietal junction for 4 weeks. MAIN OUTCOME AND MEASURE: The difference of the change in the THI score between active rTMS and sham rTMS.

resultsActive treatment was associated with a median reduction in THI score of 10 (range, -20 to +4) points, and sham treatment was associated with a median reduction of 6 (range, -24 to +12) points. The median difference in THI score between the change associated with active and sham rTMS was 4 (95% CI, -9 to 10; and range, -32 to +14) points. CONCLUSIONS AND RELEVANCE: Daily low-frequency active rTMS to the left temporoparietal junction area for 4 weeks was no more effective than sham for patients with chronic bothersome tinnitus. Possible explanations for this negative study include the failure of rTMS to stimulate deeper parts of auditory cortex within the sylvian fissure and more widespread cortical network changes not amenable to localized rTMS effects.

trial registrationclinicaltrials.gov Identifier: NCT00567892.

Indexed as

AdultAuditory CortexCross-Over StudiesDouble-Blind MethodFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesSensory ThresholdsTinnitusTranscranial Magnetic StimulationTreatment OutcomeYoung Adult

Identifiers

PMID23599075
PMCPMC4605206
OpenAlexW2105279269

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.