Evidence map›Paper›PMID 24755729›Full record

Trial reportThe journal of ECT2015

Transcranial magnetic stimulation in the treatment of chronic widespread pain: a randomized controlled study.

David H Avery, Paul Zarkowski, Daniel Krashin, Wang-Ku Rho, Chandra Wajdik, Jutta M Joesch, David R Haynor, Dedra Buchwald, Peter Roy-Byrne

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The journal of ECT, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03984201 (Accelerated Theta Burst in Chronic Pain), which is not on this map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 20% 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.

NCT03984201 nawithdrawnnot on this mapstarted 2023, after this paper: background citation

Accelerated Theta Burst in Chronic Pain: A Biomarker Study

TypeinterventionalSponsorStanford UniversityRan2023 to 2024Enrolled0ConditionsChronic PainArmsIntermittent Theta Burst Stimulation (iTBS)
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Brain stimulation targets for chronic pain: Insights from meta-analysis, functional connectivity and literature review.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024
    Pooled it
  2. Non-invasive brain stimulation techniques for chronic pain.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Non-invasive brain stimulation techniques for chronic pain.The Cochrane database of systematic reviews · 2018
    Pooled it
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Cortical stimulation for chronic pain: from anecdote to evidence.European journal of physical and rehabilitation medicine · 2022
    Review
  10. Article
  11. Review
  12. New Developments in Non-invasive Brain Stimulation in Chronic Pain.Current physical medicine and rehabilitation reports · 2020
    Article
  13. Review
  14. Review
  15. Review
  16. Review
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 2 institutions in 2 countries.

David H AveryFrom the *Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine; †Psychiatric Medicine Associates; ‡Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA; §Department of Psychiatry of Catholic University of Korea College of Medicine, Seoul, South Korea; ∥Department of Radiology, University of Washington School of Medicine; and ¶Department of Internal Medicine, University of Washington School of Medicine, Seattle, WA.
Paul Zarkowski
Daniel Krashin
Wang-Ku Rho
Chandra Wajdik
Jutta M Joesch
David R Haynor
Dedra Buchwald
Peter Roy-Byrne
University of Washington · USCatholic University of Korea · KR

Funding

Methods and Data CoreR24HD042828 · NICHD · UNIVERSITY OF WASHINGTON · PI ELLIS, JOHN MARK · 2002 to 2016
$9.3M
Transcranial Magnetic Stimulation in the Treatment of Chronic Widespread PainR21AR053963 · NIAMS · UNIVERSITY OF WASHINGTON · PI AVERY, DAVID H · 2007 to 2008
$365k
NIAMS NIH HHS R21 AR053963NICHD NIH HHS R24 HD042828
6 · The paper itself

Abstract

objectiveOur objective was to assess transcranial magnetic stimulation (TMS) in the treatment of chronic widespread pain.

methodsNineteen participants were randomized into 2 groups: one group receiving active TMS (n = 7) and another group receiving sham stimulation (n = 11) applied to the left dorsolateral prefrontal cortex. During sham stimulation, subjects heard a sound similar to the sound heard by those receiving the active treatment and received an active electrical stimulus to the scalp. The stimulation protocol consisted of 15 sessions completed within a 4-week period. Blind assessments were done at baseline and after each 5 sessions followed by blind assessments at 1 week, 1 month, and 3 months after the last TMS sessions. The primary outcome variable was a pain measure, the Gracely Box Intensity Scale (BIRS).

resultsThe percentage of subjects who guessed that they were receiving TMS was similar in the 2 groups. Both the TMS group and the sham group showed a statistically significant reduction in the BIRS scores from baseline during the acute phase of treatment and the follow-up phase. However, the TMS and sham groups did not differ in the change in the BIRS scores. DISCUSSION: Although some previous clinical studies and basic science studies of TMS in treating pain are promising, this study found no difference in the analgesic effect of TMS and sham stimulation. Future studies should use a sham condition that attempts to simulate the sound and sensation of the TMS stimulation. Stimulus location and other stimulus parameters should be explored in future studies.

Indexed as

AdolescentAdultAgedChronic PainFemaleHumansMagnetic Resonance ImagingMiddle AgedPain MeasurementPrefrontal CortexTranscranial Magnetic StimulationTreatment OutcomeYoung Adult

Identifiers

PMID24755729
PMCPMC4205210
OpenAlexW2317832385

What OpenQuestion holds

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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.