Evidence map›Paper›PMID 27729853›Full record

ArticleFrontiers in human neuroscience2016

Feasibility of Non-invasive Brain Modulation for Management of Pain Related to Chemoradiotherapy in Patients with Advanced Head and Neck Cancer.

Xiao-Su Hu, Clayton A Fisher, Stephanie M Munz, Rebecca L Toback, Thiago D Nascimento, Emily L Bellile, Laura Rozek, Avraham Eisbruch, Francis P Worden, Theodora E Danciu and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in human neuroscience, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.1field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  6. Review
  7. Article
  8. Review
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  10. Review
  11. Adverse events of tDCS and tACS: A review.Clinical neurophysiology practice · 2017
    Review
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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

11 authors at 1 institution in 1 country.

Xiao-Su HuHeadache and Orofacial Pain Effort Lab, School of Dentistry, Department of Biologic and Materials Sciences, University of MichiganAnn Arbor, MI, USA; Center for Human Growth and Development, University of MichiganAnn Arbor, MI, USA.
Clayton A FisherHeadache and Orofacial Pain Effort Lab, School of Dentistry, Department of Biologic and Materials Sciences, University of MichiganAnn Arbor, MI, USA; Division of Oral Pathology, Department of Periodontics and Oral Medicine, University of MichiganAnn Arbor, MI, USA.
Stephanie M MunzDepartment of Oral and Maxillofacial Surgery/Hospital Dentistry, University of Michigan Ann Arbor, MI, USA.
Rebecca L TobackHeadache and Orofacial Pain Effort Lab, School of Dentistry, Department of Biologic and Materials Sciences, University of Michigan Ann Arbor, MI, USA.
Thiago D NascimentoHeadache and Orofacial Pain Effort Lab, School of Dentistry, Department of Biologic and Materials Sciences, University of Michigan Ann Arbor, MI, USA.
Emily L BellileHeadache and Orofacial Pain Effort Lab, School of Dentistry, Department of Biologic and Materials Sciences, University of MichiganAnn Arbor, MI, USA; Biostatistics Department, University of MichiganAnn Arbor, MI, USA.
Laura RozekBiostatistics Department, University of Michigan Ann Arbor, MI, USA.
Avraham EisbruchDepartment of Radiation Oncology, University of Michigan Ann Arbor, MI, USA.
Francis P WordenDepartment of Internal Medicine Oncology, University of Michigan Ann Arbor, MI, USA.
Theodora E DanciuDivision of Oral Pathology, Department of Periodontics and Oral Medicine, University of Michigan Ann Arbor, MI, USA.
Alexandre F DaSilvaHeadache and Orofacial Pain Effort Lab, School of Dentistry, Department of Biologic and Materials Sciences, University of MichiganAnn Arbor, MI, USA; Center for Human Growth and Development, University of MichiganAnn Arbor, MI, USA.
University of Michigan–Ann Arbor · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with head and neck cancer often experience a significant decrease in their quality of life during chemoradiotherapy (CRT) due to treatment-related pain, which is frequently classified as severe. Transcranial direct current stimulation (tDCS) is a method of non-invasive brain stimulation that has been frequently used in experimental and clinical pain studies. In this pilot study, we investigated the clinical impact and central mechanisms of twenty primary motor cortex (M1) stimulation sessions with tDCS during 7 weeks of CRT for head and neck cancer. From 48 patients screened, seven met the inclusion criteria and were enrolled. Electroencephalography (EEG) data were recorded before and after tDCS stimulation as well as across the trial to monitor short and long-term impact on brain function. The compliance rate during the long trial was extremely high (98.4%), and patients mostly reported mild side effects in line with the literature (e.g., tingling). Compared to a large standard of care study from our institution, our initial results indicate that M1-tDCS stimulation has a pain relief effect during the CRT that resulted in a significant attenuation of weight reduction and dysphagia normally observed in these patients. These results translated to our patient cohort not needing feeding tubes or IV fluids. Power spectra analysis of EEG data indicated significant changes in α, β, and γ bands immediately after tDCS stimulation and, in addition, α, δ, and θ bands over the long term in the seventh stimulation week (

Indexed as

adjuvantchemotherapyEEGhead and neck cancerpain managementtDCS

Identifiers

PMID27729853
PMCPMC5037215
OpenAlexW2525588259

What OpenQuestion holds

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Registered trials

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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.