Evidence map›Paper›PMID 28928582›Full record

ArticleAnesthesia, essays and researches

Repetitive Transcranial Magnetic Stimulation in Chronic Pain: A Meta-analysis.

Basavana Goudra, Dipal Shah, Ganesh Balu, Gowri Gouda, Alan Balu, Anuradha Borle, Preet Mohinder Singh

Abstract read
In one paragraph

Article in Anesthesia, essays and researches. 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
–field-weighted citation impact
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.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Advances in Pain Medicine: a Review of New Technologies.Current pain and headache reports · 2022
    Review
  7. Article
  8. Article
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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

7 authors.

Basavana GoudraDepartment of Anesthesia, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Dipal ShahDepartment of Anesthesia, State University of New York Upstate Medical University, Syracuse, NY, USA.
Ganesh BaluPain Physician, Regional Medical Associates, Dover, DE 19904, USA.
Gowri GoudaBurrell College of Osteopathic Medicine, Las Cruces, NM 88001, USA.
Alan BaluDepartment of Critical Care Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania; Department of Critical Care Medicine, State University of New York Upstate Medical University, Syracuse, NY, USA.
Anuradha BorleDepartment of Anesthesia, All India Institute of Medical Sciences, New Delhi, India.
Preet Mohinder SinghDepartment of Anesthesia, All India Institute of Medical Sciences, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn this meta-analysis, we explore the role of repetitive transcranial magnetic stimulation (rTMS), a noninvasive neuromodulation technique in the treatment of chronic pain.

methodsStudies comparing rTMS and conventional treatment for chronic pain were searched. The comparison was made for decrease in the pain scores with and without (sham) the use of rTMS after a follow-up interval of 4-8 weeks. All reported pain scores were converted into a common scale ranging from "0" (no pain) to "10" (worst pain).

resultsNine trials with 183 patients in each of the groups were included in the analysis. The decrease in pain scores with rTMS was 1.12 (95% confidence interval [CI] being 1.46-0.78) (fixed effects,

conclusionsUse of rTMS improves the efficacy of conventional medical treatment in chronic pain patients. This treatment is not associated with any direct adverse effects. However, the duration and frequency of rTMS therapy is presently highly variable and needs standardization.

Indexed as

Chronic painfibromyalgiameta-analysisneuroplasticityrepetitive transcranial magnetic stimulation

Identifiers

PMID28928582
PMCPMC5594801

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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.