Evidence map›Paper›PMID 30801041›Full record

ReviewPain reports

Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC

Abrahão Fontes Baptista, Ana Mércia B L Fernandes, Katia Nunes Sá, Alexandre Hideki Okano, André Russowsky Brunoni, Argelia Lara-Solares, Aziza Jreige Iskandar, Carlos Guerrero, César Amescua-García, Durval Campos Kraychete and 25 more

Open access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Pain reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 5 pooled it
5.0field-weighted citation impact, top 4% 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

47 citing papers in PubMed, 5 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Pooled it
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  3. Digitalized transcranial electrical stimulation: A consensus statement.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2022
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  8. Active and sham transcranial direct current stimulation (tDCS) improved quality of life in female patients with fibromyalgia.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
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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

35 authors at 20 institutions in 11 countries.

Abrahão Fontes BaptistaUniversidade Federal do ABC, Centro de Matemática, Computação e Cognição, São Bernardo do Campo, São Paulo, Brazil.
Ana Mércia B L FernandesDepartment of Neurology, Pain Center, Universidade de São Paulo, São Paulo, Brazil.
Katia Nunes SáDepartamento de Pós-graduação, Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil.
Alexandre Hideki OkanoUniversidade Federal do ABC, Centro de Matemática, Computação e Cognição, São Bernardo do Campo, São Paulo, Brazil.
André Russowsky BrunoniInterdisciplinary Center for Applied Neuromodulation, University Hospital, University of São Paulo, São Paulo, Brazil.
Argelia Lara-SolaresDepartment of Pain Medicine and Palliative Care, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Mexico City, Mexico.
Aziza Jreige IskandarRehabilitation Residency Program, Universidad Central de Venezuela, Unidad de Rehabilitación DM, Maracay, Venezuela.
Carlos GuerreroHospital Universitario Fundación Santa Fe, Bogotá, Clinica de Dolor e Departamento de Anestesia, Universidad de los Andes, Bogotá, Colombia.
César Amescua-GarcíaHospital Angeles, Unidad de Dolor de Tijuana, Tijuana, Mexico.
Durval Campos KraycheteFaculdade de Medicina, Universidade Federal da Bahia, Salvador, Bahia, Brazil.
Egas Caparelli-DaquerUniversidade do Estado do Rio de Janeiro, Centro Biomédico, Instituto de Biologia Roberto Alcantara Gomes, Rio de Janeiro, Brazil.
Elias AtencioComplejo Hospitalario Metropolitano, Caja de Seguro Social, Pain Clinic, Panama City, Panama.
Fabián PiedimonteDepartamento de Neurocirurgía, Faculdade de Medicina, Universidad de Buenos Aires, Buenos Aires, Argentina.
Frantz ColimonCentro Oncológico de Antioquia, Interventional Pain Management and Palliative Care Unit, Centro Oncológico de Antioquia, Colombia.
Fuad Ahmed HazimeDepartamento de Fisioterapia, Universidade Federal do Piauí, Parnaíba, Parnaíba, Brazil.
João Batista S GarciaDepartamento de Medicina, Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís, Maranhão, Brazil.
John Jairo Hernández-CastroEscuela de Medicina y Ciencias de La Salud, Universidad de Rosario, Bogotá, Colombia.
José Alberto Flores CantisaniPrograma Regional de Cuidados Paliativos, Unidad Médica de Alta Especialidad No. 25, IMSS, Monterrey, Nuevo León, México.
Kátia Karina do Monte-SilvaDepartamento de Fisioterapia, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil.
Luis Claudio Lemos CorreiaDepartamento de Pós-graduação, Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil.
Manuel Sempértegui GallegosClinica de Dolor, Hospital Metropolitano, Quito, Ecuador.
Marco Antonio MarcolinDepartment of Neurology, Pain Center, Universidade de São Paulo, São Paulo, Brazil.
María Antonieta RiccoClinica Alemana de Santiago, Santiago, Chile.
María Berenguel CookDepartamento de Medicina Paliativa y Tratamiento del Dolor, Totalcare-Oncosalud-Auna, Lima, Peru.
Patricia BonillaUniversidad Tecnica Particular de Loja, Titulación de Medicina, Loja, Ecuador.
Pedro SchestatskyDepartamento de Medicina Interna, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Ricardo GalhardoniDepartment of Neurology, Pain Center, Universidade de São Paulo, São Paulo, Brazil.
Valquíria SilvaDepartment of Neurology, Pain Center, Universidade de São Paulo, São Paulo, Brazil.
William Delgado BarreraHospital Clínica Bíblica, Clinica de Dolor, San José, Costa Rica.
Wolnei CaumoDepartamento de Medicina Interna, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Didier BouhassiraINSERM U-987, Pathophysiology and Clinical Pharmacology of Pain, Centre d'Evaluation et de Traitement de la Douleur Hôpital Ambroise Paré, France.
Lucy S ChipchaseDean's Unit, School of Science and Health, Western Sydney University, Campbelltown, Australia.
Jean-Pascal LefaucheurEA 4391, Service de Physiologie, Hôpital Henri Mondor, AP-HP, Faculté de Médecine, Université Paris-Est Créteil, Créteil, France.
Manoel Jacobsen TeixeiraDepartment of Neurology, Pain Center, Universidade de São Paulo, São Paulo, Brazil.
Daniel Ciampi de AndradeDepartment of Neurology, Pain Center, Universidade de São Paulo, São Paulo, Brazil.
Universidade de São Paulo · BRUniversidade Federal do ABC · BRUniversidade Federal do Rio Grande do Sul · BRAssistance Publique – Hôpitaux de Paris · FRCentral University of Venezuela · VEClínica Alemana · CLComplejo Hospitalario Dr. Arnulfo Arias Madrid · PAEscola Bahiana de Medicina e Saúde Pública · BRHospital Metropolitano · ECHospital São Rafael · BRInserm · FRInstituto do Câncer do Estado de São Paulo · BRInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXMexican Social Security Institute · MXUniversidad Bíblica Latinoamericana · CRUniversidad de Antioquia · COUniversidad de Los Andes · COUniversidad del Rosario · COUniversidad de Tijuana · MXUniversidade do Estado do Rio de Janeiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChronic pain (CP) is highly prevalent and generally undertreated health condition. Noninvasive brain stimulation may contribute to decrease pain intensity and influence other aspects related to CP.

objectiveTo provide consensus-based recommendations for the use of noninvasive brain stimulation in clinical practice.

methodsSystematic review of the literature searching for randomized clinical trials followed by consensus panel. Recommendations also involved a cost-estimation study.

resultsThe systematic review wielded 24 transcranial direct current stimulation (tDCS) and 22 repetitive transcranial magnetic stimulation (rTMS) studies. The following recommendations were provided: (1) Level A for anodal tDCS over the primary motor cortex (M1) in fibromyalgia, and level B for peripheral neuropathic pain, abdominal pain, and migraine; bifrontal (F3/F4) tDCS and M1 high-definition (HD)-tDCS for fibromyalgia; Oz/Cz tDCS for migraine and for secondary benefits such as improvement in quality of life, decrease in anxiety, and increase in pressure pain threshold; (2) level A recommendation for high-frequency (HF) rTMS over M1 for fibromyalgia and neuropathic pain, and level B for myofascial or musculoskeletal pain, complex regional pain syndrome, and migraine; (3) level A recommendation against the use of anodal M1 tDCS for low back pain; and (4) level B recommendation against the use of HF rTMS over the left dorsolateral prefrontal cortex in the control of pain.

conclusionTranscranial DCS and rTMS are recommended techniques to be used in the control of CP conditions, with low to moderate analgesic effects, and no severe adverse events. These recommendations are based on a systematic review of the literature and a consensus made by experts in the field. Readers should use it as part of the resources available to decision-making.

Indexed as

Mixed painNeuropathic painNociceptive painrTMStDCS

Identifiers

PMID30801041
PMCPMC6370142
OpenAlexW2914621729

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.