Evidence map›Paper›PMID 32461976›Full record

SynthesisBioMed research international2020

Low-Frequency Repetitive Transcranial Magnetic Stimulation for the Treatment of Chronic Tinnitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Changhong Dong, Cheng Chen, Teng Wang, Chunjiu Gao, Yidan Wang, Xinying Guan, Xin Dong

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BioMed research international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Trial
  5. Review
  6. Article
  7. Tinnitus Guidelines and Their Evidence Base.Journal of clinical medicine · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Chronic Tinnitus.Deutsches Arzteblatt international · 2022
    Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Animal Models of Tinnitus Treatment: Cochlear and Brain Stimulation.Current topics in behavioral neurosciences · 2021
    Article
  17. Article
  18. Tinnitus and Brain Stimulation.Current topics in behavioral neurosciences · 2021
    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

7 authors at 2 institutions in 1 country.

Changhong Dong *Department of Neurology, The Affiliated Lianyungang Hospital of Xuzhou Medical University/The First People's Hospital of Lianyungang, 6 Zhenhua East Road, Lianyungang, Jiangsu Province, China.ORCID https://orcid.org/0000-0001-6629-0571
Cheng Chen *Department of Neurology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, Jiangsu Province, China.ORCID https://orcid.org/0000-0003-4819-7212
Teng Wang *Department of Neurology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, Jiangsu Province, China.ORCID https://orcid.org/0000-0002-1909-1067
Chunjiu GaoDepartment of Clinical Medicine, Xuzhou Medical University, Xuzhou 221004, Jiangsu Province, China.ORCID https://orcid.org/0000-0002-5919-823X
Yidan WangCollege of Medical Imaging, Xuzhou Medical University, Xuzhou 221004, Jiangsu Province, China.ORCID https://orcid.org/0000-0003-1761-2866
Xinying GuanDepartment of Neurology, The Affiliated Lianyungang Hospital of Xuzhou Medical University/The First People's Hospital of Lianyungang, 6 Zhenhua East Road, Lianyungang, Jiangsu Province, China.ORCID https://orcid.org/0000-0002-3180-6299
Xin DongDepartment of Neurology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, Jiangsu Province, China.ORCID https://orcid.org/0000-0002-5400-1872
Xuzhou Medical College · CNJiangsu Province Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic tinnitus affects approximately 10-15% of the population. Low-frequency repetitive transcranial magnetic stimulation (rTMS) has been considered as a promising and well-tolerated therapeutic strategy for chronic tinnitus. However, a recent large-scale multicenter clinical trial showed a negative result.

objectiveThis systematic review is aimed at assessing the efficacy and safety of low-frequency rTMS in chronic tinnitus.

methodsWe searched PubMed, Embase, and Cochrane Library for randomized controlled studies of rTMS treatment of chronic tinnitus. A pooled analysis of standardized mean difference (SMD) was performed with 95% confidence intervals (CI).

resultsTen RCTs involving 567 participants were included in this review. Compared with sham stimulation, rTMS showed no significant efficacy in tinnitus severity and disability measured by Tinnitus Handicap Inventory (THI) in short-term (SMD = -0.04, 95% CI -0.23 to 0.16,

conclusionLow-frequency rTMS is well tolerated but not effective in treating chronic tinnitus based on the current analysis of pooled data. Further studies with modified and uniform protocols are required to investigate the potential benefit of rTMS in chronic tinnitus.

Indexed as

Databases, FactualHumansRandomized Controlled Trials as TopicTinnitusTranscranial Magnetic StimulationTreatment OutcomeVisual Analog Scale

Identifiers

PMID32461976
PMCPMC7218966
OpenAlexW3021736221

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.