Evidence map›Paper›PMID 32991247›Full record

SynthesisEating disorders

Neurosurgery and neuromodulation for anorexia nervosa in the 21st century: a systematic review of treatment outcomes.

Stuart B Murray, Michael Strober, Reza Tadayonnejad, Ausaf A Bari, Jamie D Feusner

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Eating disorders. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. rTMS Therapy for Eating Disorders: Scoping Review on Efficacy, Safety, Stimulation Parameters and Study Subjects.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Innovative and Emerging Treatments for Anorexia Nervosa.Focus (American Psychiatric Publishing) · 2024
    Article
  8. Eating Disorders: Updates and Innovations.Focus (American Psychiatric Publishing) · 2024
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. 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

5 authors at 2 institutions in 1 country.

Stuart B MurrayDepartment of Psychiatry and the Behavioral Sciences, University of Southern California, Los Angeles, California, USA.ORCID 0000-0002-5588-2915
Michael StroberDepartment of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, California, USA.
Reza TadayonnejadDepartment of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, California, USA.
Ausaf A BariDepartment of Neurosurgery, University of California, Los Angeles, Los Angeles, CA, USA.ORCID 0000-0002-5279-5023
Jamie D FeusnerDepartment of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, California, USA.ORCID 0000-0002-0391-345X
University of California, Los Angeles · USUniversity of Southern California · US

Funding

Responsive Neurostimulation for Post-Traumatic Stress DisorderUH3NS107673 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LANGEVIN, JEAN-PHILIPPE · 2019 to 2025
$4.2M
Determining the explanatory utility of computational reinforcement-learning theories of goal-directed and habitual control at behavioral and neural levelsR01MH121089 · NIMH · CALIFORNIA INSTITUTE OF TECHNOLOGY · PI O'DOHERTY, JOHN P · 2019 to 2023
$3.5M
Deep Brain Stimulation of the Subgenual Cingulate Cortex for the Treatment of Medically Refractory Chronic Low Back PainUH3NS113661 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI AUSAF BARI, NADER POURATIAN · 2019 to 2026
$2.9M
Gender identity and own body perception implications for the neurobiology of gender dysphoriaR01HD087712 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI FEUSNER, JAMIE, SAVIC-BERGLUND, IVANKA · 2017 to 2020
$2.3M
Anxiety and reward interaction and prediction of outcomes in anorexia nervosaR01MH105662 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI FEUSNER, JAMIE · 2015 to 2019
$2.3M
Fear Conditioning and Fear Extinction in Anorexia NervosaK23MH115184 · NIMH · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MURRAY, STUART B · 2017 to 2021
$990k
Understanding the dynamics of visual processing abnormalities in body dysmorphic disorderR21MH110865 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI FEUSNER, JAMIE · 2017 to 2018
$454k
NICHD NIH HHS R01 HD087712NIMH NIH HHS K23 MH115184NIMH NIH HHS R01 MH105662NIMH NIH HHS R01 MH121089NIMH NIH HHS R21 MH110865NINDS NIH HHS UH3 NS107673NINDS NIH HHS UH3 NS113661
6 · The paper itself

Abstract

As current psychosocial and pharmacological interventions show limited efficacy in the treatment of anorexia nervosa (AN), interest in the potential value of neurosurgical intervention and neuromodulation in managing severe and enduring illness has grown. We conducted a systematic review of 20 trials of neurosurgical and neuromodulatory treatments for AN, including neurosurgical ablation, deep brain stimulation (DBS), repetitive transcranial magnetic stimulation (rTMS), and transcranial direct current stimulation (tDCS). Overall, there is evidence to support the role of stereotactic ablation and DBS in the treatment of AN. In contrast, results for rTMS and tDCS have been modest and generally more mixed. Neurosurgical treatment may offer important new avenues for the treatment of AN. Additional randomized clinical trials with comparable patient populations will be needed, in which change in affective, cognitive, and perceptual symptom phenomena, and interrogation of targeted circuits, pre- and post-intervention, are carefully documented.

Indexed as

Anorexia NervosaNeurosurgeryTranscranial Direct Current StimulationHumansTranscranial Magnetic StimulationTreatment Outcome

Identifiers

PMID32991247
PMCPMC8386186
OpenAlexW3091278996

What OpenQuestion holds

Textmetadata
LicenceTDM
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.