Evidence map›Paper›PMID 33188523›Full record

SynthesisActa neurologica Scandinavica2021

Vagus nerve stimulation in patients with Lennox-Gastaut syndrome: A meta-analysis.

Maxine Dibué, Teresa Greco, Jochem K H Spoor, Zubair Tahir, Nicola Specchio, Daniel Hänggi, Hans-Jakob Steiger, Marcel A Kamp

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in Acta neurologica Scandinavica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Vagus nerve stimulation inEpilepsy & behavior reports · 2025
    Article
  5. Review
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Vagus nerve stimulation (VNS): recent advances and future directions.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2024
    Review
  11. Clinical trials for Lennox-Gastaut syndrome: Challenges and priorities.Annals of clinical and translational neurology · 2024
    Review
  12. The role of neuromodulation in the management of drug-resistant epilepsy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Single-center long-term results of vagus nerve stimulation for pediatric epilepsy: a 10-17-year follow-up study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Article
  18. Article
  19. Article
  20. 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

8 authors at 5 institutions in 4 countries.

Maxine DibuéDepartment of Neurosurgery, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.ORCID https://orcid.org/0000-0002-3578-3987
Teresa GrecoStatistics and Data Management, LIVANOVA - SORIN Group Italia S.r.l (a LivaNova PLC owned subsidiary), Milano, Italy.
Jochem K H SpoorDepartment of Neurosurgery, Erasmus University, Rotterdam, Netherlands.
Zubair TahirDepartment of Neurosurgery, Great Ormond Street Hospital, London, United Kingdom.
Nicola SpecchioRare and Complex Epilepsy Unit, Department of Neuroscience, Bambino Gesù Children's Hospital, IRCCS, Full Member of European Reference Network EpiCARE, Roma, RM, Italy.
Daniel HänggiDepartment of Neurosurgery, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Hans-Jakob SteigerDepartment of Neurosurgery, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Marcel A KampDepartment of Neurosurgery, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Heinrich Heine University Düsseldorf · DEBambino Gesù Children's Hospital · ITErasmus MC · NLGreat Ormond Street Hospital · GBLivaNova (Italy) · IT

Funding

LivaNova, PLC.
6 · The paper itself

Abstract

objectivesLennox-Gastaut syndrome (LGS) is among the most severe epileptic and developmental encephalopathies. A meta-analysis was performed to evaluate the effectiveness of adjunctive vagus nerve stimulation (VNS Therapy) in patients with LGS. MATERIALS &

methodsPubMed database was queried (January 1997 to September 2018) to identify publications reporting on the efficacy of VNS Therapy in patients with LGS, with or without safety findings. Primary endpoint of the meta-analysis was the proportion of responders (≥50% reduction in seizure frequency). Random-effects analysis was used to calculate weighted mean estimates and confidence intervals. Heterogeneity was evaluated by statistical tests including I

resultsOf 2752 citations reviewed, 17 articles (480 patients) were eligible including 10 retrospective studies and seven prospective studies. A random-effects model produced a pooled proportion of 54% (95% confidence intervals [CI]: 45%, 64%) of patients with LGS who responded to adjunctive VNS Therapy (p for heterogeneity <0.001, I

conclusionsThe meta-analysis of 480 patients with LGS suggests that 54% of patients responded to adjunctive VNS Therapy and that the treatment option was safe and well-tolerated. The response in patients with LGS was comparable to heterogeneous drug-resistant epilepsy populations. A clinical and surgical overview has been included to facilitate the use of VNS in LGS.

Indexed as

ChildFemaleHumansLennox Gastaut SyndromeMaleRetrospective StudiesTreatment OutcomeVagus Nerve StimulationepilepsyLennox-Gastaut syndromeseizuressystematic meta-analysis reviewvagus nerve stimulation

Identifiers

PMID33188523
PMCPMC8049065
OpenAlexW3098282984

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.