Evidence map›Paper›PMID 33250384›Full record

ArticleDrug and alcohol dependence2021

Non-invasive brain stimulation as a tool to decrease chronic pain in current opiate users: A parametric evaluation of two promising cortical targets.

Julia P Imperatore, Daniel M McCalley, Jeffrey J Borckardt, Kathleen T Brady, Colleen A Hanlon

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06689072 (Role of High Frequency Repetitive Transcranial Magnetic Stimulation in Management of Patients with Opioid Use Disorder in Upper Egypt), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 28% 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.

NCT06689072 naenrolling by invitationnot on this mapstarted 2024, after this paper: background citation

Role of High Frequency Repetitive Transcranial Magnetic Stimulation in Management of Patients with Opioid Use Disorder in Upper Egypt

TypeinterventionalSponsorAssiut UniversityRan2024 to 2025Enrolled40ConditionsAddiction, Opioid, RTMSArmsrTMS, Psychotherapy
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Cortical stimulation for chronic pain: from anecdote to evidence.European journal of physical and rehabilitation medicine · 2022
    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.

Julia P ImperatoreDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Daniel M McCalleyDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Jeffrey J BorckardtDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA; Ralph H. Johnson Veterans Administration Medical Center, Charleston, SC, USA.
Kathleen T BradyDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA; Ralph H. Johnson Veterans Administration Medical Center, Charleston, SC, USA.
Colleen A HanlonDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA; Department of Cancer Biology, Wake Forest University School of Medicine, Winston-Salem, NC, USA. Electronic address: chanlon@wakehealth.edu.
Medical University of South Carolina · USRalph H. Johnson VA Medical Center · US

Funding

South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
Southern Consortium Node of the Clinical Trials Network (Varenicline)UG1DA013727 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KATHLEEN T. BRADY, Kelly S. Barth · 2015 to 2026
$24.8M
Developing brain stimulation as a treatment for pain in opiate dependent individualsR21DA044503 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BORCKARDT, JEFFREY J, HANLON, COLLEEN A · 2018 to 2019
$411k
Evaluating Neural Architecture as a Novel Biomarker for TMS Efficacy in AUDF31AA028426 · NIAAA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MCCALLEY, DANIEL · 2020 to 2021
$92k
NCATS NIH HHS UL1 TR001450NIAAA NIH HHS F31 AA028426NIDA NIH HHS R21 DA044503NIDA NIH HHS UG1 DA013727
6 · The paper itself

Abstract

backgroundPoorly controlled chronic pain can lead to non-prescription use of opiates, which is a growing crisis in our communities. Transcranial magnetic stimulation (TMS) is a non-invasive therapeutic tool which has emerged as a potential treatment option for these patients. It is still unclear, however, if the dorsolateral prefrontal cortex (DLPFC) or the motor cortex (MC) is a more effective treatment location. The purpose of this study was to directly compare the effects of DLPFC versus MC TMS on pain severity and the urge to use opiates among chronic pain patients.

methodsTwenty-two individuals with chronic pain currently using prescription opiates were randomized to receive 10, 3000 pulse sessions of 10 Hz repetitive TMS (rTMS) to the left DLPFC (110% resting motor threshold) or left MC (90% resting motor threshold). Multivariate linear models were used to evaluate the effect of TMS on pain and opiate use, including items from the Brief Pain Inventory (BPI) as well as subjective ratings of pain, distress, and the urge for opiates.

resultsTwenty participants (91%) completed all 10 treatment sessions and follow up visits. There was a main effect of stimulation site (F7,210 = 3.742, p = 0.001), wherein MC stimulation decreased pain interference significantly more than DLPFC stimulation (F

conclusionThese data suggest that the MC may be a promising target for decreasing opiate dependence and pain interference among chronic pain patients.

Indexed as

Transcranial Magnetic StimulationAdultAnalgesics, OpioidChronic PainFemaleHumansMaleMiddle AgedMotor CortexOpiate AlkaloidsOpioid-Related DisordersPain MeasurementPrefrontal CortexRestTreatment OutcomeAnalgesics, OpioidOpiate AlkaloidsNeuromodulationOpiatesPainTranscranial magnetic stimulation

Identifiers

PMID33250384
PMCPMC8562904
OpenAlexW3109725904

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.