Evidence map›Paper›PMID 33740342›Full record

SynthesisPain physician2021

Peripheral Nerve Stimulation in Pain Management: A Systematic Review.

Jijun Xu, Zhuo Sun, Jiang Wu, Maunak Rana, Joshua Garza, Alyssa C Zhu, Krishnan V Chakravarthy, Alaa Abd-Elsayed, Ellen Rosenquist, Hersimren Basi and 2 more

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Pain physician, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 3 pooled it
13.9field-weighted citation impact, top 1% 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

57 citing papers in PubMed, 3 syntheses or guidelines pooled it, 69 citations in OpenAlex.

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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

12 authors at 4 institutions in 1 country.

Jijun XuDepartment of Pain Management, Anesthesiology Institute, Cleveland Clinic, Cleveland, OH; Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH; Department of Anesthesiology, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH.
Zhuo SunDepartment of Anesthesiology and Perioperative Medicine, Augusta University Medical Center, Medical College of Georgia, Augusta, GA.
Jiang WuDepartment of Anesthesiology and Pain Medicine, University of Washington Medical Center, Seattle, WA.
Maunak RanaDepartment of Anesthesiology and Critical Care, The University of Chicago, Chicago, IL.
Joshua GarzaDepartment of Anesthesiology and Critical Care, The University of Chicago, Chicago, IL.
Alyssa C ZhuDepartment of Anesthesiology and Pain Medicine, University of California San Diego, VA San Diego Healthcare System, La Jolla, CA.
Krishnan V ChakravarthyDepartment of Anesthesiology and Pain Medicine, University of California San Diego, VA San Diego Healthcare System, La Jolla, CA.
Alaa Abd-ElsayedDepartment of Anesthesiology University of Wisconsin, School of Medicine and Public Health, Madison, WI.
Ellen RosenquistCleveland Clinic, Cleveland, OH.
Hersimren BasiDepartment of Pain Management, Anesthesiology Institute, Cleveland Clinic, Cleveland, OH.
Paul ChristoDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins Blaustein Pain Treatment Center, Johns Hopkins Hospital, Baltimore MD.
Jianguo ChengCleveland Clinic, Cleveland, OH.
Cleveland Clinic · USUniversity of Chicago · USUniversity of Washington Medical Center · USUniversity of Wisconsin–Madison · US

Funding

Complement in Paclitaxel-induced peripheral neuropathyK08CA228039 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI XU, JIJUN · 2020 to 2024
$1.2M
NCI NIH HHS K08 CA228039
6 · The paper itself

Abstract

backgroundPeripheral nerve stimulation (PNS) has been increasingly used to manage acute and chronic pain. However, the level of clinical evidence to support its use is not clear.

objectivesTo assess the clinical evidence of PNS in the treatment of acute or chronic pain. STUDY

designA systematic review of the efficacy and safety of PNS in managing acute or chronic pain.

methodsData sources were PubMed, Cochrane Library, Scopus, CINAHL Plus, Google Scholar, and reference lists. The literature search was performed up to December 2019. Study selection included randomized trials, observational studies, and case reports of PNS in acute or chronic pain. Data extraction and methodological quality assessment were performed utilizing Cochrane review methodologic quality assessment and Interventional Pain Management Techniques-Quality Appraisal of Reliability and Risk of Bias Assessment (IPM-QRB) and Interventional Pain Management Techniques-Quality Appraisal of Reliability and Risk of Bias Assessment for Nonrandomized Studies (IPM-QRBNR). The evidence was summarized utilizing principles of best evidence synthesis on a scale of 1 to 5. Data syntheses: 227 studies met inclusion criteria and were included in qualitative synthesis.

resultsEvidence synthesis based on randomized controlled trials (RCTs) and observational studies showed Level I and II evidence of PNS in chronic migraine headache; Level II evidence in cluster headache, postamputation pain, chronic pelvic pain, chronic low back and lower extremity pain; and Level IV evidence in peripheral neuropathic pain, and postsurgical pain. Peripheral field stimulation has Level II evidence in chronic low back pain, and Level IV evidence in cranial pain. LIMITATIONS: Lack of high-quality RCTs. Meta-analysis was not possible due to wide variations in experimental design, research protocol, and heterogeneity of study population.

conclusionsThe findings of this systematic review suggest that PNS may be effective in managing chronic headaches, postamputation pain, chronic pelvic pain, and chronic low back and lower extremity pain, with variable levels of evidence in favor of this technique.

Indexed as

Transcutaneous Electric Nerve StimulationAcute PainChronic PainHumansPain ManagementPeripheral NervesReproducibility of ResultsAcute painchronic painneuromodulationperipheral nerve stimulation

Identifiers

PMID33740342
PMCPMC8897810
OpenAlexW3138829522

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.