Evidence map›Paper›PMID 35637543›Full record

ReviewBioelectronic medicine2022

Strategies for precision vagus neuromodulation.

Umair Ahmed, Yao-Chuan Chang, Stefanos Zafeiropoulos, Zeinab Nassrallah, Larry Miller, Stavros Zanos

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Bioelectronic medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06069908 (The Effect of Transcutaneous Auricular Vagus Nerve Stimulation on Edema, Grip Strength, Dexterity and Quality of Life in Upper Extremity Lymphedema), which is not on this map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
4.4field-weighted citation impact, top 5% 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.

NCT06069908 nacompletednot on this mapstarted 2023, after this paper: background citation

The Effect of Transcutaneous Auricular Vagus Nerve Stimulation on Edema, Grip Strength, Dexterity and Quality of Life in Upper Extremity Lymphedema

TypeinterventionalSponsorSeda SakaRan2023 to 2024Enrolled27ConditionsQuality of Life, Lymphedema, Hand Grasp, GripArmsComplex Decongestive Treatment, Sham transcutaneous vagus nerve stimulation, Transcutaneous Auricular Vagus Nerve Stimulation, Exercise
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 56 citations in OpenAlex.

  1. Review
  2. Article
  3. Neuroimmune interactions in cardiovascular homeostasis and disease.American journal of physiology. Cell physiology · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Computational modeling of autonomic nerve stimulation: Vagus et al.Current opinion in biomedical engineering · 2024
    Article
  19. Review
  20. 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

6 authors at 2 institutions in 1 country.

Umair Ahmed *Institute of Bioelectronic Medicine, Feinstein Institutes for Medical Research, Manhasset, New York, USA.
Yao-Chuan Chang *Institute of Bioelectronic Medicine, Feinstein Institutes for Medical Research, Manhasset, New York, USA.
Stefanos ZafeiropoulosInstitute of Bioelectronic Medicine, Feinstein Institutes for Medical Research, Manhasset, New York, USA.
Zeinab NassrallahDonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA.
Larry MillerInstitute of Bioelectronic Medicine, Feinstein Institutes for Medical Research, Manhasset, New York, USA.
Stavros ZanosInstitute of Bioelectronic Medicine, Feinstein Institutes for Medical Research, Manhasset, New York, USA. szanos@northwell.edu.ORCID http://orcid.org/0000-0002-3967-8164
Feinstein Institute for Medical Research · USDonald & Barbara Zucker School of Medicine at Hofstra/Northwell · US

Funding

Using the GI Tract as a Window to the Autonomic Nervous System in the Thorax and in the AbdomenOT2OD026539 · OD · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI MILLER, LARRY S · 2018 to 2020
$2.9M
NIH HHS OT2 OD026539
6 · The paper itself

Abstract

The vagus nerve is involved in the autonomic regulation of physiological homeostasis, through vast innervation of cervical, thoracic and abdominal visceral organs. Stimulation of the vagus with bioelectronic devices represents a therapeutic opportunity for several disorders implicating the autonomic nervous system and affecting different organs. During clinical translation, vagus stimulation therapies may benefit from a precision medicine approach, in which stimulation accommodates individual variability due to nerve anatomy, nerve-electrode interface or disease state and aims at eliciting therapeutic effects in targeted organs, while minimally affecting non-targeted organs. In this review, we discuss the anatomical and physiological basis for precision neuromodulation of the vagus at the level of nerve fibers, fascicles, branches and innervated organs. We then discuss different strategies for precision vagus neuromodulation, including fascicle- or fiber-selective cervical vagus nerve stimulation, stimulation of vagal branches near the end-organs, and ultrasound stimulation of vagus terminals at the end-organs themselves. Finally, we summarize targets for vagus neuromodulation in neurological, cardiovascular and gastrointestinal disorders and suggest potential precision neuromodulation strategies that could form the basis for effective and safe therapies.

Indexed as

Bioelectronic medicineBranchesFasciclesNeuromodulationNoninvasiveSelective vagus nerve stimulationUltrasoundVagus fibers

Identifiers

PMID35637543
PMCPMC9150383
OpenAlexW4281649449

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.