Evidence map›Paper›PMID 35980480›Full record

SynthesisNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2022

Repetitive transcranial magnetic stimulation (rTMS) for post-stroke sleep disorders: a systematic review of randomized controlled trials.

Jiaying Guo, Xin Chen, Zecai Lyu, Huoqin Xiu, Shaohong Lin, Fang Liu

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
1.1field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Review
  7. Review
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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

6 authors at 1 institution in 1 country.

Jiaying GuoNursing College, Fujian University of Traditional Chinese Medicine, No. 1 Qiu Yang Road, Shangjie, Minhou, Fujian, 350122, Fuzhou, People's Republic of China.
Xin ChenNursing College, Fujian University of Traditional Chinese Medicine, No. 1 Qiu Yang Road, Shangjie, Minhou, Fujian, 350122, Fuzhou, People's Republic of China.
Zecai LyuNursing College, Fujian University of Traditional Chinese Medicine, No. 1 Qiu Yang Road, Shangjie, Minhou, Fujian, 350122, Fuzhou, People's Republic of China.
Huoqin XiuNursing College, Fujian University of Traditional Chinese Medicine, No. 1 Qiu Yang Road, Shangjie, Minhou, Fujian, 350122, Fuzhou, People's Republic of China.
Shaohong LinNursing College, Fujian University of Traditional Chinese Medicine, No. 1 Qiu Yang Road, Shangjie, Minhou, Fujian, 350122, Fuzhou, People's Republic of China.
Fang LiuNursing College, Fujian University of Traditional Chinese Medicine, No. 1 Qiu Yang Road, Shangjie, Minhou, Fujian, 350122, Fuzhou, People's Republic of China. liufangcn05@163.com.ORCID http://orcid.org/0000-0002-0658-8760
Fujian University of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSurvivors of stroke often experience post-stroke sleep disorders (PSSDs), but pharmacotherapy risks adverse side effects. Transcranial magnetic stimulation (TMS) is potentially a nonpharmacotherapeutic option. This meta-analysis investigated the effects of rTMS to treat PSSD.

methodsDatabases were searched for randomized controlled trials (RCTs) of rTMS to treat PSSD, conducted in accordance with the PRISMA 2020 guidelines. Risk-of-bias assessments were performed using the Cochrane risk-of-bias tool. A meta-analysis of the following indexes was performed using RevMan 5.4 software: Pittsburgh sleep quality index; effective rate of sleep improvement; Hamilton Anxiety Rating Scale (for mood); and National Institute of Health Stroke Scale (NIHSS, stroke severity). Mean differences (MDs) and confidence intervals (CIs) were calculated.

resultsThe meta-analysis included 17 RCTs, with 1411 patients overall. The indexes indicated that rTMS could improve the sleep quality, mood, and stroke severity of patients with PSSD: Pittsburgh sleep quality index (12 studies; MD =  - 2.51, 95% CI [- 3.24, - 1.79], P < 0.00001); effective rate of sleep improvement (7 studies; MD = 4.03, 95% CI [2.43, 6.68], P < 0.0001); Hamilton Anxiety Rating Scale (2 studies; MD =  - 4.05, 95% CI [- 4.77, - 3.32], P < 0.00001); and NIHSS (2 studies; MD = -2.71, 95% CI [- 3.36, - 2.06], P < 0.00001).

conclusionThe results suggest that rTMS may have positive effects on the sleep quality, mood, and stroke severity of patients with PSSD.

Indexed as

Sleep Wake DisordersStrokeHumansRandomized Controlled Trials as TopicSurvivorsTranscranial Magnetic StimulationTreatment OutcomeMeta-analysisPost-stroke sleep disordersRandomized controlled trialsRepetitive transcranial magnetic stimulationSystematic review

Identifiers

PMID35980480
OpenAlexW4292491639

What OpenQuestion holds

Textmetadata
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.