Evidence map›Paper›PMID 36983667›Full record

ArticleJournal of personalized medicine2023

A Systematic Review of Intermittent Theta Burst Stimulation for Neurocognitive Dysfunction in Older Adults with Schizophrenia.

Xinyang Zhang, Xinhu Yang, Zhanming Shi, Rui Xu, Jianqiang Tan, Jianwen Yang, Xiong Huang, Xingbing Huang, Wei Zheng

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. 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

9 authors at 3 institutions in 1 country.

Xinyang ZhangThe Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou 510260, China.
Xinhu YangThe Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou 510260, China.
Zhanming ShiChongqing Jiangbei Mental Health Center, Chongqing 400000, China.
Rui XuThe Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou 510260, China.
Jianqiang TanThe Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou 510260, China.
Jianwen YangThe Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou 510260, China.
Xiong HuangThe Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou 510260, China.
Xingbing HuangThe Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou 510260, China.
Wei ZhengThe Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou 510260, China.
Guangzhou Medical University · CNChongqing City Mental Health Center · CNSouth China Normal University · CN

Funding

China International Medical Exchange Foundation Z-2018-35-2002Guangzhou Clinical Characteristic Technology Project 2019TS67Guangzhou Health Science and Technology Project 20211A011045Guangzhou science and Technology Project of traditional Chinese Medicine and integrated traditional Chinese and Western medicine 20212A011018National Natural Science Foundation of China 82101609Science and Technology Program Project of Guangzhou 202102020658Scientific Research Project of Guangzhou Bureau of Education 202032762the Science and Technology Planning Project of Liwan District of Guangzhou 202004034
6 · The paper itself

Abstract

objectiveNeurocognitive dysfunction is thought to be one of the core clinical features of schizophrenia, and older adults with schizophrenia exhibited greater overall cognitive deficits than younger adults. The aim of this systematic review was to examine the neurocognitive effects of intermittent theta burst stimulation (iTBS) as an adjunctive treatment for older adults suffering from schizophrenia.

methodsRandomized double-blinded controlled trials (RCTs) investigating the neurocognitive effects of adjunctive active iTBS versus sham iTBS in older adults with schizophrenia were systematically identified by independent investigators searching Chinese and English databases.

resultsTwo double-blinded RCTs (n = 132) compared the neurocognitive effects of adjunctive active iTBS (n = 66) versus sham iTBS (n = 66) in patients that fulfilled the inclusion criteria of this systematic review and were analyzed. One RCT found significant superiority of active iTBS over sham iTBS in improving neurocognitive performance in older adults with schizophrenia. In the other RCT, the findings on the neurocognitive effects of iTBS as measured by three different measurement tools were inconsistent. The dropout rate was reported in the two RCTs, ranging from 3.8% (3/80) to 7.7% (4/52).

conclusionThere is preliminary evidence that adjunctive iTBS may have some beneficial effects in the treatment of neurocognitive function in older patients with schizophrenia. Future RCTs with larger sample sizes focusing on the neurocognitive effects of adjunctive iTBS in older adults with schizophrenia are warranted to verify these findings.

Indexed as

intermittent theta burst stimulationneurocognitive functionolder adultsschizophreniasystematic review

Identifiers

PMID36983667
PMCPMC10057590
OpenAlexW4323569552

What OpenQuestion holds

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LicenceCC BY
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.