Evidence map›Paper›PMID 39051759›Full record

Trial reportJornal brasileiro de nefrologia2024

Safety and feasibility of transcranial direct current stimulation in end-stage renal disease patients undergoing hemodialysis: an exploratory study.

Rodrigo Pegado, Monaliza Melo, Tayanne Oehmen, Gianna Mastroianni Kirsztajn, Edson Silva-Filho, Artur Quintiliano

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Jornal brasileiro de nefrologia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

6 authors.

Rodrigo PegadoUniversidade Federal do Rio Grande do Norte, Programa de Pós-Graduação em Ciências da Reabilitação, Natal, RN, Brazil.ORCID http://orcid.org/0000-0002-7227-1075
Monaliza MeloUniversidade Federal do Rio Grande do Norte, Programa de Pós-Graduação em Ciências da Reabilitação, Natal, RN, Brazil.ORCID http://orcid.org/0009-0000-6283-7445
Tayanne OehmenUniversidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
Gianna Mastroianni KirsztajnUniversidade Federal de São Paulo, Programa de Pós-Graduação em Nefrologia, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-1317-4109
Edson Silva-FilhoUniversidade Federal do Rio Grande do Norte, Programa de Pós-Graduação em Ciências da Saúde, Natal, RN, Brazil.ORCID http://orcid.org/0000-0002-0732-5049
Artur QuintilianoUniversidade Federal do Rio Grande do Norte, Departamento de Medicina, Natal, RN, Brazil.ORCID http://orcid.org/0000-0001-9262-6403

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with end-stage renal disease often face a challenging routine of hemodialysis, dietary restrictions, and multiple medications, which can affect their hemodynamic function. Home-based, safe, and nonpharmacological approaches such as transcranial direct current stimulation (tDCS) should be combined with conventional treatment.

objectiveTo assess the safety and feasibility of tDCS on blood pressure and heart rate in patients with end-stage renal disease undergoing hemodialysis.

methodThis is a parallel, randomized, sham-controlled trial. Patients undergoing hemodialysis for more than three months were included. The patients received ten non-consecutive 2mA tDCS sessions on the primary motor cortex . Each session lasted 20 minutes. At baseline and after each of the ten sessions, blood pressure and heart rate of the patients were measured hourly for four hours.

resultsThirty patients were randomized to the active or sham group. The mean difference between the groups was calculated as the mean value of the sham group minus the mean value of the active group. Despite there were no statistical changes for all outcomes considering all 10 sessions, we found differences between groups for systolic -10.93 (-29.1;7.2), diastolic -3.63 (-12.4; 5.1), and mean blood pressure -6.0 (-16.3; 4.2) and hear rate 2.26 (-2.5; 7.1). No serious adverse events were found. The active group showed higher blood pressure values at all points, while heart rate was lower in the active group.

conclusiontDCS is safe and feasible for patients with end-stage renal disease undergoing hemodialysis. Future studies should investigate whether tDCS could potentially induce a hypotensive protective effect during hemodialysis.

Indexed as

Feasibility StudiesKidney Failure, ChronicRenal DialysisTranscranial Direct Current StimulationAgedBlood PressureFemaleHeart RateHumansMaleMiddle Aged

Identifiers

PMID39051759
PMCPMC11268524

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Registered trials

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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.