Evidence map›Paper›PMID 39211715›Full record

ReviewCureus2024

Evaluating the Effectiveness of Transcutaneous Electrical Nerve Stimulation for Various Outcomes in Emergency Department Settings: A Systematic Review and Meta-Analysis.

Anas Ahmed, Mohammed Mojiri, Jalal Abu Halimah, Mohammed Alharbi, Saleha Haroobi, Afrah Hamdi, Meshal Ghazwani, Layla Hakami, Anisah Humedi, Omar Hadadi and 5 more

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

15 authors.

Anas AhmedCommunity Medicine, Jazan University, Jazan, SAU.
Mohammed MojiriGeneral Practice, College of Medicine, Jazan University, Jazan, SAU.
Jalal Abu HalimahSurgery, Jazan University, Jazan, SAU.
Mohammed AlharbiGeneral Practice, Al Ardah General Hospital, Jazan, SAU.
Saleha HaroobiGeneral Practice, College of Medicine, Jazan University, Jazan, SAU.
Afrah HamdiGeneral Practice, College of Medicine, Jazan University, Jazan, SAU.
Meshal GhazwaniGeneral Practice, College of Applied Medical Sciences, Jazan University, Jazan, SAU.
Layla HakamiGeneral Practice, College of Applied Medical Sciences, Jazan University, Jazan, SAU.
Anisah HumediGeneral Practice, College of Medicine, Jazan University, Jazan, SAU.
Omar HadadiGeneral Practice, College of Medicine, Jazan University, Jazan, SAU.
Amaal HamdiGeneral Practice, College of Medicine, Jazan University, Jazan, SAU.
Bashaer AlRajhiGeneral Practice, College of Medicine, Jazan University, Jazan, SAU.
Abdullah AlghamdiGeneral Practice, College of Medicine, Al Baha University, Al Baha, SAU.
Reema AlshayaGeneral Practice, College of Medicine, Ibn Sina National College for Medical Studies, Jeddah, SAU.
Saeed AlkhathamiGeneral Practice, College of Medicine, King Abdulaziz University, Jeddah, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pain is a prevalent complaint in emergency departments (EDs) worldwide. Traditional pharmacological methods for pain relief, such as opioids and non-steroidal anti-inflammatory drugs (NSAIDs), have notable side effects and risks. Transcutaneous electrical nerve stimulation (TENS) is a non-pharmacological alternative that has shown promise in various clinical settings. This systematic review and meta-analysis aimed to evaluate the effectiveness of TENS for pain management and other outcomes in ED settings. This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive search was conducted across six major databases: PubMed, Web of Science (WOS), Scopus, and Cochrane Central Register of Controlled Trials (CENTRAL), from inception until June 25, 2024. Randomized clinical trials involving the use of TENS in ED settings were included. Data extraction and quality assessment were performed independently by two reviewers, with conflicts resolved by a third reviewer. The search yielded 3,569 papers, of which 2,889 were screened after removing duplicates. Thirteen full-text articles were reviewed, and seven studies met the inclusion criteria for qualitative synthesis, with five of these suitable for meta-analysis. The studies demonstrated that TENS significantly reduced pain, heart rate, and the requirement for rescue medication in some cases, while also improving patient satisfaction and overall well-being. However, no significant changes were observed in blood pressure. The quality of the included studies varied, with some failing to meet the criteria for blinding and intention-to-treat analysis. TENS is an effective non-pharmacological intervention for pain management in ED settings, with additional benefits such as reduced heart rate and increased patient satisfaction. Further high-quality randomized controlled trials are necessary to confirm these findings and better understand the potential of TENS in acute care environments.

Indexed as

electrotherapyemergency medicinepain managementquality of lifesystematic reviewtranscutaneous electrical nerve stimulation

Identifiers

PMID39211715
PMCPMC11358505

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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.