Evidence map›Paper›PMID 39237552›Full record

SynthesisTranslational psychiatry2024

A systematic review of deep brain stimulation for substance use disorders.

David Zammit Dimech, Audrey-Ann Zammit Dimech, Mark Hughes, Ludvic Zrinzo

Abstract readSystematic Review
In one paragraph

Synthesis in Translational psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Article
  2. Review
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  11. Review
  12. Exploring neurosurgical interventions in Alzheimer's disease: current perspectives and future directions.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
  13. Drug Therapy.Advances in experimental medicine and biology · 2025
    Review
  14. Review
  15. 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

4 authors.

David Zammit DimechUniversity of Edinburgh, Clinical & Surgical Sciences, Edinburgh, UK. david.zammitdimech@gmail.com.ORCID 0009-0000-6040-2683
Audrey-Ann Zammit DimechUniversity of Edinburgh, Clinical & Surgical Sciences, Edinburgh, UK.
Mark HughesCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Ludvic ZrinzoUCL Institute of Neurology, Functional Neurosurgery Unit, Department of Clinical & Motor Neurosciences, University College London, London, UK.ORCID 0000-0002-6013-4946

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPharmaco-psychiatric techniques remain the mainstay, first line treatments in substance use disorders (SUD), assisting in detoxification but largely ineffective at reducing dependence. The path to rehabilitation and freedom from addiction often proves uncertain and laborious for both patients and their significant others. Relapse rates for multiple substances of abuse are considerable and the number of SUD patients is on the increase worldwide.

objectiveTo assess efficacy of deep brain stimulation (DBS) as a therapeutic solution for SUDs.

methodsA systematic electronic database search of PubMed and EMBASE retrieved DBS addiction-focused studies on humans, of which a total of 26 (n = 71) from 2007 to 2023 were deemed eligible, including the first randomized controlled trial (RCT) in this field. This review was prospectively registered with PROSPERO: CRD42023411631.

resultsIn addressing SUDs, DBS targeting primarily the nucleus accumbens (NAcc), with or without the anterior limb of the internal capsule, presented encouraging levels of efficacy in reducing cravings and consumption, followed by remission in some subjects, but still reporting relapses in 73.2% of patients.

conclusionsFor treatment-refractory addictions DBS use seems limited to reducing cravings with a satisfactory degree of success, yet not clinically consistent in inducing abstinence, suggesting involvement of factors unaffected by DBS intervention. Furthermore, costs and the scale of the problem are such that DBS is unlikely to have a significant societal impact. Nevertheless, DBS may provide insight into the biology of addiction and is worthy of further research using increased methodological rigor, standardized outcome measures, and pre-established surgical protocols.

Indexed as

Deep Brain StimulationNucleus AccumbensSubstance-Related DisordersHumansInternal CapsuleTreatment Outcome

Identifiers

PMID39237552
PMCPMC11377568

What OpenQuestion holds

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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.