Evidence map›Paper›PMID 40178728›Full record

SynthesisSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Analgesic efficacy of non-invasive neuromodulation techniques in chronic cancer pain: a systematic review.

Solène Grenouillet, David Balayssac, Xavier Moisset, Roland Peyron, Camille Fauchon

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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

5 authors.

Solène GrenouilletJean Monnet University, NEUROPAIN Team, CRNL, Inserm CNRS, CHU Hôpital Nord, Saint-Etienne, France.
David BalayssacUniversity of Clermont Auvergne, NEURO-DOL, Inserm, CHU Clermont-Ferrand, Clermont-Ferrand, France.ORCID http://orcid.org/0000-0002-6126-6588
Xavier MoissetUniversity of Clermont Auvergne, NEURO-DOL, Inserm, CHU Clermont-Ferrand, Clermont-Ferrand, France.ORCID http://orcid.org/0000-0002-8799-0750
Roland PeyronJean Monnet University, NEUROPAIN Team, CRNL, Inserm CNRS, CHU Hôpital Nord, Saint-Etienne, France.
Camille FauchonUniversity of Clermont Auvergne, NEURO-DOL, Inserm, CHU Clermont-Ferrand, Clermont-Ferrand, France. camille.fauchon@uca.fr.ORCID http://orcid.org/0000-0002-5848-8681

Funding

Fondation de France 00132972 / WB-2022-44849
6 · The paper itself

Abstract

purposeChronic pain remains one of the most frequent and disabling symptoms of cancer, arising from tumors and/or treatments, and is poorly controlled in 40% of patients. Non-invasive brain stimulation (NIBS) is now widely recommended in drug-refractory neuropathic pain, but its effectiveness in chronic cancer-related pain remains unknown. A few observational studies and randomized controlled trials (RCTs) have assessed the effectiveness of NIBS on pain in this population.

methodsA systematic review of neuromodulation studies on patients with chronic cancer-related pain involving transcranial direct currents stimulation (tDCS) or repetitive transcranial magnetic stimulation (rTMS) was conducted to estimate the analgesic efficacy, safety and feasibility in clinical routine.

resultsEleven publications (N = 298 patients) were included and analyzed. For tDCS, three RCT had a moderate effect size of 0.7 [0.6; 0.9] on a rating scale (0-10), and two case reports showed a significant decrease of pain intensity on average by -4.25 ± 0.36 points. The rTMS provided similar pain relief, with two RCTs showing a large effect size of 0.9 [0.7; 1.1], two observational study studies reporting a significant pooled effect on pain intensity (-0.9 [-1.6; -0.1] and -2.3 [-3.3; -1.3]), and two case reports where pain was reduced on average by -4.75 ± 0.36 points. None of these studies reported serious adverse events, and discontinuations of treatment were associated with cancer complications.

conclusionsNIBS appears to have an analgesic effect in cancer-related pain. However, due to the high heterogeneity of pain conditions, placebo-controlled trials with larger and homogeneous patient cohorts are required to confirm these promising results.

Indexed as

Cancer PainChronic PainTranscranial Direct Current StimulationTranscranial Magnetic StimulationHumansObservational Studies as TopicRandomized Controlled Trials as TopicCancer-related painNeuropathic painNon-invasive brain stimulationNon-pharmacological treatmentsSystematic review

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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.