Evidence map›Paper›PMID 40590032›Full record

ReviewPCN reports : psychiatry and clinical neurosciences2025

Comparative efficacy and safety of intravenous racemic ketamine, repetitive transcranial magnetic stimulation and electroconvulsive therapy for Stage 2 or higher treatment-resistant depression: A systematic review and network meta-analysis.

Itsuki Terao, Takahiro Tsuge, Tomoo Sato, Kaori Endo, Kazumasa Kotake, Masahiro Banno, Yuki Kataoka

Abstract readReview
In one paragraph

Review in PCN reports : psychiatry and clinical neurosciences, 2025. 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. Rapid-acting NMDA and GABAergic Modulators in Mood Disorders: From Synaptic Mechanisms to Clinical Practice.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2025
    Review
  2. 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

7 authors.

Itsuki TeraoDepartment of Psychiatry Ikokoro Clinic Nihonbashi Tokyo Japan.ORCID https://orcid.org/0000-0003-0662-5637
Takahiro TsugeScientific Research WorkS Peer Support Group (SRWS-PSG) Osaka Japan.ORCID https://orcid.org/0000-0003-0497-944X
Tomoo SatoScientific Research WorkS Peer Support Group (SRWS-PSG) Osaka Japan.ORCID https://orcid.org/0000-0003-4036-4629
Kaori EndoNational Coalition of Independent Scholars Battleboro Vermont USA.ORCID https://orcid.org/0000-0002-5038-0342
Kazumasa KotakeScientific Research WorkS Peer Support Group (SRWS-PSG) Osaka Japan.ORCID https://orcid.org/0000-0001-9869-1177
Masahiro BannoScientific Research WorkS Peer Support Group (SRWS-PSG) Osaka Japan.ORCID https://orcid.org/0000-0002-2539-1031
Yuki KataokaScientific Research WorkS Peer Support Group (SRWS-PSG) Osaka Japan.ORCID https://orcid.org/0000-0001-7982-5213

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although electroconvulsive therapy (ECT) is the standard treatment for Stage 2 or higher treatment-resistant depression, it has several drawbacks. Repetitive transcranial magnetic stimulation (rTMS) and intravenous racemic ketamine (IV ketamine) have emerged as potential alternatives, but their comparative effectiveness and safety remain unclear due to limited evidence. We systematically searched the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, and trial registries for randomized controlled trials (RCTs) up to 18 December 2023. Random-effects network meta-analyses were performed to compare the antidepressant efficacy, tolerability, and acceptability of ECT, IV ketamine, and rTMS. Thirty-five RCTs (

Indexed as

depressionketaminenetwork meta‐analysistranscranial magnetic stimulationtreatment resistance

Identifiers

PMID40590032
PMCPMC12206548

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.