Evidence map›Paper›PMID 41197767›Full record

SynthesisBrain stimulation

Evidence for safety and tolerability of transcranial magnetic stimulation for substance use disorders.

Sophia H Blyth, Rabee Haq, Sahit Menon, Benson King, Gabriela Torres Quesada, Darara Borodge, Benjamin Johnson, J Mason Harding, Simon Vandekar, Heather Burrell Ward

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Brain stimulation. 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

10 authors.

Sophia H BlythDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
Rabee HaqDepartment of Preventive Medicine, Meharry Medical College, Nashville, TN, USA.
Sahit MenonUniversity of California San Diego School of Medicine, San Diego, CA, USA.
Benson KingDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
Gabriela Torres QuesadaDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
Darara BorodgeDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
Benjamin JohnsonDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
J Mason HardingDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
Simon VandekarDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA.
Heather Burrell WardDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: heather.b.ward@vumc.org.

Funding

Network-Targeted Neuromodulation for Nicotine Dependence in SchizophreniaK23DA059690 · NIDA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Heather Burrell Ward · 2024 to 2026
$557k
NIDA NIH HHS K23 DA059690
6 · The paper itself

Abstract

objectiveTranscranial magnetic stimulation (TMS) is an exciting novel treatment for substance use disorders (SUDs). While TMS is safe and effective in the general population, there have been concerns about its safety with concurrent substance use. To date, guidelines on managing substance use during TMS have been vague - recommending caution and weighing risks and benefits - and solely based on expert opinion, rather than based on quantitative data on the prevalence of TMS side effects with concurrent substance use.

methodsWe performed a systematic review with meta-analysis of TMS studies for a SUD - a clinically impairing level of substance use where we would be more likely to detect adverse effects - to quantify the safety of TMS in the setting of substance use. We searched PubMed, Embase, PsycINFO, and the Cochrane Library for TMS studies for SUDs that reported adverse effects. We extracted adverse effects and tested the difference between the prevalence of events in the active and sham conditions.

resultsForty-seven studies comprising 2865 participants with a SUD were included. The prevalence of neck pain and cognitive impairment was higher for sham compared to active TMS (p < .05). The prevalence of all other adverse effects, including seizure, was not significantly different between active and sham TMS.

conclusionsTMS is safe and well-tolerated for people with SUDs. The prevalence of side effects from TMS in people with SUDs is comparable to that in the general population. TMS can be just as safely administered for SUDs as for any other psychiatric disorder.

Indexed as

Substance-Related DisordersTranscranial Magnetic StimulationHumansAdverse effectsNeuromodulationSafetySeizureSubstance use disorderTranscranial magnetic stimulation

Identifiers

PMID41197767
PMCPMC12910563

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.