Evidence map›Paper›PMID 41822104›Full record

ArticlePain reports2026

Heterogeneity of treatment effects in transcranial direct current stimulation for knee osteoarthritis pain and symptoms.

Chiyoung Lee, Xiaoxiao Sun, Juyoung Park, Chen X Chen, Christine Pellegrini, Nan-Kuei Chen, David O Garcia, Heewon Kim, C Kent Kwoh, Hyochol Ahn

Abstract read
In one paragraph

Article in Pain reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

10 authors.

Chiyoung LeeThe University of Arizona College of Nursing, Tucson, AZ, USA.ORCID https://orcid.org/0009-0004-9523-501X
Xiaoxiao SunThe University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, AZ, USA.
Juyoung ParkThe University of Arizona College of Nursing, Tucson, AZ, USA.
Chen X ChenThe University of Arizona College of Nursing, Tucson, AZ, USA.
Christine PellegriniThe University of South Carolina Arnold School of Public Health, Columbia, SC, USA.
Nan-Kuei ChenThe University of Arizona College of Engineering, Tucson, AZ, USA.
David O GarciaThe University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, AZ, USA.
Heewon KimSoongsil University Global School of Media, Seoul, South Korea.
C Kent KwohThe University of Arizona College of Medicine Tucson, Tucson, AZ, USA.
Hyochol AhnThe University of Arizona College of Nursing, Tucson, AZ, USA.

Funding

Vaginal Microbiome, Inflammatory Mediators, Metabolome, and Dysmenorrhea Symptom-based PhenotypesR01HD110994 · NICHD · UNIVERSITY OF ARIZONA · PI Chen X Chen · 2023 to 2026
$2.5M
NICHD NIH HHS R01 HD110994
6 · The paper itself

Abstract

Introduction: Although heterogeneity of treatment effects (HTEs) is commonly observed in clinical trials, it has received little attention in studies on transcranial direct current stimulation (tDCS). Objectives: This study identified the presence of HTE in tDCS treatment among participants with symptomatic knee osteoarthritis (KOA) and explored participant characteristics associated with this heterogeneity. Methods: This secondary analysis of a randomized clinical trial included 120 participants with symptomatic KOA who received 15 daily sessions of home-based 2-mA active or sham tDCS over 3 weeks. We used a multitrajectory analysis to identify distinct subgroups based on the longitudinal trajectories of KOA pain and symptoms from baseline to 3 months postintervention, capturing differential responses to tDCS. We then performed bivariate analyses to examine associations between trajectory groups and baseline demographic, clinical, and quantitative sensory testing characteristics. Results: In the active tDCS group, 2 distinct trajectories emerged: "low initial symptoms with significant improvement" (high responders; n = 28) and "high initial symptoms with minimal improvement" (low responders; n = 32). Compared to high responders, low responders had a higher body mass index, lower educational attainment, and greater pain catastrophizing (all Conclusion: Participants exhibited varying responses to active tDCS. The characteristics associated with HTE may inform the development of personalized stimulation protocols.

Indexed as

Heterogeneity of treatment effectsKnee osteoarthritisOlder adultsPainTranscranial direct current stimulation

Identifiers

PMID41822104
PMCPMC12978831

What OpenQuestion holds

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LicenceCC BY-NC
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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.