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. 2018 Mar 16;2018(3):CD008208. doi: 10.1002/14651858.CD008208.pub4

Comparison 3.

Transcranial direct current stimulation (tDCS)

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Pain: short‐term follow‐up 26 Std. Mean Difference (Random, 95% CI) ‐0.43 [‐0.63, ‐0.22]
1.1 Single‐dose studies 4 Std. Mean Difference (Random, 95% CI) ‐0.18 [‐0.38, 0.02]
1.2 Multiple‐dose studies 22 Std. Mean Difference (Random, 95% CI) ‐0.51 [‐0.77, ‐0.25]
2 Pain: short‐term sensitivity analysis: correlation increased 26 Std. Mean Difference (Random, 95% CI) ‐0.43 [‐0.62, ‐0.23]
3 Pain: short‐term sensitivity analysis: correlation decreased 26 Std. Mean Difference (Random, 95% CI) ‐0.44 [‐0.64, ‐0.23]
4 Pain: short term sensitivity analysis, inclusion of high risk of bias studies 31 Std. Mean Difference (Random, 95% CI) ‐0.48 [‐0.67, ‐0.29]
4.1 Single‐dose studies 4 Std. Mean Difference (Random, 95% CI) ‐0.18 [‐0.38, 0.02]
4.2 Multiple‐dose studies 27 Std. Mean Difference (Random, 95% CI) ‐0.56 [‐0.79, ‐0.32]
5 Pain: short‐term follow‐up, subgroup analysis: motor cortex studies only 25 Std. Mean Difference (Random, 95% CI) ‐0.47 [‐0.67, ‐0.28]
5.1 Single‐dose studies 4 Std. Mean Difference (Random, 95% CI) ‐0.18 [‐0.38, 0.02]
5.2 Multiple‐dose studies 21 Std. Mean Difference (Random, 95% CI) ‐0.58 [‐0.84, ‐0.33]
6 Pain: short‐term follow‐up, subgroup analysis: motor cortex studies only, sensitivity analysis: correlation increased 26 Std. Mean Difference (Random, 95% CI) ‐0.45 [‐0.64, ‐0.26]
6.1 Single‐dose studies 4 Std. Mean Difference (Random, 95% CI) ‐0.18 [‐0.37, 0.01]
6.2 Multiple‐dose studies 22 Std. Mean Difference (Random, 95% CI) ‐0.55 [‐0.81, ‐0.30]
7 Pain: short‐term follow‐up, subgroup analysis: motor cortex studies only, sensitivity analysis: correlation decreased 26 Std. Mean Difference (Random, 95% CI) ‐0.40 [‐0.58, ‐0.22]
7.1 Single‐dose studies 4 Std. Mean Difference (Random, 95% CI) ‐0.18 [‐0.38, 0.03]
7.2 Multiple‐dose studies 22 Std. Mean Difference (Random, 95% CI) ‐0.49 [‐0.72, ‐0.26]
8 Pain: short‐term follow‐up, subgroup analysis, neuropathic and non neuropathic pain 25 Std. Mean Difference (Random, 95% CI) ‐0.37 [‐0.56, ‐0.19]
8.1 Neuropathic 9 Std. Mean Difference (Random, 95% CI) ‐0.26 [‐0.53, 0.01]
8.2 Non neuropathic 16 Std. Mean Difference (Random, 95% CI) ‐0.42 [‐0.67, ‐0.17]
9 Pain: short term follow‐up responder analysis 30% pain reduction 2 Risk Ratio (M‐H, Random, 95% CI) Subtotals only
10 Pain: short term follow‐up responder analysis 50% pain reduction 2 Risk Ratio (M‐H, Random, 95% CI) Subtotals only
11 Pain: medium‐term follow‐up 14 Std. Mean Difference (Random, 95% CI) ‐0.43 [‐0.72, ‐0.13]
12 Pain: medium term follow‐up responder analysis 30% pain reduction 1 Risk Ratio (M‐H, Random, 95% CI) Subtotals only
13 Pain: medium term follow‐up responder analysis 50% pain reduction 2 Risk Ratio (M‐H, Random, 95% CI) Subtotals only
14 Sensitivity analysis ‐ inclusion of high risk of bias studies. Pain: medium‐term follow‐up 16 Std. Mean Difference (Random, 95% CI) ‐0.45 [‐0.72, ‐0.18]
15 Pain: long‐term follow‐up 3 Std. Mean Difference (Random, 95% CI) ‐0.01 [‐0.43, 0.41]
16 Disability: short‐term follow‐up 4 212 Std. Mean Difference (IV, Random, 95% CI) ‐0.01 [‐0.28, 0.26]
17 Disability: medium‐term follow‐up 1 Std. Mean Difference (IV, Random, 95% CI) Subtotals only
18 Quality of life: short‐term follow‐up 4 82 Std. Mean Difference (IV, Random, 95% CI) 0.66 [0.21, 1.11]
19 Quality of life: medium‐term follow‐up 3 87 Std. Mean Difference (IV, Random, 95% CI) 0.34 [‐0.09, 0.76]