Meta-analysis of clinical trials of transcranial magnetic stimulation for chronic pelvic pain syndrome
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Abstract
Abstract Background: In recent years, repeated transcranial magnetic stimulation (rTMS) has been used in clinical trials for the treatment of chronic pelvic pain syndrome, but its efficacy needs to be further verified.Objectives/Methods: This meta-analysis aimed to evaluate the efficacy and safety of transcranial magnetic stimulation in the treatment of chronic pelvic pain syndrome. Databases of PubMed, the Cochrane Library, Embase, CNKI, VIP, Wanfang, and SinoMed were searched for all clinical trials published before Nov.08.2021. The effect size was evaluated by using the standardized mean difference (SMD) and a 95% confidence interval (CI). Results: We included 7 studies comprising 99 participants. VAS scale was used as the main index of pain intensity, was observed (SMD=0.19, 95%CI -0.07 to 0.42, p=0.13) has no treatment effect. Reduction in depression ,anxiety and symptoms were not find out, there was a significant effect of quality of life (SF-36, SMD= -8.69, 95%CI -12.04 to -5.35, p<0.00001). No serious adverse events were reported by the included articles.Conclusion: TMS may improve ADL, and long-term interventions of rTMS have a positive impact on pain and mood in patients with CPPS. However, these findings should be interpreted with caution due to the limitations of the included studies.
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