Evidence map›Paper›PMID 35970847›Full record

SynthesisTranslational psychiatry2022

Efficacy and safety of deep brain stimulation for treatment-refractory anorexia nervosa: a systematic review and meta-analysis.

Dominika Karaszewska, Patrick Cleintuar, Marloes Oudijn, Anja Lok, Annemarie van Elburg, Damiaan Denys, Roel Mocking

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Translational psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06152640 (A New Neuroregulatory Technology for the Therapy of AN Based on the Pathological Neural Network of ACC), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% of its field
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.

NCT06152640 naunknown statusnot on this mapstarted 2024, after this paper: background citation

A New Neuroregulatory Technology for the Therapy of AN Based on the Pathological Neural Network of ACC: A Multicenter Randomized Controlled Study

TypeinterventionalSponsorShanghai Mental Health CenterRan2024 to 2026Enrolled80ConditionsFeeding and Eating DisordersArmsDeep transcranial magnetic stimulation, Sham deep transcranial magnetic stimulation, Basic treatment
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Anorexia nervosa: 150 years of critical theory.Journal of eating disorders · 2026
    Review
  3. Review
  4. Article
  5. Review
  6. Anorexia nervosa-an update.Der Nervenarzt · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Deep brain stimulation for autism spectrum disorder.World journal of psychiatry · 2023
    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 at 2 institutions in 1 country.

Dominika Karaszewska *Department of Psychiatry, Amsterdam UMC, location Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. d.m.karaszewska@amsterdamumc.nl.ORCID 0000-0002-4174-954X
Patrick Cleintuar *Department of Psychiatry, Amsterdam UMC, location Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Marloes OudijnDepartment of Psychiatry, Amsterdam UMC, location Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Anja LokDepartment of Psychiatry, Amsterdam UMC, location Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Annemarie van ElburgFaculty of Social Sciences, University of Utrecht, Utrecht, the Netherlands.
Damiaan DenysDepartment of Psychiatry, Amsterdam UMC, location Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Roel MockingDepartment of Psychiatry, Amsterdam UMC, location Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Amsterdam UMC Location University of Amsterdam · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral pioneering studies investigated deep brain stimulation (DBS) in treatment-refractory anorexia nervosa (AN) patients, but overall effects remain yet unclear. Aim of this study was to obtain estimates of efficacy of DBS in AN-patients using meta-analysis.

methodsWe searched three electronic databases until 1st of November 2021, using terms related to DBS and AN. We included trials that investigated the clinical effects of DBS in AN-patients. We obtained data including psychiatric comorbidities, medication use, DBS target, and study duration. Primary outcome was Body Mass Index (BMI), secondary outcome was quality of life, and the severity of psychiatric symptoms, including eating disorder, obsessive-compulsive, depressive, and anxiety symptoms. We assessed the risk of bias using the ROBINS-I tool.

resultsFour studies were included for meta-analysis, with a total of 56 patients with treatment-refractory AN. Follow-up ranged from 6-24 months. Random effects meta-analysis showed a significant increase in BMI following DBS, with a large effect size (Hedges's g = 1 ∙ 13; 95% CI = 0 ∙ 80 to 1 ∙ 46; Z-value = 6 ∙ 75; P < 0 ∙ 001), without heterogeneity (I DISCUSSION: In this first meta-analysis, DBS showed statistically large beneficial effects on weight restoration, quality of life, and reduction of psychiatric symptoms in patients with treatment-refractory AN. These outcomes call for more extensive naturalistic studies to determine the clinical relevance for functional recovery. This study is preregistered in PROSPERO,CRD42022295712.

Indexed as

Anorexia NervosaDeep Brain StimulationAnxietyBody Mass IndexHumansQuality of LifeTreatment Outcome

Identifiers

PMID35970847
PMCPMC9378729
OpenAlexW4291552287

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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 Socratic graph.