Benefits and Harms of Cranial Electrical Stimulation

Letters21 August 2018Benefits and Harms of Cranial Electrical StimulationPaul G. Shekelle, MD, PhD, Ian A. Cook, MD, and Selene Mak, MPHPaul G. Shekelle, MD, PhDWest Los Angeles Veterans Affairs Medical Center, Los Angeles, California (P.G.S.)Search for more papers by this author, Ian A. Cook, MDWest Los Angeles Veterans Affairs Medical Center and David Geffen School of Medicine and Henry Samueli School of Engineering and Applied Science at University of California, Los Angeles, Los Angeles, California (I.A.C.)Search for more papers by this author, and Selene Mak, MPHWest Los Angeles Veterans Affairs Medical Center and Fielding School of Public Health at University of California, Los Angeles, Los Angeles, California (S.M.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L18-0293 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We disagree with Dr. Marksberry that our search strategy and review were biased. We searched multiple electronic databases without language restrictions, ClinicalTrials.gov, previous systematic reviews, the reference lists of included studies, studies cited on manufacturers' Web sites, an 11-page document provided by the makers of Alpha-Stim entitled “Clinical Evaluation Report” that included many citations of studies using the Alpha-Stim device, and a U.S. Food and Drug Administration executive summary (prepared 10 February 2012) in response to a petition to request a change in classification for cranial electrical stimulators. We restricted eligibility to studies measuring clinical outcomes for patients ...References1. U.S. Food and Drug Administration. Petitions to request change in classification for cranial electrotherapy stimulators. 2012. Accessed at www.fda.gov/downloads/AdvisoryCommittees/CommitteesMeetingMaterials/MedicalDevices/MedicalDevicesAdvisoryCommittee/NeurologicalDevicesPanel/UCM290787.pdf on 25 June 2018. Google Scholar2. Lande RG, Gragnani C. Efficacy of cranial electric stimulation for the treatment of insomnia: a randomized pilot study. Complement Ther Med. 2013;21:8-13. [PMID: 23374200] doi:10.1016/j.ctim.2012.11.007 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: West Los Angeles Veterans Affairs Medical Center, Los Angeles, California (P.G.S.)West Los Angeles Veterans Affairs Medical Center and David Geffen School of Medicine and Henry Samueli School of Engineering and Applied Science at University of California, Los Angeles, Los Angeles, California (I.A.C.)West Los Angeles Veterans Affairs Medical Center and Fielding School of Public Health at University of California, Los Angeles, Los Angeles, California (S.M.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-1970. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoBenefits and Harms of Cranial Electrical Stimulation for Chronic Painful Conditions, Depression, Anxiety, and Insomnia Paul G. Shekelle , Ian A. Cook , Isomi M. Miake-Lye , Marika Suttorp Booth , Jessica M. Beroes , and Selene Mak Benefits and Harms of Cranial Electrical Stimulation Jeff Marksberry Metrics Cited byRehabilitation Evaluation of Hemiplegic Patients with Anterior Circulation Cerebral Infarction Based on Cranial Magnetic Stimulation 21 August 2018Volume 169, Issue 4Page: 269-270KeywordsAnxietyClinical trialsDatabasesDisclosureFood and Drug AdministrationInsomniaObservational studiesSleepSystematic reviews ePublished: 21 August 2018 Issue Published: 21 August 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...