AI Article Synopsis

  • A study was conducted to evaluate the effectiveness of repetitive transcranial magnetic stimulation (rTMS) treatment for tinnitus and to identify factors affecting response rates.
  • Out of 199 patients treated with rTMS, 62.3% showed improvement according to the Tinnitus Handicap Inventory (THI), and 66.3% improved based on the Visual Analog Scale (VAS).
  • The findings suggested that shorter tinnitus duration, particularly less than one week, is associated with a higher response rate, indicating that timely rTMS treatment may enhance effectiveness.

Article Abstract

Objective: Current studies still find insufficient evidence to support the routine use of repetitive transcranial magnetic stimulation (rTMS) in tinnitus. This study aimed to assess response of tinnitus to treatment with rTMS and identify factors influencing the overall response.

Methods: Between January 2016 and May 2017, 199 tinnitus patients were identified from a retrospective review of the electronic patient record at the Sun Yat-sen Memorial Hospital. All patients received rTMS treatment. Their clinicodemographic profile and outcomes, including the tinnitus handicap inventory (THI) and visual analog scale (VAS) scores, were extracted for analysis.

Results: Regarding the THI results, 62.3% of all patients responded to rTMS. The analysis of the VAS score revealed an overall response rate of 66.3%. Both percentages were close to the patient's subjective assessment result, of 63.8%. Patients with tinnitus of less than 1-week duration had the highest response rate to rTMS in terms of either THI/VAS scores or the patient's subjective assessment of symptoms. Tinnitus duration was recognized as a factor influencing the overall response to the treatment.

Conclusions: Repetitive transcranial magnetic stimulation treatment is effective for patients with tinnitus, but its efficacy is affected by tinnitus duration. Tinnitus patients are advised to attend for rTMS as soon as possible since therapy was more effective in those with a shorter duration of disease of less than 1 week.

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Source
http://dx.doi.org/10.1177/01455613211016896DOI Listing

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