Perioperative medicine & outcomes

Transcranial Direct Current Stimulation for Anxiety During Laparoscopic Colorectal Cancer Surgery: A Randomized Clinical Trial

JAMA Netw OpenPublished Randomised controlled trial

Primary result · Perioperative anxietyResult — go to the resultRelative risk 0.55 95% CI 0.42–0.73

Authors' conclusion

Findings of this randomized clinical trial indicate that administration of 2 preoperative sessions of tDCS was associated with a decreased incidence of perioperative anxiety in patients undergoing elective CRC resection.

Study context

Population
Adults (≥18 years) undergoing elective laparoscopic radical resection for colorectal cancer
Participants
196 adults
Comparison
Active transcranial direct current stimulation (tDCS) vs sham tDCS
  • Active tDCSn = 98
  • Sham tDCSn = 98reference
Primary endpoint
Incidence of perioperative anxiety (Hospital Anxiety and Depression Scale-Anxiety (HADS-A) subscale, range 0-21, higher = more anxiety)
Follow-up
From the day of the operation up to 3 days after the procedure
Methodological detailssham-controlled, single-centre, Conducted March to August 2023 at the Affiliated Hospital of Xuzhou Medical University
  • Sham-controlled
  • Single-centre
  • Conducted March to August 2023 at the Affiliated Hospital of Xuzhou Medical University

Primary result

Perioperative anxiety · After the second tDCS intervention on the day of the operation

Relative risk

0.55

95% CI 0.42–0.73

P < 0.001

By group

Active tDCS vs Sham tDCS
RR 0.55 (95% CI 0.42–0.73); P < 0.001

As reported in the abstract

Secondary outcomes

Postoperative delirium

Median

OutcomeActive tDCSSham tDCS
Pain (NRS) · 3 days after the operation1.0 (IQR 1.0–1.0)2.0 (IQR 2.0–2.0)
Sleep quality (PSQI) · 3 days after the operation10.5 (IQR 10.0–11.0)12.0 (IQR 11.0–13.0)
Frailty (FRAIL Index) · 3 days after the operation2.0 (IQR 1.0–2.0)2.0 (IQR 2.0–3.0)

Original publication

Transcranial Direct Current Stimulation for Anxiety During Laparoscopic Colorectal Cancer Surgery: A Randomized Clinical Trial. JAMA Netw Open. Published 1 April 2024. doi:10.1001/jamanetworkopen.2024.6589

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