Evidence map›Paper›PMID 36609269›Full record

ArticleBMC palliative care2023

Lidocaine transdermal patches reduced pain intensity in neuropathic cancer patients already receiving opioid treatment.

Jui-Hung Tsai, I-Ting Liu, Pei-Fang Su, Ying-Tzu Huang, Ge-Lin Chiu, Yu-Yeh Chen, Wei-Shu Lai, Peng-Chan Lin

Open access · goldAbstract read
In one paragraph

Article in BMC palliative care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.8field-weighted citation impact, top 9% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 16 citations in OpenAlex.

  1. Cancer pain.Nature reviews. Disease primers · 2026
    Review
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  8. Cancer Pain: Radiotherapy as a Double-Edged Sword.International journal of molecular sciences · 2025
    Review
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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

8 authors at 2 institutions in 1 country.

Jui-Hung TsaiDepartment of Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng-Li Road, Tainan, Taiwan.
I-Ting LiuDepartment of Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng-Li Road, Tainan, Taiwan.
Pei-Fang SuDepartment of Statistics, National Cheng Kung University, Tainan, Taiwan.
Ying-Tzu HuangDepartment of Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng-Li Road, Tainan, Taiwan.
Ge-Lin ChiuDepartment of Nursing, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University in Tainan, Tainan, Taiwan.
Yu-Yeh ChenDepartment of Nursing, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University in Tainan, Tainan, Taiwan.
Wei-Shu LaiDepartment of Nursing, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University in Tainan, Tainan, Taiwan.
Peng-Chan LinDepartment of Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng-Li Road, Tainan, Taiwan. pengchan@mail.ncku.edu.tw.
National Cheng Kung University Hospital · TWNational Cheng Kung University · TW

Funding

Ministry of Health and Welfare MOHW111-TDU-B-221-014005Ministry of Science and Technology, Taiwan MOST 111-2634-F-006-002 and MOST 111-2634-F-006-007National Cheng Kung University Hospital NCKUH-11102061
6 · The paper itself

Abstract

backgroundLimited efficacy has been observed when using opioids to treat neuropathic pain. Lidocaine patches reduce neuropathic pain in postherpetic neuralgia, but their benefits for cancer-related neuropathic pain remain unclear. This study aimed to investigate a treatment for cancer-related neuropathic pain.

methodsWe conducted a prospective, open-label, single-arm study to assess the efficacy and safety of lidocaine transdermal patches in patients experiencing localized, superficial, neuropathic cancer pain. Terminal cancer patients already receiving opioid treatment participated in the 3-day study. The primary endpoint was pain intensity evaluated by the numerical rating scale (NRS). The secondary endpoints were the pain relief score and the quality of analgesic treatment.

resultsThe results showed a significant difference in the median NRS over 3 days (Kruskal-Wallis test, p < 0.0001). The median NRS pain intensity from Day 1 to Day 3 was 4.0 with 95% C.I. (3.3, 5.0), 3.0 (2.5, 3.5), and 2.6 (2.0, 3.0), respectively. The difference between the median NRS pain intensities of any 2 days was significant (Wilcoxon signed-rank test, p < 0.0001). The generalized estimating equation (GEE) estimation model showed significant differences between the NRS pain intensities on any 2 days. There was no significant difference in the pain relief score or the quality of analgesic treatment.

conclusionsIn this study, the 5% lidocaine transdermal patch reduced the NRS pain intensity in neuropathic cancer patients already receiving opioid treatment. Treatment of localized and superficial neuropathic pain caused by cancer was well tolerated and effective.

Indexed as

NeoplasmsNeuralgiaAnalgesicsAnalgesics, OpioidHumansLidocainePain MeasurementProspective StudiesTransdermal PatchTreatment OutcomeAnalgesicsAnalgesics, OpioidLidocaineAnalgesicCancer painNeuropathic painNumerical rating scaleTransdermal patch

Identifiers

PMID36609269
PMCPMC9824981
OpenAlexW4313638593

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.