Evidence map›Paper›PMID 41692439›Full record

Trial reportCancer medicine2026

The Effects of Lidocaine Patches on Post-Radiofrequency Ablation Pain in Patients With Hepatocellular Carcinoma.

Chen-Ju Chen, Wei-Ying Chen, Chung-Ying Lin, Yen-Cheng Chiu, Ying-Ju Chang

Erratum issued Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05732181 (The Role of 5% Lidocaine Patches in the Pain Control of Hepatocellular Carcinoma Patients Receiving Radiofrequency Ablation), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT05732181 nacompletednot on this map

The Role of 5% Lidocaine Patches in the Pain Control of Hepatocellular Carcinoma Patients Receiving Radiofrequency Ablation: A Randomized, Double-blind, Placebo-controlled Study

TypeinterventionalSponsorNational Cheng-Kung University HospitalRan2017 to 2018Enrolled154ConditionsLiver Cancer, Post Ablation SyndromeArmsThe skin lidocaine patch., Placebo
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Chen-Ju ChenDepartment of Nursing, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.ORCID https://orcid.org/0000-0002-1255-1921
Wei-Ying ChenDepartment of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.ORCID https://orcid.org/0000-0001-5074-3097
Chung-Ying LinInstitute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Yen-Cheng ChiuDepartment of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Ying-Ju ChangDepartment of Nursing, Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Funding

National Cheng Kung University Hospital NCKUH-10707015
6 · The paper itself

Abstract

BACKGROUND AND

aimRadiofrequency ablation (RFA) is a standard treatment for patients with early-stage hepatocellular carcinoma (HCC). However, analgesics are often insufficient in mitigating post-RFA pain. The lidocaine patch is being investigated as an alternative for acute pain relief, though it has not yet been used for post-RFA pain. This study aims to evaluate the effect of lidocaine patches on post-RFA pain for patients with HCC.

methodsPatients undergoing RFA treatment were randomly assigned to an intervention group, receiving lidocaine patches (LP group), or a control group, receiving placebo patches (PP group). The primary endpoint was the Visual Analog Scale (VAS) pain score. The secondary endpoint was rescue analgesic use, quantified as the equivalent cumulative dose of residual morphine. Both were assessed concurrently every 4 h on the first day post-RFA.

resultsA total of 86 patients in the LP group and 68 patients in the PP group completed the study. Pain scores did not differ between the two groups at any time point. However, the equivalent cumulative dose of residual morphine was lower in the LP group compared to the PP group, with statistically significant differences at time points T4-T6 (p = 0.032, p = 0.018, and p = 0.032, respectively). After adjusting for confounding factors, multiple linear regression analysis yielded similar results.

conclusionsVAS pain scores, the primary endpoint, were not significantly different between the two groups. However, the objective equivalent cumulative dose of residual morphine was significantly reduced, implying that the lidocaine patch lowered residual systemic opioid exposure. We conclude that the lidocaine patch may be useful to reduce opioid use post-RFA.

trial registrationClinicalTrials.gov identifier: NCT05732181.

Indexed as

Anesthetics, LocalCarcinoma, HepatocellularLidocaineLiver NeoplasmsPostoperative PainRadiofrequency AblationAgedFemaleHumansMaleMiddle AgedMorphinePain MeasurementTransdermal PatchTreatment OutcomeAnesthetics, LocalLidocaineMorphinelidocaine patchpost‐radiofrequency ablation painthe equivalent cumulative dose of residual morphine

Identifiers

PMID41692439
PMCPMC12906974

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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.