Pain medicine

Effect and safety profile of topical lidocaine on post-surgical neuropathic pain and quality of life: A systematic review and meta-analysis

J Clin AnesthPublished Systematic review and meta-analysis of randomised trials

Pooled result · Global pain reliefResult — go to the resultRelative risk 1.98 95% CI 1.04–3.76

Authors' conclusion

Topical lidocaine may lead to pain relief and is safe to use for patient with post-surgical pain, though its impact on quality of life is unclear.

Study context

Population
Patients with post-surgical neuropathic pain
Participants
585 patients · 7 randomized controlled trials (RCTs)
Comparison
Topical lidocaine vs placebo or no topical lidocaine
Outcome
Global pain relief
Methodological detailscertainty of evidence assessment
  • Certainty of evidence assessment

Pooled result

As reported in the abstract

Relative risk

1.98

95% CI 1.04–3.76

P = 0.04

Topical lidocaine vs Placebo or no topical lidocaine
RR 1.98 (95% CI 1.04–3.76); P = 0.04

Further pooled results

OutcomeSMD (95% CI)P value
Pain intensity reductionI2 = 93% · low certainty evidence−0.70 (−1.46 to 0.06)P = 0.07

Safety

OutcomeRR (95% CI)P value
Adverse eventsI2 = 0% · high certainty evidence1.04 (0.93–1.16)P = 0.51

Original publication

Effect and safety profile of topical lidocaine on post-surgical neuropathic pain and quality of life: A systematic review and meta-analysis. J Clin Anesth. Published 10 October 2023. doi:10.1016/j.jclinane.2023.111219

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