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Use of 5% lidocaine medicated plasters for the treatment of pain in routine hospital practice: patient reported pain, functioning and satisfaction

Abstract Objective: 5% lidocaine medicated plasters are a topical option in the treatment of peripheral neuropathic pain, as monotherapy or as an adjunct to systemic medication. This study sought to determine the impact of lidocaine plaster use on self-reported pain, functioning and patient satisfac...

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Published in:Current medical research and opinion 2014-08, Vol.30 (8), p.1573-1578
Main Authors: Khot, S., Morgan, C. Ll, Kadambande, S., Poole, C. D.
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creator Khot, S.
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description Abstract Objective: 5% lidocaine medicated plasters are a topical option in the treatment of peripheral neuropathic pain, as monotherapy or as an adjunct to systemic medication. This study sought to determine the impact of lidocaine plaster use on self-reported pain, functioning and patient satisfaction within a large teaching hospital. Research design and methods: Patients were selected from the pain and rheumatology outpatient departments in Cardiff, Wales (2008-9). Postal surveys were sent to patients prescribed lidocaine plaster asking whether patients currently used the plaster and, if not, reason for discontinuation. Patients were asked to record pain score before and after therapy initiation, percentage pain relief, duration of effectiveness and impact on functioning. Main outcome measures: Pain scores, pain relief and levels of functioning before and after treatment. Results: A total of 850 surveys were dispatched; 408 (48.0%) responses received; 197 (48.3%) patients were current users at survey completion. Median pain score prior to plaster use was 8 (IQR 7-9). One month after initiation, median pain score was 6 (4-8, p 
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Ll ; Kadambande, S. ; Poole, C. D.</creator><creatorcontrib>Khot, S. ; Morgan, C. Ll ; Kadambande, S. ; Poole, C. D.</creatorcontrib><description>Abstract Objective: 5% lidocaine medicated plasters are a topical option in the treatment of peripheral neuropathic pain, as monotherapy or as an adjunct to systemic medication. This study sought to determine the impact of lidocaine plaster use on self-reported pain, functioning and patient satisfaction within a large teaching hospital. Research design and methods: Patients were selected from the pain and rheumatology outpatient departments in Cardiff, Wales (2008-9). Postal surveys were sent to patients prescribed lidocaine plaster asking whether patients currently used the plaster and, if not, reason for discontinuation. Patients were asked to record pain score before and after therapy initiation, percentage pain relief, duration of effectiveness and impact on functioning. Main outcome measures: Pain scores, pain relief and levels of functioning before and after treatment. Results: A total of 850 surveys were dispatched; 408 (48.0%) responses received; 197 (48.3%) patients were current users at survey completion. Median pain score prior to plaster use was 8 (IQR 7-9). One month after initiation, median pain score was 6 (4-8, p &lt; 0.001) overall and 5 (4-7, p &lt; 0.001) for current users. Median pain relief, after initial month of plaster use, was 30% (10-60%) for all patients and 50% (30-70%) for current users, whilst pain relief at time of survey was 30% (0-60%) and 50% (30-70%), respectively. A total of 181 (93.3%) current users claimed the plasters were effective. All three measures of functioning were significantly improved in current users: sleep (63.3% versus 20.1%, p &lt; 0.001), mood (59.2% versus 18.6%, p &lt; 0.001) and activity level (50.0% versus 19.5%, p &lt; 0.001). Median satisfaction was 5 (IQR 1-8) for all patients and 7 (5-9) for current plaster users. Conclusions: The results of this study need to be considered within the context of a self-reported survey. However, pain, functioning and patient satisfaction were significantly improved in current users of 5% lidocaine medicated plasters.</description><identifier>ISSN: 0300-7995</identifier><identifier>EISSN: 1473-4877</identifier><identifier>DOI: 10.1185/03007995.2014.915212</identifier><identifier>PMID: 24773481</identifier><language>eng</language><publisher>Colchester: Informa UK Ltd</publisher><subject>5% lidocaine medicated plaster ; Administration, Cutaneous ; Anesthetics, Local - therapeutic use ; Biological and medical sciences ; Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction ; Dosage Forms ; Health Care Surveys ; Hospitals, Teaching ; Humans ; Lidocaine - therapeutic use ; Local anesthesia ; Medical sciences ; Nervous system (semeiology, syndromes) ; Nervous system involvement in other diseases. Miscellaneous ; Neuralgia - drug therapy ; Neuralgia - physiopathology ; Neuralgia - psychology ; Neurology ; Neuropathic pain ; Pain - drug therapy ; Pain Measurement ; Patient Satisfaction - statistics &amp; numerical data ; Pharmacology. Drug treatments ; Questionnaire ; Recovery of Function ; Self Report ; Treatment Outcome</subject><ispartof>Current medical research and opinion, 2014-08, Vol.30 (8), p.1573-1578</ispartof><rights>2014 All rights reserved: reproduction in whole or part not permitted 2014</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-f3cd9856f35af6cc9b818143041dd4f63506c1860fe69a56a6507b609218551c3</citedby><cites>FETCH-LOGICAL-c448t-f3cd9856f35af6cc9b818143041dd4f63506c1860fe69a56a6507b609218551c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=28688783$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24773481$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khot, S.</creatorcontrib><creatorcontrib>Morgan, C. Ll</creatorcontrib><creatorcontrib>Kadambande, S.</creatorcontrib><creatorcontrib>Poole, C. D.</creatorcontrib><title>Use of 5% lidocaine medicated plasters for the treatment of pain in routine hospital practice: patient reported pain, functioning and satisfaction</title><title>Current medical research and opinion</title><addtitle>Curr Med Res Opin</addtitle><description>Abstract Objective: 5% lidocaine medicated plasters are a topical option in the treatment of peripheral neuropathic pain, as monotherapy or as an adjunct to systemic medication. This study sought to determine the impact of lidocaine plaster use on self-reported pain, functioning and patient satisfaction within a large teaching hospital. Research design and methods: Patients were selected from the pain and rheumatology outpatient departments in Cardiff, Wales (2008-9). Postal surveys were sent to patients prescribed lidocaine plaster asking whether patients currently used the plaster and, if not, reason for discontinuation. Patients were asked to record pain score before and after therapy initiation, percentage pain relief, duration of effectiveness and impact on functioning. Main outcome measures: Pain scores, pain relief and levels of functioning before and after treatment. Results: A total of 850 surveys were dispatched; 408 (48.0%) responses received; 197 (48.3%) patients were current users at survey completion. Median pain score prior to plaster use was 8 (IQR 7-9). One month after initiation, median pain score was 6 (4-8, p &lt; 0.001) overall and 5 (4-7, p &lt; 0.001) for current users. Median pain relief, after initial month of plaster use, was 30% (10-60%) for all patients and 50% (30-70%) for current users, whilst pain relief at time of survey was 30% (0-60%) and 50% (30-70%), respectively. A total of 181 (93.3%) current users claimed the plasters were effective. All three measures of functioning were significantly improved in current users: sleep (63.3% versus 20.1%, p &lt; 0.001), mood (59.2% versus 18.6%, p &lt; 0.001) and activity level (50.0% versus 19.5%, p &lt; 0.001). Median satisfaction was 5 (IQR 1-8) for all patients and 7 (5-9) for current plaster users. Conclusions: The results of this study need to be considered within the context of a self-reported survey. However, pain, functioning and patient satisfaction were significantly improved in current users of 5% lidocaine medicated plasters.</description><subject>5% lidocaine medicated plaster</subject><subject>Administration, Cutaneous</subject><subject>Anesthetics, Local - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction</subject><subject>Dosage Forms</subject><subject>Health Care Surveys</subject><subject>Hospitals, Teaching</subject><subject>Humans</subject><subject>Lidocaine - therapeutic use</subject><subject>Local anesthesia</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Nervous system involvement in other diseases. Miscellaneous</subject><subject>Neuralgia - drug therapy</subject><subject>Neuralgia - physiopathology</subject><subject>Neuralgia - psychology</subject><subject>Neurology</subject><subject>Neuropathic pain</subject><subject>Pain - drug therapy</subject><subject>Pain Measurement</subject><subject>Patient Satisfaction - statistics &amp; numerical data</subject><subject>Pharmacology. Drug treatments</subject><subject>Questionnaire</subject><subject>Recovery of Function</subject><subject>Self Report</subject><subject>Treatment Outcome</subject><issn>0300-7995</issn><issn>1473-4877</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqFkc2KFDEUhYMoTjv6BiLZDLiw2qSSVCUuRmTwDwbcOOtwO5XYGVKVMkkh8xo-sanpbsWNQiAQvnPuzTkIPadkS6kUrwkjpFdKbFtC-VZR0dL2AdpQ3rOGy75_iDYr0qzMGXqS8y0htJVKPUZnLe97xiXdoJ832eLosLjAwQ_RgJ8sHu3gDRQ74DlALjZl7GLCZW9xSRbKaKeyiuZK43pSXMqq28c8-wIBzwlM8ca-qUjxK53sHNO9Y9W8wm6ZKhAnP33DMA04Vyw7uH97ih45CNk-O97n6ObD-69Xn5rrLx8_X727bgznsjSOmUFJ0TkmwHXGqJ2kknJGOB0G7jomSGeo7IiznQLRQSdIv-uIamt6ghp2jl4efOcUvy82Fz36bGwIMNm4ZE1FTUgJwllF-QE1KeacrNNz8iOkO02JXtvQpzb02oY-tFFlL44Tll3N9LfoFH8FLo4AZAPBJZiMz3842UnZy3X-2wPnp1rECD9iCoMucBdiOonYf1a5_MthbyGUvYFk9W1c0lSD_vdffgGPDLrB</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Khot, S.</creator><creator>Morgan, C. Ll</creator><creator>Kadambande, S.</creator><creator>Poole, C. D.</creator><general>Informa UK Ltd</general><general>Taylor &amp; Francis</general><general>Informa</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140801</creationdate><title>Use of 5% lidocaine medicated plasters for the treatment of pain in routine hospital practice: patient reported pain, functioning and satisfaction</title><author>Khot, S. ; Morgan, C. Ll ; Kadambande, S. ; Poole, C. 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Miscellaneous</topic><topic>Neuralgia - drug therapy</topic><topic>Neuralgia - physiopathology</topic><topic>Neuralgia - psychology</topic><topic>Neurology</topic><topic>Neuropathic pain</topic><topic>Pain - drug therapy</topic><topic>Pain Measurement</topic><topic>Patient Satisfaction - statistics &amp; numerical data</topic><topic>Pharmacology. Drug treatments</topic><topic>Questionnaire</topic><topic>Recovery of Function</topic><topic>Self Report</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Khot, S.</creatorcontrib><creatorcontrib>Morgan, C. Ll</creatorcontrib><creatorcontrib>Kadambande, S.</creatorcontrib><creatorcontrib>Poole, C. D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Current medical research and opinion</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khot, S.</au><au>Morgan, C. Ll</au><au>Kadambande, S.</au><au>Poole, C. D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of 5% lidocaine medicated plasters for the treatment of pain in routine hospital practice: patient reported pain, functioning and satisfaction</atitle><jtitle>Current medical research and opinion</jtitle><addtitle>Curr Med Res Opin</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>30</volume><issue>8</issue><spage>1573</spage><epage>1578</epage><pages>1573-1578</pages><issn>0300-7995</issn><eissn>1473-4877</eissn><abstract>Abstract Objective: 5% lidocaine medicated plasters are a topical option in the treatment of peripheral neuropathic pain, as monotherapy or as an adjunct to systemic medication. This study sought to determine the impact of lidocaine plaster use on self-reported pain, functioning and patient satisfaction within a large teaching hospital. Research design and methods: Patients were selected from the pain and rheumatology outpatient departments in Cardiff, Wales (2008-9). Postal surveys were sent to patients prescribed lidocaine plaster asking whether patients currently used the plaster and, if not, reason for discontinuation. Patients were asked to record pain score before and after therapy initiation, percentage pain relief, duration of effectiveness and impact on functioning. Main outcome measures: Pain scores, pain relief and levels of functioning before and after treatment. Results: A total of 850 surveys were dispatched; 408 (48.0%) responses received; 197 (48.3%) patients were current users at survey completion. Median pain score prior to plaster use was 8 (IQR 7-9). One month after initiation, median pain score was 6 (4-8, p &lt; 0.001) overall and 5 (4-7, p &lt; 0.001) for current users. Median pain relief, after initial month of plaster use, was 30% (10-60%) for all patients and 50% (30-70%) for current users, whilst pain relief at time of survey was 30% (0-60%) and 50% (30-70%), respectively. A total of 181 (93.3%) current users claimed the plasters were effective. All three measures of functioning were significantly improved in current users: sleep (63.3% versus 20.1%, p &lt; 0.001), mood (59.2% versus 18.6%, p &lt; 0.001) and activity level (50.0% versus 19.5%, p &lt; 0.001). Median satisfaction was 5 (IQR 1-8) for all patients and 7 (5-9) for current plaster users. Conclusions: The results of this study need to be considered within the context of a self-reported survey. However, pain, functioning and patient satisfaction were significantly improved in current users of 5% lidocaine medicated plasters.</abstract><cop>Colchester</cop><pub>Informa UK Ltd</pub><pmid>24773481</pmid><doi>10.1185/03007995.2014.915212</doi><tpages>6</tpages></addata></record>
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source Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list)
subjects 5% lidocaine medicated plaster
Administration, Cutaneous
Anesthetics, Local - therapeutic use
Biological and medical sciences
Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction
Dosage Forms
Health Care Surveys
Hospitals, Teaching
Humans
Lidocaine - therapeutic use
Local anesthesia
Medical sciences
Nervous system (semeiology, syndromes)
Nervous system involvement in other diseases. Miscellaneous
Neuralgia - drug therapy
Neuralgia - physiopathology
Neuralgia - psychology
Neurology
Neuropathic pain
Pain - drug therapy
Pain Measurement
Patient Satisfaction - statistics & numerical data
Pharmacology. Drug treatments
Questionnaire
Recovery of Function
Self Report
Treatment Outcome
title Use of 5% lidocaine medicated plasters for the treatment of pain in routine hospital practice: patient reported pain, functioning and satisfaction
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