Literature Review on Adverse Events (2012-2015) associated with Acupuncture and Moxibustion

Furuse, Nobutatsu; Uehara, Akihito; Sugawara, Masaaki; Yamazaki, Takao; Satoh, Hisashi; Yamashita, Hitoshi

doi:10.3777/jjsam.67.29

Cited by 2 publications

(2 citation statements)

References 84 publications

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“…Such reports include deaths, 6 , 7 but this may be a publication bias since only serious AEs are typically reported in cases. 8 , 9 Moreover, a few studies on AEs were descriptive epidemiologic studies focused on the details of AEs, 10–14 not analytical studies delving into their causes. Furuse et al conducted a multicenter study involving the largest number of sessions and facilities in Japan, 14 but it was a descriptive study providing details and incidence of AEs with no mention of their causes.…”

Section: Introductionmentioning

confidence: 99%

Patient- and Therapist-Related Risk Factors for Adverse Events in Acupuncture and Moxibustion in Japan: Multicenter Survey of Acupuncture and Moxibustion Teaching Clinics

Uehara

Yoshimoto

Kaneko³

et al. 2021

Medical Acupuncture

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Background/Objective: To investigate the patient- and therapist-related factors underlying adverse events (AEs) in acupuncture and moxibustion (A&M). Design: Retrospective study using data from medical records. Subjects: Patients who underwent A&M therapy in 4 clinics providing A&M over a 6-month period and their therapists. Main Outcome Measures: Survey items included the number of patients, age, sex, number of sessions, number and type of AEs, patients' underlying disease, and the therapist's years of clinical experience. The chi-squared test was used for intergroup comparisons. Spearman's rank correlation coefficient was used to analyze the correlations between the number of sessions and AEs. Logistic regression analysis was performed with AEs as the objective variable to investigate the relationships between the various parameters and AEs. Results: The analysis included 615 patients and 113 therapists. A total of 421 AEs occurred in a total of 4,369 sessions (9.6%). The number of sessions and number of AEs were significantly and positively correlated with patients ( r = 0.47, P < 0.001) and therapists ( r = 0.65, P < 0.001). Logistic analysis identified patient sex (adjusted odds ratio: 1.78, 95% confidence interval: [1.39–2.30]), liver disease (0.40, [0.19–0.84]), and years of clinical experience (to a cutoff of 2 or fewer years, 2–4 years: 0.65, [0.48–0.88], 5–9 years: 0.62, [0.44–0.87], 10 years or more: 0.50, [0.37–0.68]) as significant variables. Conclusions: Female sex and fewer years of clinical experience were factors that increased the risk of AEs, and underlying liver disease was a factor that decreased the risk of AEs.

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Section: Introductionmentioning

confidence: 99%

Patient- and Therapist-Related Risk Factors for Adverse Events in Acupuncture and Moxibustion in Japan: Multicenter Survey of Acupuncture and Moxibustion Teaching Clinics

Uehara

Yoshimoto

Kaneko³

et al. 2021

Medical Acupuncture

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“…Reports on these AEs are regularly published in the society's journal. [13][14][15][16][17] Furthermore, we conducted surveys of acupuncturists 18 and orthopedic doctors 19 about their experiences with AEs and their treatment in Japan. However, these studies were based on the respondents' retrospection with accuracy inferior to that of a prospective survey.…”

Section: Introductionmentioning

confidence: 99%

A Multicenter Prospective Survey of Adverse Events Associated with Acupuncture and Moxibustion in Japan

Furuse

Satoh

Uehara³

et al. 2017

Medical Acupuncture

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There have been only a few prospective surveys on adverse events (AEs) in Japanese-style acupuncture practice, and these surveys were conducted only in a single college acupuncture clinic. The goal of this research was to assess the safety of acupuncture and moxibustion performed in educational facilities in Japan. This was a multicenter prospective survey, using paper reporting forms. It was conducted in eight acupuncture clinics affiliated with educational institutions. The subjects were outpatients attending the clinics. The main outcome measure was the number of reported adverse events. The study was conducted for 5-7 months at each facility between October 2014 and June 2015. Participating acupuncture practitioners were instructed to self-report AEs observed during and after treatment; patients were interviewed upon treatment completion. For returning patients, treatment was preceded by an interview survey regarding the AEs identified after the previous treatment session. A specialized 4-sheet questionnaire was used. Two hundred and thirty-two acupuncture practitioners participated, 2180 patients received treatment, and there were 14,039 sessions, overall. In total, 847 (6.03%) AEs were reported. The most common AEs included subcutaneous bleeding and hematomas (370, 2.64%), followed by discomfort (109, 0.78%) and residual pain at insertion points (94, 0.67%). No infections or serious AEs were reported. Acupuncture and moxibustion performed in educational facilities in Japan were safe because most of the AEs reported were mild and transient. However, the risk cannot be defined definitely because the survey sample size was too small.

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Literature Review on Adverse Events (2012-2015) associated with Acupuncture and Moxibustion

Cited by 2 publications

References 84 publications

Patient- and Therapist-Related Risk Factors for Adverse Events in Acupuncture and Moxibustion in Japan: Multicenter Survey of Acupuncture and Moxibustion Teaching Clinics

Patient- and Therapist-Related Risk Factors for Adverse Events in Acupuncture and Moxibustion in Japan: Multicenter Survey of Acupuncture and Moxibustion Teaching Clinics

A Multicenter Prospective Survey of Adverse Events Associated with Acupuncture and Moxibustion in Japan

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