Document Detail


A cumulative review of the range and incidence of significant adverse events associated with acupuncture.
MedLine Citation:
PMID:  15551936     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To summarise the range and frequency of significant adverse events associated with acupuncture in order to provide evidence on which to base continuing efforts to improve the safety of acupuncture practice. METHODS: Searches were conducted of computerised databases, previous reviews of case reports, population surveys, prospective surveys of acupuncture practice and relevant sections of textbooks for primary and secondary reports to indicate the range of significant adverse events associated with acupuncture. Data from prospective surveys of acupuncture were combined to estimate the incidence of serious adverse events. RESULTS: A total of 715 adverse events was included. There were 90 primary reports of trauma, and 186 secondary reports; the most common were pneumothorax and injury to the central nervous system. Infection accounted for 204 primary reports and 91 secondary reports. Over 60% of these cases were hepatitis B. The next most common infection was of the external ear, as a complication of auricular acupuncture. The 144 miscellaneous events mainly comprised seizures and drowsiness judged severe enough to cause a traffic hazard. There were 12 primary reports of deaths. According to the evidence from 12 prospective studies which surveyed more than a million treatments, the risk of a serious adverse event with acupuncture is estimated to be 0.05 per 10 000 treatments, and 0.55 per 10 000 individual patients. CONCLUSIONS: The risk of serious events occurring in association with acupuncture is very low, below that of many common medical treatments. The range of adverse events reported is wide and some events, specifically trauma and some episodes of infection, are likely to be avoidable.
Authors:
Adrian White
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Acupuncture in medicine : journal of the British Medical Acupuncture Society     Volume:  22     ISSN:  0964-5284     ISO Abbreviation:  Acupunct Med     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-11-19     Completed Date:  2004-12-21     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9304117     Medline TA:  Acupunct Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  122-33     Citation Subset:  IM    
Affiliation:
Peninsula Medical School, Plymouth, UK. adrian.white@pms.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Acupuncture Therapy / adverse effects*,  methods,  statistics & numerical data*
Central Nervous System Diseases / etiology
Humans
Incidence
Infection / etiology
Pneumothorax / etiology
Prospective Studies
Research Design
Risk Assessment
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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