Safety of Acupuncture: Overview of Systematic Reviews

Abstract Acupuncture is increasingly used worldwide. It is becoming more accepted by both patients and healthcare providers. However, the current understanding of its adverse events (AEs) is fragmented. We conducted this overview to collect all systematic reviews (SRs) on the AEs of acupuncture and...

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Autores principales:	Malcolm W. C. Chan, Xin Yin Wu, Justin C. Y. Wu, Samuel Y. S. Wong, Vincent C. H. Chung
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/90a501975ed34553943823d032ee5aa8
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spelling	oai:doaj.org-article:90a501975ed34553943823d032ee5aa82021-12-02T11:40:23ZSafety of Acupuncture: Overview of Systematic Reviews10.1038/s41598-017-03272-02045-2322https://doaj.org/article/90a501975ed34553943823d032ee5aa82017-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-03272-0https://doaj.org/toc/2045-2322Abstract Acupuncture is increasingly used worldwide. It is becoming more accepted by both patients and healthcare providers. However, the current understanding of its adverse events (AEs) is fragmented. We conducted this overview to collect all systematic reviews (SRs) on the AEs of acupuncture and related therapies. MEDLINE and EMBASE were searched from inception to December 2015. Methodological quality of included reviews was assessed with a validated instrument. Evidence was narratively reported. Seventeen SRs covering various types of acupuncture were included. Methodological quality of the reviews was overall mediocre. Four major categories of AEs were identified, which are organ or tissue injuries (13 reviews, median: 36 cases, median deaths: 4), infections (11 reviews, median: 17 cases, median deaths: 0.5), local AEs or reactions (12 reviews, median: 8.5 cases, no deaths were reported), and other complications such as dizziness or syncope (11 reviews, median: 21 cases, no deaths were reported). Minor and serious AEs can occur during the use of acupuncture and related modalities, contrary to the common impression that acupuncture is harmless. Serious AEs are rare, but need significant attention as mortality can be associated with them. Referrals should consider acupuncturists’ training credibility, and patient safety should be a core part of acupuncture education.Malcolm W. C. ChanXin Yin WuJustin C. Y. WuSamuel Y. S. WongVincent C. H. ChungNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-11 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Malcolm W. C. Chan Xin Yin Wu Justin C. Y. Wu Samuel Y. S. Wong Vincent C. H. Chung Safety of Acupuncture: Overview of Systematic Reviews
description	Abstract Acupuncture is increasingly used worldwide. It is becoming more accepted by both patients and healthcare providers. However, the current understanding of its adverse events (AEs) is fragmented. We conducted this overview to collect all systematic reviews (SRs) on the AEs of acupuncture and related therapies. MEDLINE and EMBASE were searched from inception to December 2015. Methodological quality of included reviews was assessed with a validated instrument. Evidence was narratively reported. Seventeen SRs covering various types of acupuncture were included. Methodological quality of the reviews was overall mediocre. Four major categories of AEs were identified, which are organ or tissue injuries (13 reviews, median: 36 cases, median deaths: 4), infections (11 reviews, median: 17 cases, median deaths: 0.5), local AEs or reactions (12 reviews, median: 8.5 cases, no deaths were reported), and other complications such as dizziness or syncope (11 reviews, median: 21 cases, no deaths were reported). Minor and serious AEs can occur during the use of acupuncture and related modalities, contrary to the common impression that acupuncture is harmless. Serious AEs are rare, but need significant attention as mortality can be associated with them. Referrals should consider acupuncturists’ training credibility, and patient safety should be a core part of acupuncture education.
format	article
author	Malcolm W. C. Chan Xin Yin Wu Justin C. Y. Wu Samuel Y. S. Wong Vincent C. H. Chung
author_facet	Malcolm W. C. Chan Xin Yin Wu Justin C. Y. Wu Samuel Y. S. Wong Vincent C. H. Chung
author_sort	Malcolm W. C. Chan
title	Safety of Acupuncture: Overview of Systematic Reviews
title_short	Safety of Acupuncture: Overview of Systematic Reviews
title_full	Safety of Acupuncture: Overview of Systematic Reviews
title_fullStr	Safety of Acupuncture: Overview of Systematic Reviews
title_full_unstemmed	Safety of Acupuncture: Overview of Systematic Reviews
title_sort	safety of acupuncture: overview of systematic reviews
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/90a501975ed34553943823d032ee5aa8
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Safety of Acupuncture: Overview of Systematic Reviews

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