PMID- 25569219
OWN - NLM
STAT- MEDLINE
DCOM- 20160606
LR  - 20160923
IS  - 1536-5409 (Electronic)
IS  - 0749-8047 (Linking)
VI  - 31
IP  - 10
DP  - 2015 Oct
TI  - Adverse Events Related to Acupuncture: Development and Testing of a Rating Scale.
PG  - 922-8
LID - 10.1097/AJP.0000000000000189 [doi]
AB  - OBJECTIVES: Mild adverse events (AEs) are common with acupuncture, but the 
      collection of AEs is generally poor. The objective of this study was to develop 
      and test a new instrument for acupuncture-related AEs. MATERIALS AND METHODS: 
      After literature review, consultation with experts, and pilot-testing, the 
      acupuncture-related AE report form (AcupAE), a 20-item scale on local and 
      systemic AEs was tested in 150 adults who were randomized to receive acupuncture, 
      minimal acupuncture, and placebo acupuncture. AE was assessed using open-ended 
      questioning, followed by the AcupAE after the third, sixth, and ninth treatment. 
      RESULTS: The incidence of any AEs per patient, as derived from the AcupAE, was 
      42.4% with acupuncture, 42.2% with minimal acupuncture, and 16.7% with placebo 
      acupuncture; the respective incidence was 6.8%, 5.1%, and 3.3% with open-ended 
      questioning. There was a significant difference in the incidence of any AEs 
      between the 3 groups based on the AcupAE, and the incidence rates of any AEs were 
      significantly higher when assessed by the AcupAE than by open-ended questioning 
      in the acupuncture and minimal acupuncture groups. DISCUSSION: The AcupAE was 
      able to detect differences in AE between true, minimal, and simulated 
      acupuncture, whereas the open-ended questioning was not sensitive enough. The 
      results support the use of AcupAE as an effective instrument for the assessment 
      of acupuncture-related AEs. Although the checklist approach can result in 
      overreporting and the causality may be unclear for some events, it is the first 
      step for collecting standardized information and allowing comparison between 
      different acupuncture approaches and patient groups in future studies.
FAU - Chung, Ka-Fai
AU  - Chung KF
AD  - *Department of Psychiatry daggerSchool of Chinese Medicine, University of Hong Kong 
      double daggerSchool of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China.
FAU - Yeung, Wing-Fai
AU  - Yeung WF
FAU - Yu, Yee-Man
AU  - Yu YM
FAU - Kwok, Chi-Wa
AU  - Kwok CW
FAU - Zhang, Shi-Ping
AU  - Zhang SP
FAU - Zhang, Zhang-Jin
AU  - Zhang ZJ
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Clin J Pain
JT  - The Clinical journal of pain
JID - 8507389
SB  - IM
MH  - Acupuncture Therapy/*adverse effects
MH  - Adult
MH  - Female
MH  - Hemorrhage/etiology
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Pain
MH  - Severity of Illness Index
EDAT- 2015/01/09 06:00
MHDA- 2016/06/09 06:00
CRDT- 2015/01/09 06:00
PHST- 2015/01/09 06:00 [entrez]
PHST- 2015/01/09 06:00 [pubmed]
PHST- 2016/06/09 06:00 [medline]
AID - 10.1097/AJP.0000000000000189 [doi]
PST - ppublish
SO  - Clin J Pain. 2015 Oct;31(10):922-8. doi: 10.1097/AJP.0000000000000189.