PMID- 34976277
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220104
IS  - 1933-6586 (Print)
IS  - 1933-6594 (Electronic)
IS  - 1933-6586 (Linking)
VI  - 33
IP  - 6
DP  - 2021 Dec 1
TI  - Patient- and Therapist-Related Risk Factors for Adverse Events in Acupuncture and 
      Moxibustion in Japan: Multicenter Survey of Acupuncture and Moxibustion Teaching 
      Clinics.
PG  - 435-442
LID - 10.1089/acu.2021.0024 [doi]
AB  - 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.
CI  - (c)Akihito Uehara et al. 2021; Published by Mary Ann Liebert, Inc.
FAU - Uehara, Akihito
AU  - Uehara A
AUID- ORCID: 0000-0001-5736-3724
AD  - Department of Hygiene, Public Health and Preventive Medicine, Showa University 
      School of Medicine, Shinagawa-ku, Tokyo, Japan.
AD  - Kuretake College of Medical Arts and Sciences, Oriental Medicine Clinical 
      Institute, Shinjuku-ku, Tokyo, Japan.
FAU - Yoshimoto, Takahiko
AU  - Yoshimoto T
AD  - Department of Hygiene, Public Health and Preventive Medicine, Showa University 
      School of Medicine, Shinagawa-ku, Tokyo, Japan.
FAU - Kaneko, Yasuhisa
AU  - Kaneko Y
AD  - Kuretake College of Medical Arts and Sciences, Oriental Medicine Clinical 
      Institute, Shinjuku-ku, Tokyo, Japan.
FAU - Ochiai, Hirotaka
AU  - Ochiai H
AD  - Department of Hygiene, Public Health and Preventive Medicine, Showa University 
      School of Medicine, Shinagawa-ku, Tokyo, Japan.
FAU - Shirasawa, Takako
AU  - Shirasawa T
AD  - Department of Hygiene, Public Health and Preventive Medicine, Showa University 
      School of Medicine, Shinagawa-ku, Tokyo, Japan.
FAU - Minoura, Akira
AU  - Minoura A
AD  - Department of Hygiene, Public Health and Preventive Medicine, Showa University 
      School of Medicine, Shinagawa-ku, Tokyo, Japan.
FAU - Den, Hiroki
AU  - Den H
AD  - Department of Hygiene, Public Health and Preventive Medicine, Showa University 
      School of Medicine, Shinagawa-ku, Tokyo, Japan.
FAU - Sakamoto, Ayumi
AU  - Sakamoto A
AD  - Department of Hygiene, Public Health and Preventive Medicine, Showa University 
      School of Medicine, Shinagawa-ku, Tokyo, Japan.
FAU - Kokaze, Akatsuki
AU  - Kokaze A
AD  - Department of Hygiene, Public Health and Preventive Medicine, Showa University 
      School of Medicine, Shinagawa-ku, Tokyo, Japan.
LA  - eng
PT  - Journal Article
DEP - 20211216
PL  - United States
TA  - Med Acupunct
JT  - Medical acupuncture
JID - 100899009
PMC - PMC8716478
OTO - NOTNLM
OT  - Japan
OT  - acupuncture
OT  - adverse events
OT  - logistic regression analysis
OT  - retrospective study
OT  - risk factor
COIS- No competing financial interests exist.
EDAT- 2022/01/04 06:00
MHDA- 2022/01/04 06:01
PMCR- 2021/12/16
CRDT- 2022/01/03 05:41
PHST- 2022/01/03 05:41 [entrez]
PHST- 2022/01/04 06:00 [pubmed]
PHST- 2022/01/04 06:01 [medline]
PHST- 2021/12/16 00:00 [pmc-release]
AID - 10.1089/acu.2021.0024 [pii]
AID - 10.1089/acu.2021.0024 [doi]
PST - ppublish
SO  - Med Acupunct. 2021 Dec 1;33(6):435-442. doi: 10.1089/acu.2021.0024. Epub 2021 Dec 
      16.