Update of Adverse Events Associated with Acupuncture and Moxibustion in Japan (1998-2002) and Controversy over Infection Control in Acupuncture Treatment

仁, 山下; 雅人, 江川; 高士, 楳田; 俊和, 宮本; 直人, 石崎; 秀一, 形井

doi:10.3777/jjsam.54.55

Cited by 7 publications

(2 citation statements)

References 8 publications

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“…Between the 1980s and 2002, approximately 120 published articles reported 150 adverse events in acupuncture practice in Japan ( Table 1 ) ( 16 , 17 ). Adverse event is defined as an unfavorable medical event that occurs during or after the treatment regardless of causal relationship ( 18 ).…”

Section: Published Case Reports On Adverse Events In Japanese Acupuncmentioning

confidence: 99%

Safety of Acupuncture Practice in Japan: Patient Reactions, Therapist Negligence and Error Reduction Strategies

Yamashita

Tsukayama

2007

Evidence-Based Complementary and Alternative Medicine

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Evidence-based approach on the safety of acupuncture had been lagging behind both in the West and the East, but reliable data based on some prospective surveys were published after the late 1990s. In the present article, we, focusing on ‘Japanese acupuncture’, review relevant case reports and prospective surveys on adverse events in Japan, assess the safety of acupuncture practice in this country, and suggest a strategy for reducing the therapists’ error. Based on the prospective surveys, it seems reasonable to suppose that serious adverse events are rare in standard practice by adequately trained acupuncturists, regardless of countries or modes of practice. Almost all of adverse reactions commonly seen in acupuncture practice—such as fatigue, drowsiness, aggravation, minor bleeding, pain on insertion and subcutaneous hemorrhage—are mild and transient, although we should be cautious of secondary injury following drowsiness and needle fainting. After demonstrating that acupuncture is inherently safe, we have been focusing on how to reduce the risk of negligence in Japan, as well as educating acupuncturists more about safe depth of insertion and infection control. Incident reporting and feedback system is a useful strategy for reducing therapist errors such as forgotten needles. For the benefit of acupuncture patients in Japan, it is important to establish mandatory postgraduate clinical training and continued education system.

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Section: Published Case Reports On Adverse Events In Japanese Acupuncmentioning

confidence: 99%

Safety of Acupuncture Practice in Japan: Patient Reactions, Therapist Negligence and Error Reduction Strategies

Yamashita

Tsukayama

2007

Evidence-Based Complementary and Alternative Medicine

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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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Pneumothorax associated with acupuncture: A systematic review and analysis

Ying

Wang

et al. 2016

Acupuncture and Related Therapies

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Update of Adverse Events Associated with Acupuncture and Moxibustion in Japan (1998-2002) and Controversy over Infection Control in Acupuncture Treatment

Cited by 7 publications

References 8 publications

Safety of Acupuncture Practice in Japan: Patient Reactions, Therapist Negligence and Error Reduction Strategies

Safety of Acupuncture Practice in Japan: Patient Reactions, Therapist Negligence and Error Reduction Strategies

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

Pneumothorax associated with acupuncture: A systematic review and analysis

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