Safety and side effects of acupuncture therapy in Australia: A systematic review

Article

Wang, Carol Chunfeng, Tan, Jing-Yu and Williams, Anne. 2019. "Safety and side effects of acupuncture therapy in Australia: A systematic review." European Journal of Integrative Medicine. 27, pp. 81-89. https://doi.org/10.1016/j.eujim.2019.03.004
Article Title

Safety and side effects of acupuncture therapy in Australia: A systematic review

ERA Journal ID124561
Article CategoryArticle
AuthorsWang, Carol Chunfeng, Tan, Jing-Yu and Williams, Anne
Journal TitleEuropean Journal of Integrative Medicine
Journal Citation27, pp. 81-89
Number of Pages9
Year2019
PublisherElsevier
Place of PublicationGermany
ISSN1876-3820
1876-3839
Digital Object Identifier (DOI)https://doi.org/10.1016/j.eujim.2019.03.004
Web Address (URL)https://www.sciencedirect.com/science/article/pii/S1876382018309946
Abstract

Introduction: The tremendous popularity of acupuncture in Australia demands continual safety assessment. This review aimed to determine the characteristics of acupuncture related adverse events, analyse their possible causes, and inform future research and practice.

Methods: Across 8 databases, all types of clinical trials, surveys, and case reports from 2012 to 2018 reporting adverse events associated with the use of acupuncture in Australia on human subjects were systematically reviewed. Types of acupuncture including manual acupuncture, electro acupuncture and laser acupuncture. Incidence and form of acupuncture related adverse events were the key outcomes of this study. In addition, the quality of adverse events reporting and the likelihood of causality were examined by two reviewers and checked by two experts specialised in acupuncture.

Results: The 17 analysed studies encompassed ten randomised controlled trials, two nonrandomised controlled trials, three uncontrolled clinical trials, and two case reports, with a total of 1160 participants receiving true acupuncture. Feelings of dizziness, fatigue and nausea were the most common adverse events identified in our review across all acupuncture modalities.

Conclusions: Acupuncture is generally a safe modality and serious adverse events after treatment are uncommon when supported with well-established guidelines and practiced by licensed, qualified practitioners.

KeywordsAcupuncture; Adverse effect; Adverse event; Risk; Safety; Side effect; Systematic review
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420899. Traditional, complementary and integrative medicine not elsewhere classified
420599. Nursing not elsewhere classified
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Byline AffiliationsEdith Cowan University
Charles Darwin University
Murdoch University
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Tan, Jing-Yu, Yorke, Janelle, Harle, Amelie, Smith, Jacky, Blackhall, Fiona, Pilling, Mark and Molassiotis, Alex. 2017. "Assessment of Breathlessness in Lung Cancer: Psychometric Properties of the Dyspnea-12 Questionnaire." Journal of Pain and Symptom Management. 53 (2), pp. 208-215. https://doi.org/10.1016/j.jpainsymman.2016.08.009
Effectiveness of disease-specific self-management education on health outcomes in patients with chronic obstructive pulmonary disease: An updated systematic review and meta-analysis
Wang, Tao, Tan, Jing-Yu, Xiao, Lily Dongxia and Deng, Renli. 2017. "Effectiveness of disease-specific self-management education on health outcomes in patients with chronic obstructive pulmonary disease: An updated systematic review and meta-analysis." Patient Education and Counseling. 100 (8), pp. 1432-1446. https://doi.org/10.1016/j.pec.2017.02.026
Acupoints Stimulation for Anxiety and Depression in Cancer Patients: A Quantitative Synthesis of Randomized Controlled Trials
Wang, Tao, Deng, Renli, Tan, Jing-Yu and Guan, Feng-Guang. 2016. "Acupoints Stimulation for Anxiety and Depression in Cancer Patients: A Quantitative Synthesis of Randomized Controlled Trials." Evidence-Based Complementary and Alternative Medicine. 2016. https://doi.org/10.1155/2016/5645632
Current evidence on traditional Chinese exercises for cancer-related fatigue: a quantitative synthesis of randomized controlled trials
Ma, Hai-Li, Tan, Jing-Yu, Yang, Liu, Huang, Tao and Liao, Qiao-Jing. 2016. "Current evidence on traditional Chinese exercises for cancer-related fatigue: a quantitative synthesis of randomized controlled trials." European Journal of Integrative Medicine. 8 (5), pp. 707-714. https://doi.org/10.1016/j.eujim.2016.05.007
Psychometric assessment of the Chinese version of the MASCC Antiemesis Tool (MAT) for measuring chemotherapy-induced nausea and vomiting
Tan, Jing-Yu, Suen, Lorna and Molassiotis, Alex. 2016. "Psychometric assessment of the Chinese version of the MASCC Antiemesis Tool (MAT) for measuring chemotherapy-induced nausea and vomiting." Supportive Care in Cancer. 24 (9), pp. 3729 - 3737. https://doi.org/10.1007/s00520-016-3181-7
Auricular therapy for chronic pain management in adults: A synthesis of evidence
Zhao, Hong-Jia, Tan, Jing-Yu, Wang, Tao and Jin, Lang. 2015. "Auricular therapy for chronic pain management in adults: A synthesis of evidence." Complementary Therapies in Clinical Practice. 21 (2), pp. 68-78. https://doi.org/10.1016/j.ctcp.2015.03.006
Interventions for cough in cancer
Molassiotis, Alex, Bailey, Chris, Caress, Ann and Tan, Jing-Yu. 2015. "Interventions for cough in cancer." Cochrane Database of Systematic Reviews. 2015 (5). https://doi.org/10.1002/14651858.CD007881.pub3
Nurse-led educational interventions on cancer pain outcomes for oncology outpatients: A systematic review
Zhou, L., Liu, X.-L., Tan, J.-Y., Yu, H.-P., Pratt, J. and Peng, Y.-Q.. 2015. "Nurse-led educational interventions on cancer pain outcomes for oncology outpatients: A systematic review." International Nursing Review. 62 (2), pp. 218-230. https://doi.org/10.1111/inr.12172
Sham acupressure controls used in randomized controlled trials: A systematic review and critique
Tan, Jing-Yu, Suen, Lorna K. P., Wang, Tao and Molassiotis, Alexander. 2015. "Sham acupressure controls used in randomized controlled trials: A systematic review and critique." PLoS One. 10 (7). https://doi.org/10.1371/journal.pone.0132989
Acupuncture-Point Stimulation for Postoperative Pain Control: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Liu, Xian-Liang, Tan, Jing-Yu, Molassiotis, Alex, Suen, Lorna and Shi, Yan. 2015. "Acupuncture-Point Stimulation for Postoperative Pain Control: A Systematic Review and Meta-Analysis of Randomized Controlled Trials." Evidence-Based Complementary and Alternative Medicine. 2015. https://doi.org/10.1155/2015/657809
Effectiveness of home-based pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: A meta-analysis of randomized controlled trials
Liu, Xian-Liang, Tan, Jing-Yu, Wang, Tao, Zhang, Qi, Zhang, Min, Yao, Li-Qun and Chen, Jin-Xiu. 2014. "Effectiveness of home-based pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: A meta-analysis of randomized controlled trials." Rehabilitation Nursing. 39 (1), pp. 36-59. https://doi.org/10.1002/rnj.112
Adverse events of auricular therapy: A systematic review
Tan, Jing-Yu, Molassiotis, Alexander, Wang, Tao and Suen, Lorna K. P.. 2014. "Adverse events of auricular therapy: A systematic review." Evidence-Based Complementary and Alternative Medicine. 2014 (2014). https://doi.org/10.1155/2014/506758
Current evidence on auricular therapy for chemotherapy-induced nausea and vomiting in cancer patients: A systematic review of randomized controlled trials
Tan, Jing-Yu, Molassiotis, Alexander, Wang, Tao and Suen, Lorna K. P.. 2014. "Current evidence on auricular therapy for chemotherapy-induced nausea and vomiting in cancer patients: A systematic review of randomized controlled trials." Evidence-Based Complementary and Alternative Medicine. 2014 (2014). https://doi.org/10.1155/2014/430796
Progress towards the development of animal models of chemotherapy-induced gastrointestinal mucositis
Zhang, Min, Chen, Jin-Xiu, Tan, Jing-Yu and Liu, Xian-Liang. 2012. "Progress towards the development of animal models of chemotherapy-induced gastrointestinal mucositis." World Chinese Journal of Digestology. 20 (8), pp. 649-655. https://doi.org/10.11569/wcjd.v20.i8.649