Evidence map›Paper›PMID 23573135›Full record

ArticleEvidence-based complementary and alternative medicine : eCAM2013

Adverse events of acupuncture: a systematic review of case reports.

Shifen Xu, Lizhen Wang, Emily Cooper, Ming Zhang, Eric Manheimer, Brian Berman, Xueyong Shen, Lixing Lao

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Evidence-based complementary and alternative medicine : eCAM, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 90 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 10 pooled it
38.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04249921 unknown statusnot on this mapstarted 2019, after this paper: background citation

Evaluation of Acupuncture Effects for Complications After Surgery of Cerebellopontine Angle Tumor in Skull Base

TypeobservationalSponsorTaipei Veterans General Hospital, TaiwanRan2019 to 2020Enrolled32ConditionsAcupuncture, Tumor, Brain, Skull Base Tumor, Cerebellopontine Angle Tumor
NCT06099223 nacompletednot on this mapstarted 2022, after this paper: background citation

Open-Label Randomized Controlled Trial to Assess Preoperative Acupuncture for Patients Undergoing Total Knee or Hip Arthroplasty

TypeinterventionalSponsorHartford HospitalRan2022 to 2023Enrolled60ConditionsKnee Arthropathy, Hip Arthropathy, AnxietyArmsAcupuncture needles
3 · Its place in the literature

Who cites it

90 citing papers in PubMed, 10 syntheses or guidelines pooled it, 221 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Guideline
  6. Pooled it
  7. Interventions for chronic pruritus of unknown origin.The Cochrane database of systematic reviews · 2020
    Pooled it
  8. Acupuncture for hip osteoarthritis.The Cochrane database of systematic reviews · 2018
    Pooled it
  9. Pooled it
  10. Acupuncture for acute hordeolum.The Cochrane database of systematic reviews · 2017
    Pooled it
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Article
  17. Article
  18. Article
  19. Infection and drug resistance · 2026
    Article
  20. Review

30 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Shifen XuAcupuncture Department, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai 200071, China ; Center for Integrative Medicine, School of Medicine, University of Maryland, East Hall, 520 W. Lombard Street, Baltimore, MD 21201, USA.
Lizhen Wang
Emily Cooper
Ming Zhang
Eric Manheimer
Brian Berman
Xueyong Shen
Lixing Lao
University of Maryland, Baltimore · USShanghai Chest Hospital · CNShanghai Traditional Chinese Medicine Hospital · CNShanghai University of Traditional Chinese Medicine · CN

Funding

Cochrane Complementary Medicine Field: Resource for ResearchR24AT001293 · NCCIH · UNIVERSITY OF MARYLAND BALTIMORE · PI BERMAN, BRIAN M, WIELAND, LISA SUSAN · 2003 to 2022
$9.4M
NCCIH NIH HHS R24 AT001293
6 · The paper itself

Abstract

Acupuncture, moxibustion, and cupping, important in traditional Eastern medicine, are increasingly used in the West. Their widening acceptance demands continual safety assessment. This review, a sequel to one our team published 10 years ago, is an evaluation of the frequency and severity of adverse events (AEs) reported for acupuncture, moxibustion, and cupping between 2000 and 2011. Relevant English-language reports in six databases were identified and assessed by two reviewers. During this 12-year period, 117 reports of 308 AEs from 25 countries and regions were associated with acupuncture (294 cases), moxibustion (4 cases), or cupping (10 cases). Country of occurrence, patient's sex and age, and outcome were extracted. Infections, mycobacterial, staphylococcal, and others, were the main complication of acupuncture. In the previous review, we found the main source of infection to be hepatitis, caused by reusable needles. In this review, we found the majority of infections to be bacterial, caused by skin contact at acupoint sites; we found no cases of hepatitis. Although the route of infection had changed, infections were still the major complication of acupuncture. Clearly, guidelines such as Clean Needle Technique must be followed in order to minimize acupuncture AEs.

Identifiers

PMID23573135
PMCPMC3616356
OpenAlexW2024840353

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.