ArticleEvidence-based complementary and alternative medicine : eCAM2013
Adverse events of acupuncture: a systematic review of case reports.
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.
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.
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.
Evaluation of Acupuncture Effects for Complications After Surgery of Cerebellopontine Angle Tumor in Skull Base
Open-Label Randomized Controlled Trial to Assess Preoperative Acupuncture for Patients Undergoing Total Knee or Hip Arthroplasty
Who cites it
90 citing papers in PubMed, 10 syntheses or guidelines pooled it, 221 citations in OpenAlex.
- Acupuncture-based interventions for blood pressure control and cardiovascular risk-related outcomes in adults with hypertension: a systematic review and meta-analysis of randomized controlled trials.Frontiers in medicine · 2026Pooled it
- Traditional Chinese medicine interventions based on meridian theory for pain relief in patients with primary dysmenorrhea: a systematic review and network meta-analysis.Frontiers in medicine · 2024Pooled it
- Efficacy and Safety of Acupuncture and or Moxibustion for Managing Primary Dysmenorrhea: A Systematic Review and Meta-Analysis.Clinical nursing research · 2022Pooled it
- Efficacy and safety of electrical stimulation for stress urinary incontinence in women: a systematic review and meta-analysis.International urogynecology journal · 2022Pooled it
- Guideline Acupuncture for low back pain: a clinical practice guideline from the Hong Kong taskforce of standardized acupuncture practice.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2022Guideline
- Acupuncture-related adverse events: systematic review and meta-analyses of prospective clinical studies.BMJ open · 2021Pooled it
- Interventions for chronic pruritus of unknown origin.The Cochrane database of systematic reviews · 2020Pooled it
- Acupuncture for hip osteoarthritis.The Cochrane database of systematic reviews · 2018Pooled it
- Safety of Acupuncture: Overview of Systematic Reviews.Scientific reports · 2017Pooled it
- Acupuncture for acute hordeolum.The Cochrane database of systematic reviews · 2017Pooled it
- Trial
- Physiological impact of nanoporous acupuncture needles: Laser Doppler perfusion imaging in healthy volunteers.PloS one · 2019Trial
- Trial
- Observation on the efficacy of combined electrical stimulation in the treatment of incomplete spinal cord injury: a randomized controlled trial.Frontiers in neurologyTrial
- Acupoint Transcutaneous Electrical Nerve Stimulation in Hospitalized COPD Patients with Severe Dyspnoea: A Randomized Controlled Trial.Journal of evidence-based integrative medicineTrial
- Article
- Disseminated Methicillin-Sensitive Staphylococcus aureus (MSSA) Infection After Acupuncture Treatment.Cureus · 2026Article
- Ultrasound-Guided Dextrose Hydrodissection for Mixed Sensory-Motor Wartenberg's Syndrome Following a Healed Scaphoid Fracture: A Case Report.Diagnostics (Basel, Switzerland) · 2026Article
- Article
- Toward precision acupuncture: phlegm-dampness pattern as a candidate metabolic-microbial endotype in posterior circulation ischemic vertigo: a narrative review.Frontiers in neurology · 2026Review
30 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
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
What OpenQuestion holds
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.