背景:众所周知,由训练有素的临床医生进行针灸治疗是一种无害的治疗方法。然而,与针灸治疗相关的多例创伤性不良事件(AEs)报告继续在文献中发表.在这次审查中,我们评估了报告质量,并对在韩国报告针灸相关创伤性AE的案例研究进行了因果关系评估.
方法:从开始到2024年1月共检索了8个数据库。仅在没有任何语言限制的情况下,纳入了在针灸手术后报告创伤性AE的韩国案例研究。报告质量根据患者特征进行评估,AEs,和针灸实践。使用修改后的WHO-UMC因果关系标准评估因果关系。
结果:共纳入1,154项确定的研究中的28项研究。纳入研究的报告质量总体较低。虽然对患者特征和不良事件的描述相对详细,大多数关于针灸实践的信息根本没有报告。在因果关系评估中,只有三项(10.7%)研究被认为是“确定的”。12项(42.9%)研究“无法评估”,因为它们不足以描述决策所需的信息。实际上很难确定针灸和AE之间的因果关系,以及针灸实践的适当性。
结论:在大多数报告针灸相关创伤性AE的案例研究中,观察到报告不足和不适当。为了克服这些限制,我们以一组项目的形式提出了暂定指南,这些项目应由未来的作者报告,这些作者计划在临床环境中发表针灸相关创伤性AE的案例研究.
BACKGROUND: Acupuncture is known for a harmless treatment when administered by well-trained clinicians. However, multiple
case reports of traumatic adverse events (AEs) related to acupuncture treatments continue to be published in literature. In this review, we evaluated the reporting quality and conducted causality assessments of
case studies that have reported acupuncture-related traumatic AEs in Korea.
METHODS: Eight databases were searched from their inception to January 2024. Only Korean
case studies that reported traumatic AEs following acupuncture procedures were included without any language restrictions. Reporting quality was evaluated based on patient characteristics, AEs, and acupuncture practice. Causality was assessed using the modified WHO-UMC causality criteria.
RESULTS: Twenty-eight studies were included from a total of 1,154 identified studies. The quality of reporting in the included studies was low overall. While the descriptions of patient characteristics and AEs were relatively well detailed, most information on acupuncture practice was not reported at all. During the causality assessment, only three (10.7%) studies were judged to be \"certain\". Twelve (42.9%) studies were \"unassessable\" because they inadequately described the information necessary for decision-making. It was practically difficult to establish the causality between acupuncture and AEs, as well as the appropriateness of acupuncture practice.
CONCLUSIONS: Insufficient and inappropriate reporting was observed in most
case studies reporting acupuncture-related traumatic AEs in Korea. To overcome these limitations, we have suggested tentative guidelines in the form of a set of items that should be reported by future authors who plan to publish
case studies on acupuncture-related traumatic AEs in a clinical setting.