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Open Access

P02.176. Acupuncture for symptom management in hemodialysis patients: a prospective, observational pilot study

  • K Kim3,
  • T Kim1,
  • J Kang2,
  • M Lee1,
  • J Kim2,
  • M Shin1,
  • S Jung1,
  • A Kim1,
  • K Kang1,
  • S Choi1,
  • G Yang3 and
  • S Noh3
BMC Complementary and Alternative MedicineThe official journal of the International Society for Complementary Medicine Research (ISCMR)201212(Suppl 1):P232

https://doi.org/10.1186/1472-6882-12-S1-P232

Published: 12 June 2012

Purpose

Patients undergoing hemodialysis suffer from a variety of complications related to end-stage renal disease. This prospective, observational pilot study aims to determine the feasibility, safety, and possible benefits of acupuncture for symptom management in patients undergoing hemodialysis.

Methods

Twenty-four patients undergoing hemodialysis received acupuncture treatment for their symptoms. Manually stimulated, individualized acupuncture treatments were provided twice a week for 6 consecutive weeks on a nondialysis day or on the day of hemodialysis prior to initiating treatment. Symptoms were evaluated using the Measure Your Medical Outcome Profiles 2 Questionnaire, and quality of life was measured by the Kidney Disease Quality of Life-Short Form (KDQOL-SF™) Version 1.3 at baseline, 7 weeks and 11 weeks from baseline. Statistical analysis was conducted on the basis of the intention-to-treat principle.

Results

Twenty-one patients (87%) completed the whole treatment course and follow-up evaluation. Three patients dropped out due to increased fatigue (n=1), pancreatic and renal transplantation (n=1), and infections of the ateriovenous fistula used for hemodialysis access (n=1). Patients experienced a significant improvement of symptoms considered the most bothersome, reporting a decrease of 1.87 and 2.08 points on a 0-6 symptom scale at 7 weeks and 11 weeks, respectively (both p<0.0001). Some subscales of KDQOL-SF(™) showed significant improvement at 7 weeks (effects of kidney disease, burden of kidney disease, role-limitations physical, emotional well-being, and energy/fatigue) and 11 weeks (physical functioning and energy/fatigue). No serious adverse events related to acupuncture occurred.

Conclusion

Acupuncture seems feasible and safe for symptom management in patients undergoing hemodialysis. Future controlled trials are needed to confirm the benefits of acupuncture.

Authors’ Affiliations

(1)
Korea Institute of Oriental Medicine
(2)
Kyung Hee University
(3)
School of Korean Medicine, Pusan National University

Copyright

© Kim et al; licensee BioMed Central Ltd. 2012

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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