Table 6 Recommendation items for case reports on acupuncture-related traumatic adverse events
Required | Desirable | |
|---|---|---|
Characteristic of patients | ||
Demographic data | Age, sex, social history (alcohol, smoking, job, etc.) | Height, Weight, or Body Mass Index (BMI) |
Medical information | Underlying diseases with duration | Dosage of medication and other treatments (anticoagulation, radiotherapy, etc.) |
Consideration for individual risk factors for AEs | Consideration on possibility of spontaneous occurrence and other traumatic history | Individual vulnerability (sternal foramen, weight loss, cardiomegaly, chronic obstructive pulmonary disease, vascular malformation, etc.) |
Description regarding adverse events | ||
Time relation between last acupuncture treatment and onset of symptom | Duration between last acupuncture treatment and onset of AE symptom | Specific timeline of last acupuncture treatment, onset of AE symptom, and diagnosis of AE |
Radiologic or pathologic findings | Radiologic or pathologic findings | Radiological evidence indicating distance between needling site and trauma lesion |
Clinical outcomes | Clinical diagnosis and medical management | Clinical outcome with follow-up (after a few weeks or years, whether there is recurrence or not) |
Explanation of the association between needling site and lesion | Anatomical location | Points using WHO standard acupuncture point locations |
Causality | Causality assessment using WHO-UMC criteria | Appraisal of the appropriateness of acupuncture |
Description of acupuncture practice | ||
Type of practitioner | Certification of practitioner with affiliation (local, hospital, unauthorized office) | Clinical training and experience period |
Acupuncture type | Needle length | Needle diameter |
Acupuncture points | Anatomical location | Name of acupuncture points with numbers of needles |
Acupuncture stimulation | Depth and direction of insertion | Stimulation method (rotation, lift-thrust, respiration) |
Posture of patient | Posture during treatment | Posture shift during treatment |
Treatment regimen | Number of sessions | Concurrent treatment (chuna manual therapy, spinal manipulation, electroacupuncture, pharmaco-acupuncture, etc.) |
Others | ||
Title | Include acupuncture type (manual acupuncture, electroacupuncture, auricular acupuncture, etc.) and AEs | Include type of adverse events such as trauma or injury |
Author | Consult Korean Medicine doctor for the procedure of acupuncture treatment | Include qualified Korean Medicine doctor as authors |
Discussion | Discussion of previous reports of adverse events, disease specific characteristics, and other patient related risk factors | Based on appraisal of causality assessment and appropriateness of acupuncture in neutral attitude |