دورية أكاديمية
A clinical audit in a UK-based acupuncture private practice: assessing patient demographics, outcomes and experience.
| العنوان: | A clinical audit in a UK-based acupuncture private practice: assessing patient demographics, outcomes and experience. |
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| المؤلفون: | Lowe N; Private Practice, Devon, UK., Permyakova N; Private Practice, Devon, UK., Dutton R; Private Practice, Devon, UK. |
| المصدر: | Acupuncture in medicine : journal of the British Medical Acupuncture Society [Acupunct Med] 2024 Jun; Vol. 42 (3), pp. 166-172. Date of Electronic Publication: 2024 May 03. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publications Country of Publication: England NLM ID: 9304117 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1759-9873 (Electronic) Linking ISSN: 09645284 NLM ISO Abbreviation: Acupunct Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2019- : [London] : SAGE Publications Original Publication: [Warrington, Cheshire] : The Society, |
| مواضيع طبية MeSH: | Acupuncture Therapy* , Private Practice*/statistics & numerical data, Humans ; Female ; Male ; United Kingdom ; Middle Aged ; Adult ; Aged ; Surveys and Questionnaires ; Retrospective Studies ; Treatment Outcome ; Patient Satisfaction ; Young Adult ; Clinical Audit ; Adolescent ; Aged, 80 and over |
| مستخلص: | Objectives: The aim of this clinical audit was to assess patient demographics, outcomes and experience with care in patients who received acupuncture in a private practice setting in the United Kingdom. Methods: Demographic and clinical data were extracted from patients' records over a 7-year period. The Measure Yourself Medical Outcomes Profile (MYMOP) questionnaire and an adapted Patient Global Impression of Change (PGIC) scale were used routinely to monitor patient outcomes over an 18-month period. Finally, a retrospective questionnaire was used to assess patient beliefs regarding treatment effectiveness, adverse events and overall experience with care. Patients not providing consent or known to be deceased were excluded. Results: Data were collected for 306 patients presenting with 376 separate health complaints, 58% of which were musculoskeletal. Follow-up outcomes (MYMOP scores (n = 51) and PGIC scale responses (n = 50)) showed a clinically significant improvement compared to baseline for the majority of health complaints (93% of PGIC scores were 'improved' and 79% MYMOP demonstrated > 1 point change). Total mean MYMOP severity scores were reduced by almost 50% (p < 0.001) after 1-4 weeks, and this was sustained in the medium-to-long term. There was a strong negative correlation (r = -0.767, p < 0.001) between the MYMOP and PGIC scores. A total of 118 health complaints were reported by 85/255 patients who responded to a retrospective questionnaire. Over 84% of patients believed that the treatments they received were 'effective' at addressing their health complaints. Seven minor adverse events were reported and four patients experienced negative treatment outcomes. Conclusions: Although musculoskeletal conditions were the most common, this audit found that patients sought treatment for a wide range of predominantly chronic health complaints, for many of which there is a currently a lack of quality evidence to support the use of acupuncture. Overall, the small sample of patients who responded to outcome questionnaires reported clinically meaningful and sustained improvements. Competing Interests: Declaration of conflicting interestsThe authors declared the following potential conflicts of interest with respect to the research, authorship and/or publication of this article: NL and RD each receives an affiliate commission for subscribers to the ACU-Track Clinical Registry (an ePROMs system for acupuncture practice). NP is an independent statistician and has no conflict of interest to declare. |
| فهرسة مساهمة: | Keywords: acupuncture; clinical audit; patient-reported outcomes; pragmatic |
| تواريخ الأحداث: | Date Created: 20240504 Date Completed: 20240607 Latest Revision: 20240607 |
| رمز التحديث: | 20240607 |
| DOI: | 10.1177/09645284241248470 |
| PMID: | 38702874 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1759-9873 |
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| DOI: | 10.1177/09645284241248470 |