The Effectiveness and the Safety of Acupuncture for Symptomatic Care of Hemodialysis Patients: A Case-series
Hemodialysis-dependent patients with an end-stage renal disease (ESRD) suffer from a number of distressing symptoms, such as pain, poor mental health, fatigue, sleep disturbance and pruritus. These negatively influence health-related quality of life in ESRD patients, and some of them result in increased mortality and hospitalization. Acupuncture is a widely employed treatment on several chronic disease or condition. Adjunctive use of acupuncture with conventional treatment could be a possible therapeutic option to establish an optimal care for ESRD patients who experiences co-morbid conditions or complications of hemodialysis. Due to its non-pharmacologic feature, the effects of acupuncture without involving altered pharmacokinetics and drug-interactions in hemodialysis patients, might be another strong point compared to other pharmacological interventions. However, little information is available for the effects and the safety of acupuncture for symptomatic care of hemodialysis patients.
Thus, the investigators propose whether acupuncture could be a effective and safe therapeutic modality for a number of patient-reported symptoms in hemodialysis-dependent patients with ESRD.
|Hemodialysis End Stage Renal Disease||Procedure: Individualized manual acupuncture|
|Study Design:||Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
|Official Title:||Acupuncture for Symptomatic Care of Hemodialysis Patients: a Case-series|
- Measure Your Medical Outcome Profile2 (MYMOP) [ Time Frame: Evaluated at baseline, post-treatment, and 4 weeks after post-treatment (total 3 times) ]
- Kidney Disease Quality of Life-SF V1.3 (KDQOL-SF V 1.3) questionnaire [ Time Frame: Evaluated at baseline, post-treatment, and 4 weeks after post-treatment (total 3 times) ]
|Study Start Date:||April 2009|
|Study Completion Date:||January 2010|
|Primary Completion Date:||December 2009 (Final data collection date for primary outcome measure)|
|Experimental: Individualized manual acupuncture||
Procedure: Individualized manual acupuncture
Acupuncture treatment will be provided according to traditional korean medicine (TKM) theory which focuses on patient's individual symptoms and conditions. 10-12 needles will be inserted into acupuncture point on the body except one arm where arteriovenous fistula is located for hemodialysis access. Needle retention time will be 30 minutes with intermittent manual stimulation to elicit de-qi sensation. Biweekly treatment will be conducted at non-dialysis access day or before hemodialysis at dialysis-access day for 6 weeks.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00883831
|Korea, Republic of|
|Doonsan Oriental Hospital of Daejeon University|
|Daejeon, Korea, Republic of, 302-869|
|Principal Investigator:||Sun Mi Choi, PhD||Korea Institute of Oriental Medicine|