Whole systems and acupuncture (including TCM and Ayurveda)
Secondary Topic: Patient-Centered Outcomes Research
Tertiary Topic: State of the science/evidence base for integrative modalities
Seven Years of Patient Data at an Acupuncture and Oriental Medicine Teaching Clinic – A Retrospective Analysis
Ben Marx, MAcOM, Oregon College of Oriental Medicine, Portland, OR, United States
Late Breaker: No
Analyze data for patients treated at the Oregon College of Oriental Medicine between 2009 and 2016.
A prospective data collection program was implemented using the MYMOP questionnaire, three PROMIS questionnaires, and college-developed demographic and conditions forms. Questionnaires were administered at visit 1 and again at visit 5. A retrospective assessment was performed analyzing demographics and outcomes for chief complaint, pain level, activity interference, medication use, well-being, and QOL.
A cohort comprising 6820 patients was analyzed. The majority were white (64%) and female (68%). Average age was 45.5 (SD 16.95). At visit 1, 56% reported prior acupuncture treatments and confidence (71%) that treatment would be effective. 55% self-report chief complaint as pain, and 75% report pain as a comorbidity. 51% report chronicity of chief complaint as “1 year or more;” 26% report “5 years or more;” and 38% report taking prescription medication for their chief complaint. For those taking medication, 60% report cutting down medication is “very important” or “a bit important.” For those not taking medication, 55% report avoiding medication is “very important” or “a bit important.” From visit 1 to visit 5, patients report 1.38 point average improvement in severity of chief complaint, 1.08 point improvement in pain level, and a 1.25 point improvement in activity interference. Small, non-significant improvements were reported in well-being and QOL.
Pain conditions constitute the overwhelming majority of visits to the OCOM clinic. Patients utilize services primarily for chronic conditions, and majorities do so with the goal of reducing or avoiding medication. After five treatments, regardless of chief complaint, patients report modest but clinically meaningful improvements in symptom severity, pain level, and activity interference, suggesting that intern-delivered AOM is an effective short-term intervention for a spectrum of health concerns, particularly chronic pain. Future studies should examine long-term patient outcomes in similar settings.