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Letter to the Editor

2021; 14(1): 2-3

Published online February 28, 2021

Copyright © Medical Association of Pharmacopuncture Institute.

Response to Moghimi et al. Classification of Cupping Therapy Adverse Events: An Update

Tamer S. Aboushanab*

Ministry of Health, Cairo, Egypt

Correspondence to:Tamer S. Aboushanab
Ministry of Health, Cairo, Egypt
E-mail: tamer.shaban@gmail.com

Received: December 22, 2020; Accepted: December 22, 2020

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Body

Dear Editor,

The response by Moghimi et al. [1] to our published review entitled “Cupping therapy: An overview from a modern medicine perspective.” was received with high interest to reply to it [2]. Moghimi et al. [1] claimed that all cupping therapy adverse events were preventable. We are not with agreement with this claim.

An adverse event was defined by the World Health Organization (WHO) as: “An injury related to medical management, in contrast to complications of diseases” [3] and classified into preventable and non-preventable adverse events [3]. So, every harm or injury in relation to cupping therapy is considered an adverse event and the classification of adverse events was applied to it. Furthermore, WHO defined preventable adverse event as: “An adverse event caused by an error or other type of systems or equipment failure.” [3]. So, every adverse event which is not related to error of the practitioner or the system or equipment failure is non-preventable adverse event. Dizziness, nausea, kobner’s phenomenon and vasovagal attack were adverse events which reported and they were not related to the errors of practitioners or failure of system or equipment [4].

Our review discussed cupping therapy from a modern medicine perspective which may differ from the perspective of any traditional medicine system. Furthermore, there is a need for high quality clinical trials to confirm or deny the advices which were given by Moghimi et al. [1].

Author of this reply suggested an update for the previously published classifications of cupping therapy adverse events which were published in 2016 [4], and 2018 [2], and was represented in Fig. 1. Preventable cupping therapy adverse events were noticed to be mainly local while non-preventable cupping adverse events were mainly systemic.

Figure 1. Updated classification of cupping therapy adverse events.

Finally, there is a need for more clinical trials regarding the safety and adverse events of cupping therapy. All researchers are encouraged to report in full details any adverse event of cupping therapy clinical trials. A new high quality systematic review of cupping therapy safety and adverse events is recommended.

CONFLICT OF INTEREST

The author declares no conflict of interest.

Fig 1.

Figure 1.Updated classification of cupping therapy adverse events.
Journal of Acupuncture and Meridian Studies 2021; 14: 2-3

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References

  1. Moghimi M, Kordafshari G, Kenari HM. Comment on the article "cupping therapy: an overview from a modern medicine perspective": the complications of cupping are preventable. J Acupunct Meridian Stud 2021;14:1-3.
    CrossRef
  2. Aboushanab TS, AlSanad S. Cupping therapy: an overview from a modern medicine perspective. J Acupunct Meridian Stud 2018;11:83-7.
    Pubmed CrossRef
  3. World Health Organization. World Alliance for Patient Safety: WHO Draft Guidelines for Adverse Event Reporting and Learning Systems: From Information to Action. Geneva: World Health Organization, 2005.
  4. Al-Bedah AM, Shaban T, Suhaibani A, Gazzaffi I, Khalil M, Qureshi NA. Safety of cupping therapy in studies conducted in twenty one century: a review of literature. Br J Med Med Res 2016;15:1-12.
    CrossRef