A questionnaire survey assessed willingness and demand for acupuncture treatment among 511 adult patients with malignant tumors at Beijing Cancer Hospital. The study measured patient-reported willingness to receive acupuncture and symptoms they hoped to improve through treatment. No comparator treatment was evaluated, though the survey compared characteristics of patients willing versus refusing acupuncture.
Among 511 valid questionnaires, 481 patients (94.1%) expressed willingness to receive acupuncture treatment. Among willing patients, the top symptoms they hoped to improve were disturbed sleep (245 patients, 50.9%), pain (229 patients, 47.6%), fatigue (177 patients, 36.8%), numbness (165 patients, 34.3%), and poor appetite (144 patients, 29.9%). Patients with higher Traditional Chinese Medicine (TCM) literacy were significantly more likely to accept acupuncture (55-56% vs. 36.7% among refusers, P<0.05). Female patients reported significantly higher demands for pain relief and improved sleep (P<0.05), and patients aged 18-45 with better TCM literacy were more likely to desire acupuncture for sleep improvement (P<0.05).
Safety and tolerability data were not reported in this survey. The study has several limitations: it was a cross-sectional survey that cannot establish causation, relied on self-reported willingness and demand rather than actual treatment outcomes, and was conducted at a single institution in China which may limit generalizability. The authors suggest strengthening patient health education and improving TCM literacy may increase cancer patients' willingness to choose acupuncture.
For clinical practice, these findings indicate substantial patient interest in acupuncture for cancer-related symptoms, particularly sleep disturbance and pain. However, this survey only measures willingness, not treatment efficacy or safety. Clinicians should recognize this as preliminary data on patient preferences rather than evidence supporting acupuncture's therapeutic benefits.
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Objective: A questionnaire survey was conducted on the willingness and demand for acupuncture treatment in patients with malignant tumors, and the possible factors affecting patients' willingness and demand for acupuncture treatment were explored. Methods: A voluntary, anonymous survey was conducted between February and May 2025 among patients with malignant tumors aged 18 years and older who visited Beijing Cancer Hospital. The questionnaire included 16 questions addressing three dimensions:current medical purposes,Traditional Chinese Medicine(TCM) literacy, and acupuncture treatment needs.The questionnaire was posted online and completed by respondents using a smartphone interface. Results: A total of 511 valid questionnaires were retrieved in the survey, and 481 patients(94.1%) are willing to receive acupuncture treatment. Among the 481 patients willing to receive acupuncture treatment, the top five symptoms they hoped to improve with acupuncture were: disturbed sleep (245 participants, 50.9%); pain (229 participants, 47.6%); fatigue (177 participants, 36.8%); numbness (165 participants, 34.3%); and poor appetite (144 participants, 29.9%). Among patients who chose to "explicitly accept" acupuncture treatment and those who "accepted acupuncture treatment upon doctor's recommendation", 55% and 56% respectively had good knowledge of traditional Chinese medicine (TCM) culture. In contrast, this proportion was only 36.7% among patients who refused acupuncture treatment, and the difference was statistically significant (P<0.05). The survey results also show that Female patients reported significantly higher demands for pain relief and improved sleep than male patients, with statistically significant differences (P<0.05). Furthermore, those aged 18-45 and with better TCM literacy were more likely to desire acupuncture to improve sleep, with statistically significant differences (P<0.05). Conclusion: Differences in TCM literacy can influence patients' willingness to choose acupuncture treatment. Strengthening patient health education and improving TCM literacy will help increase cancer patients' willingness to choose TCM acupuncture treatment, thereby enabling them to benefit from acupuncture. For patients aged 18-45, those with good TCM literacy female with high acupuncture needs, acupuncture treatment may be recommended as a priority.