Evidence map›Paper›PMID 26401466›Full record

ReviewJournal of cachexia, sarcopenia and muscle2015

Exercise for cancer cachexia in adults: Executive summary of a Cochrane Collaboration systematic review.

Antonio Jose Grande, Valter Silva, Matthew Maddocks

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Journal of cachexia, sarcopenia and muscle, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04065984 (BiCyCLE), which is not on this map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
7.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04065984 naunknown statusnot on this mapstarted 2019, after this paper: background citation

BiCyCLE: Neuro-Muscular Electrical Stimulation (NMES) and Its Effect on Changes in Body Composition Following Surgery for Locally Advanced Rectal Cancer - a Single Centre Double Blind Randomised Controlled Phase II Clinical Trial

TypeinterventionalSponsorLondon North West Healthcare NHS TrustRan2019 to 2026Enrolled46ConditionsRectal Cancer, Colorectal Cancer, Colon Cancer, Colo-rectal CancerArmsMicrostim 2v2 Stimulator
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Exercise for cancer cachexia in adults.The Cochrane database of systematic reviews · 2021
    Pooled it
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Cancer Cachexia: Its Mechanism and Clinical Significance.International journal of molecular sciences · 2021
    Review
  12. Article
  13. Diet-related interventions for cancer-associated cachexia.Journal of cancer research and clinical oncology · 2021
    Review
  14. A Critical Review of Multimodal Interventions for Cachexia.Advances in nutrition (Bethesda, Md.) · 2021
    Review
  15. Observational
  16. Review
  17. Exercise as a therapy for cancer-induced muscle wasting.Sports medicine and health science · 2020
    Review
  18. Article
  19. Review
  20. Exercise and Physical Activity in Patients with Osteosarcoma and Survivors.Advances in experimental medicine and biology · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 2 countries.

Antonio Jose GrandeUniversity of Oxford, Nuffield Department of Population Health Oxford, UK ; Universidade do Extremo Sul Catarinense, Laboratory of evidence-based practice Criciuma, Santa Catarina, Brazil.
Valter SilvaUniversidade Federal de Sao Paulo, Department of Internal Medicine Sao Paulo, Brazil.
Matthew MaddocksKing's College London, Cicely Saunders Institute, Department of Palliative Care, Policy and Rehabilitation London, UK.
Cicely Saunders International · GBUniversidade do Extremo Sul Catarinense · BRUniversidade Federal de São Paulo · BR

Funding

Department of Health NIHR-CTF-2013-02-009Department of Health PDF-2011-04-048
6 · The paper itself

Abstract

backgroundCancer cachexia is a complex syndrome characterized by an ongoing loss of skeletal muscle mass and progressive functional impairment. A proactive management approach is recommended, including physical exercise to maintain function via modulation of muscle metabolism, insulin sensitivity and levels of inflammation. The review aimed to determine the safety, acceptability and effectiveness of exercise in adults with cancer cachexia. Secondary aims, subject to the data availability, were to compare effectiveness according to the characteristics of the study intervention or population.

methodsWe sought randomised controlled trials (RCTs) in adults meeting international criteria for cancer cachexia, comparing a programme of exercise as a sole or adjunct intervention to usual care or an active control. CENTRAL, MEDLINE, EMBASE, DARE and HTA, ISI Web of Science, LILACS, PEDro, SciVerse SCOPUS, Biosis Previews PreMEDLINE and Open Grey databases were searched up to June 2014. Two authors independently assessed studies for eligibility.

resultsWe screened 3154 separate titles and abstracts, and reviewed 16 full-texts. Corresponding authors were contacted to determine if samples met cachexia staging criteria. Most authors did not explore this concept. No trial met review eligibility criteria. We were unable to perform a meta-analysis to determine any effects from exercise intervention.

conclusionDespite a strong rationale for the use of exercise, there is insufficient evidence to determine safety and effectiveness in patients with cancer cachexia. Findings from ongoing studies are awaited. Assessment of cachexia domains, ideally against international criteria, is required for future trials of exercise and supportive care interventions.

Indexed as

CachexiaCancerExerciseHumanPhysical activity

Identifiers

PMID26401466
PMCPMC4575551
OpenAlexW1745839265

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.