Evidence map›Paper›PMID 26729381›Full record

Trial reportBMJ open2016

Is referral of postsurgical colorectal cancer survivors to cardiac rehabilitation feasible and acceptable? A pragmatic pilot randomised controlled trial with embedded qualitative study.

Gill Hubbard, Richard Adams, Anna Campbell, Lisa Kidd, Stephen J Leslie, Julie Munro, Angus Watson

Open access · goldAbstract readMulticenter StudyPragmatic Clinical Trial
In one paragraph

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 13% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

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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

7 authors at 5 institutions in 1 country.

Gill HubbardSchool of Health Sciences, University of Stirling, Inverness, UK.
Richard AdamsInstitute of Cancer & Genetics, Cardiff University School of Medicine, Velindre Hospital, Cardiff, UK.
Anna CampbellFaculty of Life Science, Sport and Social Sciences, Edinburgh Napier University, Edinburgh, UK.
Lisa KiddFaculty of Health and Social Care, Robert Gordon University Aberdeen, UK.
Stephen J LeslieNHS Highland, Cardiac Unit, Raigmore Hospital, Inverness, UK.
Julie MunroSchool of Health Sciences, University of Stirling, Inverness, UK.
Angus WatsonNHS Highland, Colorectal Surgery, Raigmore Hospital, Inverness, UK.
Raigmore Hospital · GBUniversity of Stirling · GBCardiff University · GBEdinburgh Napier University · GBRobert Gordon University · GB

Funding

Cancer Research UK 15954Department of Health 12/5001/09
6 · The paper itself

Abstract

objectives(1) Assess whether cardiac rehabilitation (CR) is a feasible and acceptable model of rehabilitation for postsurgical colorectal cancer (CRC) survivors, (2) evaluate trial procedures. This article reports the results of the first objective. DESIGN AND

settingA pragmatic pilot randomised controlled trial with embedded qualitative study was conducted in 3 UK hospitals with CR facilities. Descriptive statistics were used to summarise trial parameters indicative of intervention feasibility and acceptability. Interviews and focus groups were conducted and data analysed thematically.

participantsPeople with CRC were considered for inclusion in the trial if they were ≥ 18 years old, diagnosed with primary CRC and in the recovery period postsurgery (they could still be receiving adjuvant therapy). 31% (n=41) of all eligible CRC survivors consented to participate in the trial. 22 of these CRC survivors, and 8 people with cardiovascular disease (CVD), 5 CRC nurses and 6 CR clinicians participated in the qualitative study.

interventionReferral of postsurgical CRC survivors to weekly CR exercise classes and information sessions. Classes included CRC survivors and people with CVD. CR nurses and physiotherapists were given training about cancer and exercise.

resultsBarriers to CR were protracted recoveries from surgery, ongoing treatments and poor mobility. No adverse events were reported during the trial, suggesting that CR is safe. 62% of participants completed the intervention as per protocol and had high levels of attendance. 20 health professionals attended the cancer and exercise training course, rating it as excellent. Participants perceived that CR increased CRC survivors' confidence and motivation to exercise, and offered peer support. CR professionals were concerned about CR capacity to accommodate cancer survivors and their ability to provide psychosocial support to this group of patients.

conclusionsCR is feasible and acceptable for postsurgical CRC survivors. A large-scale effectiveness trial of the intervention should be conducted. TRIAL REGISTRATION NUMBER: ISRCTN63510637.

Indexed as

Referral and ConsultationSurvivorsCardiac RehabilitationColorectal NeoplasmsExercise TherapyHumansPilot ProjectsPostoperative CareQualitative ResearchSocial SupportUnited KingdomREHABILITATION MEDICINE

Identifiers

PMID26729381
PMCPMC4716214
OpenAlexW2227327352

What OpenQuestion holds

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Registered trials

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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.