Evidence map›Paper›PMID 28494785›Full record

Observational studyBMC surgery2017

Assessing pre- and postoperative activity levels with an accelerometer: a proof of concept study.

Eva van der Meij, Hidde P van der Ploeg, Baukje van den Heuvel, Boudewijn J Dwars, W J H Jeroen Meijerink, H Jaap Bonjer, Judith A F Huirne, Johannes R Anema

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03175783 (Use of Wearable Activity Tracker to Monitor and Increase Mobility for Elderly Undergoing Abdominal Surgery), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
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.

NCT03175783 naunknown statusnot on this map

Use of Wearable Activity Tracker to Monitor and Increase Mobility for Elderly Undergoing Abdominal Surgery: A Randomized Control Trial

TypeinterventionalSponsorUniversity of MalayaRan2017 to 2018Enrolled60ConditionsFitness Trackers, Early Ambulation, Surgery, Health Services for the AgedArmsFitbit Zip Activity Tracker
3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Trial
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  10. Observational
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  18. Observational
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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

8 authors.

Eva van der MeijDepartment of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Center, van der Boechorsstraat 7, 1081 BT, Amsterdam, The Netherlands. ev.vandermeij@vumc.nl.ORCID http://orcid.org/0000-0002-4905-1867
Hidde P van der PloegDepartment of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Center, van der Boechorsstraat 7, 1081 BT, Amsterdam, The Netherlands.
Baukje van den HeuvelDepartment of Surgery, Jeroen Bosch ziekenhuis, Den Bosch, The Netherlands.
Boudewijn J DwarsDepartment of Surgery, Slotervaartziekenhuis, Amsterdam, The Netherlands.
W J H Jeroen MeijerinkDepartment of Surgery, VU University Medical Center, Amsterdam, The Netherlands.
H Jaap BonjerDepartment of Surgery, VU University Medical Center, Amsterdam, The Netherlands.
Judith A F HuirneDepartment of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Center, van der Boechorsstraat 7, 1081 BT, Amsterdam, The Netherlands.
Johannes R AnemaDepartment of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Center, van der Boechorsstraat 7, 1081 BT, Amsterdam, The Netherlands. h.anema@vumc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative recovery after abdominal surgery is measured mostly based on subjective or self-reported data. In this article we aim to evaluate whether recovery of daily physical activity levels can be measured postoperatively with the use of an accelerometer.

methodsIn this multicenter, observational pilot study, 30 patients undergoing laparoscopic abdominal surgery (hysterectomy, adnexal surgery, cholecystectomy and hernia inguinal surgery) were included. Patients were instructed to wear an Actigraph wGT3X-BT accelerometer during one week before surgery (baseline) and during the first, third and fifth week after surgery. Wear time, steps taken and physical activity intensity levels (sedentary, light, moderate and vigorous) were measured. Patients were blinded for the accelerometer outcomes. Additionally, an activity diary comprising patients' self-reported time of being recovered and a list of 18 activities, in which the dates of resumption of these 18 activities were recorded after surgery, was completed by the patient.

resultsFive patients were excluded from analyses because of technical problems with the accelerometer (n = 1) and protocol non-adherence (n = 4). Light, moderate, vigorous, combined moderate and vigorous intensity physical activity (MVPA), and step counts showed a clear recovery curve after surgery. Patients who underwent minor surgery reached their baseline step count and MVPA three weeks after surgery. Patients who underwent intermediate surgery had not yet reached their baseline step count during the last measuring week (five weeks after surgery). The results of the activity diaries showed a fair agreement with the accelerometer results (Cohens Kappa range: 0.273-0.391). Wearing the accelerometer was well tolerated and not regarded as being burdensome by the patients.

conclusionsThe accelerometer appeared to be a feasible way to measure recovery of postoperative physical activity levels in this study and was well tolerated by the patients. The agreement with self-reported physical recovery times was fair.

Indexed as

ExerciseMotor ActivityPostoperative PeriodAccelerometryAdultFemaleHumansLaparoscopyMaleMiddle AgedPilot ProjectsSelf ReportAbdominal surgeryAccelerometerAdnexal surgeryCholecystectomyHysterectomyInguinal hernia surgeryPhysical activitiesPostoperative recovery

Identifiers

PMID28494785
PMCPMC5427573

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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.