Evidence map›Paper›PMID 30310988›Full record

Observational studySupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019

Missed opportunities for physical activity management at key points throughout the chemotherapy pathway for colorectal survivors: an observational interview study.

I Veal, N Peat, G D Jones, V Tsianakas, J Armes

Open access · greenAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 83% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Trial
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

5 authors at 3 institutions in 1 country.

I VealGuy's and St Thomas' NHS Foundation Physiotherapy Department, Great Maze Pond, London, SE1 9RT, UK.
N PeatGuy's and St Thomas' NHS Foundation Physiotherapy Department, Great Maze Pond, London, SE1 9RT, UK.
G D JonesGuy's and St Thomas' NHS Foundation Physiotherapy Department, Great Maze Pond, London, SE1 9RT, UK.
V TsianakasFlorence Nightingale Faculty of Nursing & Midwifery, King's College London, James Clerk Maxwell Building, 57 Waterloo Road, London, SE1 8WA, UK. Vicki.Tsianakas@kcl.ac.uk.
J ArmesSchool of Health Sciences, University of Surrey, Guildford, Surrey, GU2 7XH, UK.
Guy's and St Thomas' NHS Foundation Trust · GBKing's College London · GBUniversity of Surrey · GB

Funding

National Institute of Health Research n/a
6 · The paper itself

Abstract

purposePhysical activity (PA) is central to self-management for people with colorectal cancer (CRC) to support health behaviour and function secondary to cancer treatment. However, there is limited evidence on how health professionals (HPs) promote PA during cancer treatment. This study aimed to investigate how and when PA is promoted throughout the chemotherapy pathway among colorectal cancer survivors.

methodsA qualitative study was conducted with adults with CRC receiving chemotherapy at a large cancer centre. Cross-sectional observation of clinical consultations was conducted at four points during the chemotherapy pathway: prior, midpoint, final cycle, and 8 weeks following chemotherapy. Following completion of treatment, audio-recorded, semi-structured interviews were conducted with patients and HPs and transcribed verbatim. Codes and themes were identified and triangulated from all the data using framework analysis. Observational themes are reported and complimented by interview data.

resultsThroughout the chemotherapy pathway (pre, midpoint, end), many opportunities were missed by HPs to promote PA as a beneficial means to maintain functioning and ameliorate cancer treatment side effects. When discussed, PA levels were used only to determine fitness for future oncological treatment. No PA promotion was observed despite patients reporting low PA levels or treatment side effects. Post-treatment, PA promotion was more routinely delivered by HPs, as evidenced by problem-solving and onward referrals to relevant HPs.

conclusionPA promotion was largely absent during treatment despite it being a key component of patient self-management following treatment. This suggests considerable missed opportunities for HPs to provide cancer survivors with PA evidence-based interventions. Further research is necessary to identify how best to ensure PA is promoted throughout the cancer journey. IMPLICATION FOR CANCER SURVIVORS: These findings suggest many may not be receiving support to be physically active during treatment.

Indexed as

Critical PathwaysExercise TherapyHealth PromotionAgedAntineoplastic Combined Chemotherapy ProtocolsCancer SurvivorsColorectal NeoplasmsCombined Modality TherapyCross-Sectional StudiesExerciseFemaleHealth BehaviorHealth Services AccessibilityHumansMaleMiddle AgedColorectal neoplasmsPhysical activityQualitativeSelf-management

Identifiers

PMID30310988
OpenAlexW2897922090

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.