Evidence map›Paper›PMID 30944994›Full record

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

Combined exercise and nutritional rehabilitation in outpatients with incurable cancer: a systematic review.

Charlie C Hall, Jane Cook, Matthew Maddocks, Richard J E Skipworth, Marie Fallon, Barry J Laird

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis 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 39 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 5 pooled it
4.0field-weighted citation impact, top 5% 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

39 citing papers in PubMed, 5 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Multimodal interventions for cachexia management.The Cochrane database of systematic reviews · 2025
    Pooled it
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  4. Guideline
  5. Exercise for cancer cachexia in adults.The Cochrane database of systematic reviews · 2021
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  9. Individualized Physiotherapy Improves Quality of Life and Symptom Burden in Advanced Cancer: A Quasi-Experimental Study.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
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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

6 authors at 4 institutions in 1 country.

Charlie C HallSt Columba's Hospice, 15 Boswall Road, Edinburgh, EH5 3RW, UK. Charlie.hall@ed.ac.uk.ORCID http://orcid.org/0000-0002-7187-1781
Jane CookSt Columba's Hospice, 15 Boswall Road, Edinburgh, EH5 3RW, UK.
Matthew MaddocksCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, Kings College London, London, UK.
Richard J E SkipworthClinical Surgery, Royal Infirmary, Edinburgh, UK.
Marie FallonSt Columba's Hospice, 15 Boswall Road, Edinburgh, EH5 3RW, UK.
Barry J LairdSt Columba's Hospice, 15 Boswall Road, Edinburgh, EH5 3RW, UK.
Institute of Genetics and Cancer · GBEdinburgh Royal Infirmary · GBKing's College London · GBSt Christopher's Hospice · GB

Funding

Chief Scientist Office MCRGS-07-16-73Department of Health CDF-2017-10-009Marie Curie MCCC-RP-16-A20997Marie Curie Cancer Care MCRGS-07-16-73
6 · The paper itself

Abstract

purposeThe optimal components for rehabilitation in patients with incurable cancer are unclear. However, principles of exercise and nutrition-based interventions used in cancer cachexia may be applied usefully to this population of cancer patients. This systematic review examines current evidence for rehabilitation combining exercise and nutritional support in patients with incurable cancer.

methodsMEDLINE, EMBASE and Cochrane databases were searched. Eligible studies included patients with incurable cancer and rehabilitation programmes combining exercise and nutritional interventions. Studies of cancer survivors, curative treatments, reviews, case note reviews, protocols and abstracts were excluded. Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria were applied to patient-important outcomes.

resultsOf the 2424 search results, 67 abstracts were reviewed and 24 full texts examined. Eight studies (n = 685) were included comprising two randomised control trials, three prospective, one exploratory and two secondary analyses. All examined multi-modal outpatient programmes. GRADE analysis revealed moderate evidence (B) for improvements in depression and physical endurance, low-quality evidence (C) for quality of life and fatigue and very low-quality evidence (D) for overall function and nutritional status.

conclusionThere are limited data for multi-modal rehabilitation programmes combining exercise and nutritional interventions in patients with incurable cancer. However, studies to date report improvements in multiple domains, most notably physical endurance and depression scores. This supports the concept that multi-modal rehabilitation incorporating principles of cachexia management may be appropriate for the wider group of patients with incurable cancer. Further, high-quality studies are needed to define the optimal approach and outcome measures.

Indexed as

Exercise TherapyHumansNeoplasmsNutrition TherapyOutpatientsProspective StudiesQuality of LifeExerciseNutrition therapyPalliative medicineRehabilitation

Identifiers

PMID30944994
PMCPMC6541700
OpenAlexW2926851859

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.