Evidence map›Paper›PMID 31617590›Full record

ArticleCA: a cancer journal for clinicians2019

Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer.

Kathryn H Schmitz, Anna M Campbell, Martijn M Stuiver, Bernardine M Pinto, Anna L Schwartz, G Stephen Morris, Jennifer A Ligibel, Andrea Cheville, Daniel A Galvão, Catherine M Alfano and 15 more

3 registry-linked trialsAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CA: a cancer journal for clinicians, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 451 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
451citing papers in PubMed, 16 pooled it
–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.

NCT05078216 completednot on this map

How to Carry on an Effective Community Program of Exercice-oncology. A Pilot Experience

TypeobservationalSponsorAsociación Española contra el CáncerRan2018 to 2020Enrolled405ConditionsCancer Patients in Different StagesArmsPhysical exercise intervention
NCT06624930 narecruitingnot on this mapstarted 2024, after this paper: background citation

A Randomized Controlled Trial Adding Behavioural Counselling to Supervised Physical Activity in Cancer Survivors

TypeinterventionalSponsorUniversity of TorontoRan2024 to 2029Enrolled236ConditionsCancer, ExerciseArmsBehavioural Counselling, Exercise Counselling
NCT07007039 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Remote Therapeutic Monitoring: Pilot Implementation-Effectiveness Study

TypeinterventionalSponsorShirley Ryan AbilityLabRan2025 to 2027Enrolled25ConditionsCancerArmsDatos Health App
3 · Its place in the literature

Who cites it

451 citing papers in PubMed, 16 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. The prognostic value of physical functioning on survival in patients with nonsmall cell lung cancer: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. The effects of aerobic and resistance training across eight cancer types: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  9. Pooled it
  10. Pooled it
  11. Dissemination planning in exercise oncology trials-a systematic review of trial protocols.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  12. Resistance training for fatigue in people with cancer.The Cochrane database of systematic reviews · 2024
    Pooled it
  13. Effect of therapeutic exercise on peak oxygen consumption in oncological population: a systematic review with meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  14. Pooled it
  15. Pooled it
  16. Patient attitudes and experiences towards exercise during oncological treatment. A qualitative systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  17. Trial
  18. Exercise-nutrition prehabilitation attenuates lean body mass loss before gastrectomy: a randomized controlled trial.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Trial
  19. Trial
  20. Trial

391 more citing papers are in PubMed but not listed here.

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

25 authors.

Kathryn H SchmitzDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania.ORCID 0000-0003-2400-2935
Anna M CampbellSchool of Applied Sciences, Edinburgh Napier University, Edinburgh, United Kingdom.ORCID 0000-0003-3517-7335
Martijn M StuiverCenter for Quality of Life, Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID 0000-0002-7794-7767
Bernardine M PintoCollege of Nursing, University of South Carolina, Columbia, South Carolina.
Anna L SchwartzSchool of Nursing, Northern Arizona University, Flagstaff, Arizona.
G Stephen MorrisDepartment of Physical Therapy, Wingate University, Wingate, North Carolina.
Jennifer A LigibelDivision of Women's Cancers, Dana Farber Cancer Institute, Boston, Massachusetts.
Andrea ChevilleDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minnesota.
Daniel A GalvãoExercise Medicine Research Institute, Edith Cowan University, Joondalup, Western Australia, Australia.ORCID 0000-0002-8209-2281
Catherine M AlfanoSurvivorship, American Cancer Society, Atlanta, Georgia.ORCID 0000-0001-6488-2186
Alpa V PatelBehavioral and Epidemiology Research, American Cancer Society, Atlanta, Georgia.
Trisha HueData and Information Management, University of California at San Francisco, San Francisco, California.
Lynn H GerberHealth Administration and Policy, George Mason University, Fairfax, Virginia.ORCID 0000-0001-7525-680X
Robert SallisFamily Medicine, Kaiser Permanente Southern California, Pasadena, California.
Niraj J GusaniDepartment of Surgery, Penn State Cancer Institute, Hershey, Pennsylvania.ORCID 0000-0002-7695-5108
Nicole L StoutRehabilitation Medicine Department, National Institutes of Health, Bethesda, Maryland.
Leighton ChanRehabilitation Medicine Department, National Institutes of Health, Bethesda, Maryland.
Fiona FlowersCommunity Settings, Macmillan Cancer Support, London, United Kingdom.
Colleen DoyleDepartment of Cancer Control, American Cancer Society, Atlanta, Georgia.
Susan HelmrichPatient Advocate, Berkeley, California.
William BainSunflower Wellness, San Francisco, California.
Jonas SokolofPhysical Medicine and Rehabilitation, New York University Langone Medical Center, New York, New York.
Kerri M Winters-StoneKnight Cancer Institute, School of Nursing, Oregon Health and Science University, Portland, Oregon.ORCID 0000-0003-1706-8020
Kristin L CampbellDepartment of Physical Therapy, The University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0002-2266-1382
Charles E MatthewsDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.ORCID 0000-0001-8037-3103

Funding

SSCIMA: Integrating Analysis of Socio-economic Sub-population Dynamics to Improve Spatial Models of Infectious DiseaseU54MD012388 · NIMHD · NORTHERN ARIZONA UNIVERSITY · PI Julie A. Baldwin · 2017 to 2026
$49.7M
NIMHD NIH HHS U54 MD012388
6 · The paper itself

Abstract

Multiple organizations around the world have issued evidence-based exercise guidance for patients with cancer and cancer survivors. Recently, the American College of Sports Medicine has updated its exercise guidance for cancer prevention as well as for the prevention and treatment of a variety of cancer health-related outcomes (eg, fatigue, anxiety, depression, function, and quality of life). Despite these guidelines, the majority of people living with and beyond cancer are not regularly physically active. Among the reasons for this is a lack of clarity on the part of those who work in oncology clinical settings of their role in assessing, advising, and referring patients to exercise. The authors propose using the American College of Sports Medicine's Exercise Is Medicine initiative to address this practice gap. The simple proposal is for clinicians to assess, advise, and refer patients to either home-based or community-based exercise or for further evaluation and intervention in outpatient rehabilitation. To do this will require care coordination with appropriate professionals as well as change in the behaviors of clinicians, patients, and those who deliver the rehabilitation and exercise programming. Behavior change is one of many challenges to enacting the proposed practice changes. Other implementation challenges include capacity for triage and referral, the need for a program registry, costs and compensation, and workforce development. In conclusion, there is a call to action for key stakeholders to create the infrastructure and cultural adaptations needed so that all people living with and beyond cancer can be as active as is possible for them.

Indexed as

Community Health ServicesDelivery of Health Care, IntegratedExercise TherapyHumansMedical OncologyNeoplasmsPractice Guidelines as Topicexercisephysical medicine and rehabilitationphysical therapysupportive care

Identifiers

PMID31617590
PMCPMC7896280

What OpenQuestion holds

Textmetadata
LicenceTDM
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.