Evidence map›Paper›PMID 32034513›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020

Moving forward on all fronts: impact, patterns, and barriers to exercise in cancer survivors and patients living with advanced disease.

Sasha E Knowlton, Elizabeth K O'Donnell, Nora Horick, Giselle K Perez, Elyse Park, Julia Rabin, Kit M Quain, Jessica Garton, Jeffrey M Peppercorn

Abstract read
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Changes in physical activity since cancer diagnosis and associations with health-related quality of life: a study of adults living with advanced cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  9. Article
  10. Article
  11. The acceptability of exercise prehabilitation before cancer surgery among patients, family members and health professionals: a mixed methods evaluation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  12. Article
  13. PERSPECTIVEs on supervised exercise programs in people with metastatic breast cancer- a qualitative study in four European countries.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  14. Review
  15. Article
  16. The Role of Physical Activity in Cancer Recovery: An Exercise Practitioner's Perspective.International journal of environmental research and public health · 2022
    Article
  17. Article
  18. Article
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

9 authors at 5 institutions in 1 country.

Sasha E KnowltonSpaulding Rehabilitation Hospital, Charlestown, MA, USA. seknowlton@partners.org.
Elizabeth K O'DonnellMassachusetts General Hospital, Boston, MA, USA.
Nora HorickMassachusetts General Hospital, Boston, MA, USA.
Giselle K PerezMassachusetts General Hospital, Boston, MA, USA.
Elyse ParkMassachusetts General Hospital, Boston, MA, USA.
Julia RabinUniversity of Cincinnati, Cincinnati, OH, USA.
Kit M QuainSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Jessica GartonMassachusetts General Hospital, Boston, MA, USA.
Jeffrey M PeppercornMassachusetts General Hospital, Boston, MA, USA.
Massachusetts General Hospital · USHarvard University · USSpaulding Rehabilitation Hospital · USThomas Jefferson University · USUniversity of Cincinnati · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionExercise is recommended for all patients with cancer, but there has been limited study of exercise habits in patients across the spectrum of illness. PURPOSE: This pragmatic survey aimed to identify the unmet supportive care needs, self-reported symptoms, and exercise habits among both cancer survivors and patients living with advanced disease to determine adherence to exercise guidelines and to identify barriers and opportunities to improve exercise.

methodsAn anonymous cross-sectional self-administered paper survey was distributed to patients with cancer presenting for oncology clinic visits at an academic cancer center. Survey measures included presence of symptoms and health problems in addition to weekly time spent exercising, change in exercise levels since diagnosis, interest in exercise, and self-reported barriers. Participants reporting at least 150 min of exercise per week were characterized as adherent to guidelines.

resultsAmong 640 survey respondents, 570 (89%) completed questions about exercise. Only 44% of cancer survivors and 34% of patients living with advanced disease met current guidelines. Survivors who met exercise guidelines had a lower prevalence of fatigue and memory impairments, but this finding was not seen among patients with advanced cancer. Over 70% of patients with advanced disease and 47% of survivors reported decreasing exercise post-diagnosis compared to pre-diagnosis. Prominent barriers to exercise among both groups included burden of illness and time constraints but interest in increasing exercise was high.

conclusionsThere is an opportunity to improve exercise and related outcomes among a large percentage of both cancer survivors and patients living with advanced disease.

Indexed as

Cancer SurvivorsAgedCross-Sectional StudiesExerciseFemaleHabitsHealth Services Needs and DemandHumansMaleMiddle AgedNeeds AssessmentNeoplasmsPalliative CarePsychosocial Support SystemsSurveys and QuestionnairesExercise; cancerFunctional statusSymptom burden

Identifiers

PMID32034513
OpenAlexW3004882082

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.