Evidence map›Paper›PMID 32337365›Full record

ArticleLaryngoscope investigative otolaryngology2020

Physical rehabilitation in patients with head and neck cancer: Impact on health-related quality of life and suitability of a post-treatment program.

Jon Arne Sandmæl, Asta Bye, Tora S Solheim, Trude R Balstad, Lene Thorsen, Eva Skovlund, Stein Kaasa, Jo-Åsmund Lund, Line Oldervoll

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02439892 (Rehabilitation During Versus After Radiotherapy in Head and Neck Cancer - a Pilot Randomised Controlled Trial), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 27% 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.

NCT02439892 nacompletednot on this map

Rehabilitation During Versus After Radiotherapy in Head and Neck Cancer - a Pilot Randomised Controlled Trial

TypeinterventionalSponsorNorwegian University of Science and TechnologyRan2015 to 2017Enrolled41ConditionsHead and Neck NeoplasmsArmsExercise and nutrition during radiotherapy, Multidimensional rehabilitation after radiotherapy
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Interventions to improve quality of life in patients with head and neck cancers receiving radiation therapy: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  6. Article
  7. Article
  8. 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 2 institutions in 1 country.

Jon Arne SandmælUnicare Røros, Unicare Rehabilitation Røros Norway.ORCID https://orcid.org/0000-0002-7944-4338
Asta ByeDepartment of Nursing and Health Promotion, Faculty of Health Sciences OsloMet - Oslo Metropolitan University Oslo Norway.
Tora S SolheimDepartment of Cancer Research and Molecular Medicine, Faculty of Medicine and Health Sciences NTNU Trondheim Norway.
Trude R BalstadDepartment of Cancer Research and Molecular Medicine, Faculty of Medicine and Health Sciences NTNU Trondheim Norway.
Lene ThorsenNational Advisory Unit on Late Effects After Cancer Treatment, Department of Oncology Oslo University Hospital Oslo Norway.
Eva SkovlundDepartment of Public Health and Nursing, Faculty of Medicine and Health Sciences Norwegian University of Science and Technology (NTNU) Trondheim Norway.
Stein KaasaRegional Advisory Unit for Palliative Care, Department of Oncology Oslo University Hospital Oslo Norway.
Jo-Åsmund LundDepartment of Cancer Research and Molecular Medicine, Faculty of Medicine and Health Sciences NTNU Trondheim Norway.
Line OldervollDepartment of Public Health and Nursing, Faculty of Medicine and Health Sciences Norwegian University of Science and Technology (NTNU) Trondheim Norway.
Norwegian University of Science and Technology · NOOslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePhysical rehabilitation programs hold the potential to mitigate deterioration in health-related quality of life (HRQoL) in patients with head and neck cancer. The objective was to assess development in relevant domains of HRQoL following a physical exercise and nutrition intervention administrated during or after treatment.

methodsIn a pilot study, 41 patients were randomized to resistance training and oral nutritional supplements during (EN-DUR, n = 20) or after (EN-AF, n = 21) radiotherapy. Global health status/QoL (GHS) and physical functioning (PF) were measured by the European Organization for Research and Treatment of Cancer (EORTC) quality of life questionnaire at baseline, week 6, and week 14. Differences between the groups were assessed by analysis of covariance. A difference of ≥10 points in GHS and PF was interpreted as clinically relevant.

resultsNo statistically significant differences were detected between the groups; however, clinically relevant changes and differences in GHS and PF were observed. From baseline to week 6, GHS decreased 9 points in the EN-DUR group and 23 points in the EN-AF group and PF decreased 13 points and 21 points, respectively. From week 6 to week 14, GHS increased 14 points in the EN-DUR group and 26 points EN-AF group and PF did not change (0 points) in the EN-DUR group and increased 16 points in the EN-AF group.

conclusionThe findings from the present pilot study are promising and indicate that a physical rehabilitation program may have a positive impact on HRQoL during treatment and enhance recovery after treatment. A definitive randomized trial is warranted. LEVEL OF EVIDENCE: 1b-Individual randomized controlled trial.

Indexed as

head and neck cancerhealth‐related quality of lifenutritional supportphysical rehabilitationresistance training

Identifiers

PMID32337365
PMCPMC7178444
OpenAlexW3012130668

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.