Evidence map›Paper›PMID 32459138›Full record

ArticleTherapeutic advances in cardiovascular disease

Exercise therapy in routine management of peripheral arterial disease and intermittent claudication: a scoping review.

Ukachukwu O Abaraogu, Onyinyechukwu D Abaraogu, Philippa M Dall, Garry Tew, Wesley Stuart, Julie Brittenden, Chris A Seenan

Open access · goldAbstract readScoping Review
In one paragraph

Article in Therapeutic advances in cardiovascular disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

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

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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

7 authors at 5 institutions in 2 countries.

Ukachukwu O AbaraoguDepartment of Physiotherapy and Paramedicine, School of Health and Life Sciences, Glasgow Caledonian University, Room 226 Govan Mbeki Building, Cowcaddens Road, Glasgow, Scotland G4 0BA, UK.ORCID https://orcid.org/0000-0002-1967-1459
Onyinyechukwu D AbaraoguDepartment of Medical Rehabilitation, University of Nigeria, Enugu, Nigeria.
Philippa M DallDepartment of Physiotherapy and Paramedicine, Glasgow Caledonian University, Glasgow, UK.
Garry TewDepartment of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, UK.
Wesley StuartVascular Surgery, Queen Elizabeth University Hospital, Glasgow, UK.
Julie BrittendenInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.
Chris A SeenanDepartment of Physiotherapy and Paramedicine, Glasgow Caledonian University, Glasgow, UK.
Glasgow Caledonian University · GBNorthumbria University · GBQueen Elizabeth University Hospital · GBUniversity of Glasgow · GBUniversity of Nigeria · NG

Funding

Chief Scientist Office TCS/16/55
6 · The paper itself

Abstract

backgroundLittle is known about the extent to which routine care management of peripheral arterial disease (PAD) and intermittent claudication (IC) align with best practice recommendations on exercise therapy. We conducted a scoping review to examine the published literature on the availability and workings of exercise therapy in the routine management of patients with PAD and IC, and the attitude and practice of health professionals and patients.

methodsA systematic search was conducted in February 2018. The Cumulative Index of Nursing and Allied Health Literature, Ovid MEDLINE, Allied and Complementary Medicine Database, ScienceDirect, Web of Science and the Directory of Open Access Repositories were searched. Hand searching of reference lists of identified studies was also performed. Inclusion criteria were based on study aim, and included studies that reported on the perceptions, practices, and workings of routine exercise programs for patients with IC, their availability, access, and perceived barriers.

resultsEight studies met the eligibility criteria and were included in the review. Studies conducted within Europe were included. Findings indicated that vascular surgeons in parts of Europe generally recognize supervised exercise therapy as a best practice treatment for IC, but do not often refer their patients for supervised exercise therapy due to the unavailability of, or lack of access to supervised exercise therapy programs. Available supervised exercise therapy programs do not implement best practice recommendations, and in the majority, patients only undergo one session per week. Some challenges were cited as the cause of the suboptimal program implementation. These included issues related to patients' engagement and adherence as well as resource constraints.

conclusionThere is a dearth of published research on exercise therapy in the routine management of PAD and IC. Available data from a few countries within Europe indicated that supervised exercise is underutilized despite health professionals recognizing the benefits. Research is needed to understand how to improve the availability, access, uptake, and adherence to the best exercise recommendations in the routine management of people with PAD and IC.

Indexed as

Exercise TherapyAttitude of Health PersonnelExercise ToleranceHealth Knowledge, Attitudes, PracticeHealth StatusHumansIntermittent ClaudicationPeripheral Arterial DiseaseRecovery of FunctionTreatment Outcomeintermittent claudicationperipheral arterial diseasescoping reviewsupervised exercise

Identifiers

PMID32459138
PMCPMC7273548
OpenAlexW3019066201

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.