Evidence map›Paper›PMID 32991400›Full record

ArticleMedicine2020

Interventions to improve physical performances of older people with cancer before complex medico-surgical procedures: Protocol for an umbrella review of systematic reviews and meta-analyses.

Claire Falandry, Laetitia Stefani, Louise Andre, Marion Granger, Claire Barbavara, Hocine Habchi, Chrystelle Bourgeois, Hervé Cure, Guillaume Passot, Thomas Gilbert and 1 more

Open access · goldAbstract read
In one paragraph

Article in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 41% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Ovarian cancer in the older patient: where are we now? What to do next?Therapeutic advances in medical oncology · 2023
    Review
  4. Advances in the management of peritoneal malignancies.Nature reviews. Clinical oncology · 2022
    Review
  5. 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

11 authors at 3 institutions in 2 countries.

Claire FalandryGeriatric Unit, Lyon-Sud Hospital.ORCID 0000-0001-7267-4723
Laetitia StefaniOncology Department, Centre Hospitalier Annecy Genevois, Pringy.
Louise AndreGeriatric Unit, Lyon-Sud Hospital.
Marion GrangerGeriatric Unit, Lyon-Sud Hospital.
Claire BarbavaraGeriatric Unit, Lyon-Sud Hospital.
Hocine HabchiUrology Department, University Hospital Jean Monnet, St. Etienne.
Chrystelle BourgeoisOncology Department, Centre Hospitalier Annecy Genevois, Pringy.
Hervé CureDepartment of Medical Oncology, CHU de Grenoble, La Tronche.
Guillaume PassotDepartment of Surgical Oncology, CHU Lyon Sud, Hospices Civils de Lyon, University of Lyon.
Thomas GilbertGeriatric Unit, Lyon-Sud Hospital.
PROADAPT working group
Hospices Civils de Lyon · FRUniversité Claude Bernard Lyon 1 · FRCentre Hospitalier Universitaire de Grenoble · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent demographics lead increasing older cancer patients to undergo complex medico-surgical procedures, with substantial risk of decompensations and deconditioning. The Prehabilitation & Rehabilitation in Oncology: Adaptation to Disease and Accompaniment of Patients' Trajectories (PROADAPT) project is currently being developed with the aim of improving care, through standardized care pathways guided by existing evidence and implementation programs. A working group will specifically focus on improvement of physical performances before such procedures. These interventions may have been developed in different contexts: before surgery in large, before carcinologic surgery or complex medical interventions (chemotherapy, radiotherapy), or in primary care for elderly patients to prevent sarcopenia and frailty. Post-surgical interventions are out of the scope of this review. The objective of this review is to summarize the level of evidence to support physical reconditioning interventions and identify areas where further work is required.

methodsThis umbrella review will include moderate to high quality systematic reviews, meta-analysis, and pre-existing umbrella or meta-reviews. Two reviewers will independently search the following databases: PubMed/MedLine, Cochrane Library, Embase, and CINAHL. Research strategy will use diverse keywords used to refer to the concepts of "prehabilitation," "preoperative exercise," or "preoperative rehabilitation," with prespecified inclusion and exclusion criteria and only systematic reviews selection. The distinct types of interventions presented using PRISMA guidelines and a narrative reporting of results. A focus will be made on outcomes such as physical performances, quality of life, autonomy in everyday activities, or number of hospital bed days. ETHICS AND DISSEMINATION: Ethical approval is not required for such an umbrella review. Our review will be submitted for publication in a peer-reviewed international journal using open access option if available. It will be complementary to reviews focused on hospital discharge of older people. PROSPERO REGISTRATION NUMBER: CRD42020100110.

Indexed as

Physical Functional PerformanceAgedExerciseHumansMedical OncologyMeta-Analysis as TopicNeoplasmsPreoperative CarePreoperative PeriodQuality of LifeSystematic Reviews as Topic

Identifiers

PMID32991400
PMCPMC7523808
OpenAlexW3088707841

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.