Evidence map›Paper›PMID 33104921›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021

Feasibility and outcomes of a goal-directed physical therapy program for patients with metastatic breast cancer.

W G Groen, M R Ten Tusscher, R Verbeek, E Geleijn, G S Sonke, I R Konings, M J Van der Vorst, A A van Zweeden, J G Schrama, S Vrijaldenhoven and 3 more

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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. 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
  9. 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

13 authors at 7 institutions in 1 country.

W G Groen *Division of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
M R Ten Tusscher *Center for Quality of Life, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
R VerbeekCenter for Quality of Life, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
E GeleijnDepartment of Rehabilitation Medicine, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands.
G S SonkeDepartment of Medical Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
I R KoningsDepartment of Medical Oncology, Amsterdam UMC, VU Medical Center Amsterdam/Cancer Center Amsterdam, Amsterdam, The Netherlands.
M J Van der VorstDepartment of Medical Oncology, Amsterdam UMC, VU Medical Center Amsterdam/Cancer Center Amsterdam, Amsterdam, The Netherlands.
A A van ZweedenDepartment of Internal Medicine, Amstelland Hospital, Amstelveen, The Netherlands.
J G SchramaDepartment of Internal Medicine, Spaarne Gasthuis, Hoofddorp, The Netherlands.
S VrijaldenhovenDepartment of Medical Oncology, Noordwest Ziekenhuisgroep, Alkmaar, The Netherlands.
S D BakkerDepartment of Internal Medicine, Zaans Medical Center, Zaandam, Netherlands.
N K AaronsonDivision of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
M M StuiverCenter for Quality of Life, The Netherlands Cancer Institute, Amsterdam, The Netherlands. m.stuiver@nki.nl.ORCID http://orcid.org/0000-0002-7794-7767
The Netherlands Cancer Institute · NLAmsterdam University Medical Centers · NLNoordwest Ziekenhuisgroep · NLOncode Institute · NLSpaarne Ziekenhuis · NLZaans Medisch Centrum · NLZiekenhuis Amstelland · NL

Funding

Pink Ribbon Foundation 2014-195
6 · The paper itself

Abstract

purposeTo evaluate the feasibility and outcomes of a tailored, goal-directed, and exercise-based physical therapy program for patients with metastatic breast cancer (MBC).

methodsThis was an observational, uncontrolled feasibility study. The physical therapy intervention was highly tailored to the individual patient's goals, abilities, and preferences and could include functional, strength, aerobic, and relaxation exercises. Feasibility outcomes were participation rate (expected: 25%), safety, and adherence (percentage of attended sessions relative to scheduled sessions). Additional outcomes were goal attainment, self-reported physical functioning, fatigue, health-related quality of life, and patient and physical therapist satisfaction with the program.

resultsFifty-five patients (estimated participation rate: 34%) were enrolled. Three patients did not start the intervention due to early disease progression. An additional 22 patients discontinued the program prematurely, mainly due to disease progression. Median intervention adherence was 90% and no major intervention-related adverse events occurred. A goal attainment score was available for 42 patients (of whom 29 had completed the program and 13 had prematurely dropped out). Twenty-two (52%) of these patients achieved their main goal fully or largely and an additional 15 patients (36%) partially. Eighty-five percent would "definitely recommend" the program to other patients with MBC. We observed a modest improvement in patient satisfaction with physical activities (Cohen's d

conclusionThe tailored intervention program was feasible in terms of uptake, safety, and outcomes and was highly valued by patients and physical therapists. However, disease progression interfered with the program, leading to substantial dropout.

trial registrationNTR register: NTR6475.

Indexed as

Breast NeoplasmsExerciseExercise TherapyFeasibility StudiesFemaleGoalsHumansMiddle AgedNeoplasm MetastasisQuality of LifeGoal settingMetastatic breast cancerPhysical therapyTailored exercise program

Identifiers

PMID33104921
OpenAlexW3094035565

What OpenQuestion holds

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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.