Evidence map›Paper›PMID 33470990›Full record

ArticleMethods and protocols2020

A Personalized Patient-Centered Intervention to Empower through Physical Activity the Patient in the Dialysis Center: Study Protocol for a Pragmatic Nonrandomized Clinical Trial.

Fabio Manfredini, Nicola Lamberti, Yuri Battaglia, Sofia Straudi, Martino Belvederi Murri, Maria Donadi, Giovanni Piva, Fabio Fabbian, Pablo Jesús López-Soto, Luigi Grassi and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Methods and protocols, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04282616 (An Exercise Facilitator to Break Down the Barriers to Physical Activity of End-stage Kidney Disease Patients. A Pragmatic Implementation Trial in a Nephrology Unit), 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
–field-weighted citation impact
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.

NCT04282616 nacompletednot on this map

An Exercise Facilitator to Break Down the Barriers to Physical Activity of End-stage Kidney Disease Patients. A Pragmatic Implementation Trial in a Nephrology Unit

TypeinterventionalSponsorUniversity Hospital of FerraraRan2020 to 2025Enrolled144ConditionsChronic Kidney Disease Stage 5 on DialysisArmsHome-based unstructured physical activity program, Home-based structured low-intensity physical activity program, In-hospital structured supervised physical activity program
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Nephrologists' Insights on Exercise in Renal Health.Kidney & blood pressure research · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
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.

Fabio ManfrediniDepartment of Neuroscience and Rehabilitation, Section of Sports Sciences, University of Ferrara, Via Luigi Borsari 46, 44121 Ferrara, Italy.
Nicola LambertiDepartment of Neuroscience and Rehabilitation, Section of Sports Sciences, University of Ferrara, Via Luigi Borsari 46, 44121 Ferrara, Italy.ORCID 0000-0001-5763-3069
Yuri BattagliaUnit of Nephrology and Dialysis, University Hospital of Ferrara, Via Aldo Moro 8, 44124 Ferrara, Italy.ORCID 0000-0003-3947-1814
Sofia StraudiUnit of Physical Medicine and Rehabilitation, University Hospital of Ferrara, Via Aldo Moro 8, 44124 Ferrara, Italy.
Martino Belvederi MurriInstitute of Psychiatry, Department of Neuroscience and Rehabilitation, University of Ferrara, Via Fossato di Mortara 64, 44121 Ferrara, Italy.ORCID 0000-0002-7262-3528
Maria DonadiUnit of Nephrology and Dialysis, University Hospital of Ferrara, Via Aldo Moro 8, 44124 Ferrara, Italy.
Giovanni PivaDepartment of Neuroscience and Rehabilitation, Section of Sports Sciences, University of Ferrara, Via Luigi Borsari 46, 44121 Ferrara, Italy.
Fabio FabbianDepartment of Medical Sciences, University of Ferrara, Via Aldo Moro 8, 44124 Ferrara, Italy.ORCID 0000-0001-5189-3695
Pablo Jesús López-SotoDepartment of Nursing, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), University of Cordoba, Reina Sofía University Hospital, 14004 Cordoba, Spain.
Luigi GrassiInstitute of Psychiatry, Department of Neuroscience and Rehabilitation, University of Ferrara, Via Fossato di Mortara 64, 44121 Ferrara, Italy.
Roberto ManfrediniDepartment of Medical Sciences, University of Ferrara, Via Aldo Moro 8, 44124 Ferrara, Italy.ORCID 0000-0002-8364-2601
Nino BasagliaUnit of Physical Medicine and Rehabilitation, University Hospital of Ferrara, Via Aldo Moro 8, 44124 Ferrara, Italy.
Alda StorariUnit of Nephrology and Dialysis, University Hospital of Ferrara, Via Aldo Moro 8, 44124 Ferrara, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sedentariness of patients affected by end-stage kidney disease (ESKD) expose them to high risk of unfavorable clinical outcomes. Exercise training is effective in improving physical function, quality of life (QoL) and long-term outcomes. However, the existing barriers related to patients, programs and dialysis staff limit patient participation and call for new strategies. This pragmatic nonrandomized trial will test the impact on ESKD population of an intervention proposed by an exercise facilitator regularly present in a dialysis center. The patient will be free to choose among three-month walking and/or resistance low-intensity training programs: (a) guided physical activity increase; (b) home-based exercise; (c) in-hospital (pre/post dialysis) supervised exercise; (d) performance assessment only. The first phase will define feasibility and the characteristics and preference of responders. The second phase will evaluate safety and patients' adherence. Outcome measures will be collected at baseline, after three-month and at six-month follow-up. They will include: aerobic capacity, QoL, gait speed, strength, depression and long-term clinical outcomes (hospitalization and mortality). The trial was approved by the Area-Vasta Emilia-Romagna Centro Ethics Committee with approval number 48/2019. Written informed consent will be obtained from all participants. The results of the study will be presented in international congresses, published in peer-reviewed journals and communicated to the patient community. Registration details: Clinicaltrials.gov NCT04282616 [Registered:24/02/2020].

Indexed as

chronic kidney diseasedepressionexerciseexercise testingrehabilitationrisk factors

Identifiers

PMID33470990
PMCPMC7768449

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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.