Evidence map›Paper›PMID 33813267›Full record

Trial reportSurgical oncology2021

Potential effectiveness of a surgeon-delivered exercise prescription and an activity tracker on pre-operative exercise adherence and aerobic capacity of lung cancer patients.

David J Finley, Courtney J Stevens, Jennifer A Emond, John A Batsis, Kayla A Fay, Christian Darabos, Olivia A Sacks, Summer B Cook, Kathleen Doyle Lyons

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Surgical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03162718 (A Feasibility Study of Unsupervised, Pre-operative Exercise Program for Patients Scheduled for Lung Cancer Surgery), which is not on this map. Cited by 13 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 6 pooled it
1.7field-weighted citation impact, top 13% 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.

NCT03162718 nacompletednot on this map

A Feasibility Study of Unsupervised, Pre-operative Exercise Program for Patients Scheduled for Lung Cancer Surgery

TypeinterventionalSponsorDartmouth-Hitchcock Medical CenterRan2017 to 2019Enrolled30ConditionsLung CancerArmsExercise
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 6 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 5 institutions in 1 country.

David J FinleyDepartment of Surgery, Section Thoracic Surgery, Dartmouth-Hitchcock Health, 1 Medical Center Drive, Lebanon, NH, 03756, USA. Electronic address: David.J.Finley@hitchcock.org.
Courtney J StevensDepartment of Psychiatry, Dartmouth-Hitchcock Health, Dartmouth Centers for Health & Aging, 46 Centerra Parkway, Lebanon, NH, 03756, USA. Electronic address: Courtney.j.stevens@dartmouth.edu.
Jennifer A EmondDepartment of Biomedical Data Sciences, Geisel School of Medicine, Dartmouth College, 1 Medical Center Drive, Lebanon, NH, 03756, USA. Electronic address: Jennifer.A.Emond@dartmouth.edu.
John A BatsisDepartment of Medicine, Dartmouth-Hitchcock Health, The Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine, 1 Medical Center Drive, Lebanon, NH, 03756, USA. Electronic address: john.batsis@gmail.com.
Kayla A FayDepartment of Surgery, Section of Thoracic Surgery, Dartmouth-Hitchcock Health, 1 Medical Center Dr., Lebanon, NH, 03756, USA. Electronic address: Kayla.A.Fay@hitchcock.org.
Christian DarabosInformation, Technology and Consulting, Dartmouth College, 4 Currier Place, Hanover, NH, 03748, USA; Department of Biomedical Data Sciences, Geisel School of Medicine, Dartmouth College, 1 Medical Center Drive, Lebanon, NH, 03756, USA. Electronic address: Christian.Darabos@dartmouth.edu.
Olivia A SacksDepartment of Surgery, Boston Medical Center, 1 Boston Medical Center Place, Boston, MA, 02118, USA. Electronic address: Olivia.Sacks@bmc.org.
Summer B CookDepartment of Kinesiology, University of New Hampshire, 124 Main Street, Durham, NH, 03824, USA. Electronic address: summer.cook@unh.edu.
Kathleen Doyle LyonsDepartment of Psychiatry Research, Dartmouth-Hitchcock Health, 1 Medical Center Dr., Lebanon, NH, 03756, USA. Electronic address: Kathleen.D.Lyons@dartmouth.edu.
Dartmouth–Hitchcock Medical Center · USDartmouth College · USDartmouth Institute for Health Policy and Clinical Practice · USBoston Medical Center · USUniversity of New Hampshire · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
SYNERGY: The Dartmouth Center for clinical and Translational ScienceUL1TR001086 · NCATS · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2013 to 2017
$18.3M
Training Geriatric Mental Health Services ResearchersT32MH073553 · NIMH · DARTMOUTH-HITCHCOCK CLINIC · PI BRUCE, MARTHA L · 2005 to 2019
$6.4M
Health Promotion and Disease Prevention Research CenterU48DP005018 · DP · DARTMOUTH COLLEGE · PI ADACHI-MEJIA, ANNA MARIA · 2014 to 2018
$5.6M
Mobile Health Obesity Wellness Intervention in Rural Older Adults_Res1K23AG051681 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BATSIS, JOHN A. · 2016 to 2022
$1.1M
ACL HHS U48DP005018NCATS NIH HHS UL1 TR001086NCCDPHP CDC HHS U48 DP005018NCI NIH HHS P30 CA023108NIA NIH HHS K23 AG051681NIMH NIH HHS T32 MH073553
6 · The paper itself

Abstract

objectivesPre-operative exercise may improve functional outcomes for lung cancer patients, but barriers associated with cost, resources, and burden make it challenging to deliver pre-operative exercise programs. The goal of this proof-of-concept study was to determine level of moderate-vigorous physical activity (MVPA) and change in aerobic capacity after participation in a home-based pre-operative exercise intervention. MATERIALS AND

methodsEighteen patients scheduled for surgery for suspected stage I-III lung cancer received an exercise prescription from their surgeon and wore a commercially-available device that tracked their daily MVPA throughout the pre-operative period. Descriptive statistics were used to calculate adherence to the exercise prescription. A one-sample t-test was used to explore change in aerobic capacity from baseline to the day of surgery.

resultsParticipants exhibited a mean of 20.4 (sd = 46.2) minutes of MVPA per day during the pre-operative period. On average, the sample met the goal of 30 min of MVPA on 16.4% of the days during the pre-operative period. The mean distance achieved at baseline for the 6-min walk test was 456.7 m (sd = 72.9), which increased to 471.1 m (sd = 88.4) on the day of surgery. This equates to a mean improvement of 13.8 m (sd = 37.0), but this difference was not statistically different from zero (p = 0.14). Eight of the 17 participants (47%) demonstrated a clinically significant improvement of 14 m or more.

conclusionA surgeon-delivered exercise prescription plus an activity tracker may promote clinically significant improvement in aerobic capacity and MVPA engagement among patients with lung cancer during the pre-operative period, but may need to be augmented with more contact with and support from practitioners over time to maximize benefits.

trial registrationThe study protocol was registered with ClinicalTrials.gov prior to initiating participant recruitment (NCT03162718).

Indexed as

AgedExerciseExercise TherapyFemaleFitness TrackersHumansLung NeoplasmsMaleMiddle AgedNew HampshirePatient Acceptance of Health CarePreoperative CarePreoperative PeriodPrescriptionsSurgeonsActivity trackerExerciseNeoplasmsRehabilitationTelemedicineThoracic surgery

Identifiers

PMID33813267
PMCPMC8217197
OpenAlexW3135809688

What OpenQuestion holds

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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.