Evidence map›Paper›PMID 33859367›Full record

SynthesisPediatric research2022

Physical and functional performance assessment in pediatric oncology: a systematic review.

Regine Söntgerath, Julia Däggelmann, Sabine V Kesting, Corina S Rueegg, Torge-Christian Wittke, Simon Reich, Katharina G Eckert, Sandra Stoessel, Carolina Chamorro-Viña, Joachim Wiskemann and 5 more

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Pediatric research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.0field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Self-Concept in Pediatric Cancer Patients.Advances in experimental medicine and biology · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. A Review of Late Effects in Pediatric Cancer: Implications for Rehabilitation.Rehabilitation oncology (American Physical Therapy Association. Oncology Section) · 2023
    Article
  14. Physical activity and physical fitness assessments in adolescents and young adults diagnosed with cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  15. Observational
  16. Article
  17. Article
  18. 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

15 authors at 12 institutions in 3 countries.

Regine Söntgerath *Department of Pediatric Oncology, Hematology and Hemostaseology, University Hospital Leipzig, Leipzig, Germany.
Julia Däggelmann *Department of Molecular and Cellular Sports Medicine, Institute of Cardiology and Sports Medicine, German Sport University Cologne, Cologne, Germany.
Sabine V KestingInstitute of Preventive Pediatrics, Department of Sport and Health Sciences, Technical University of Munich, Munich, Germany.
Corina S RueeggOslo Centre for Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway.
Torge-Christian WittkeKrukenberg Cancer Center, University Medicine Halle (Saale), Halle, Germany.
Simon ReichWorking Group Exercise Oncology Division of Medical Oncology, University Clinic Heidelberg and National Centre for Tumor Diseases (NCT), Heidelberg, Germany.
Katharina G EckertDepartment of Health Management & Public Health, IST University of Applied Sciences Düsseldorf, Düsseldorf, Germany.
Sandra StoesselCenter for Pediatric and Adolescent Medicine, Childhood Cancer Center, University Medical Center Mainz, Mainz, Germany.
Carolina Chamorro-ViñaFaculty of Kinesiology, Calgary, Alberta, Canada.
Joachim WiskemannWorking Group Exercise Oncology Division of Medical Oncology, University Clinic Heidelberg and National Centre for Tumor Diseases (NCT), Heidelberg, Germany.
Peter WrightDepartment of Sport, Health Sciences and Social Work, Oxford Brookes University, Oxford, UK.
Anna Senn-MalashonakDepartment of Pediatric Oncology, Hematology and Hemostaseology, Goethe University Clinic Frankfurt, Frankfurt am Main, Frankfurt, Germany.
Vanessa OschwaldDepartment of Molecular and Cellular Sports Medicine, Institute of Cardiology and Sports Medicine, German Sport University Cologne, Cologne, Germany.
Anne-Marie TillDepartment of Pediatric Hematology and Oncology, University Hospital Schleswig-Holstein, Lübeck, Germany.
Miriam GötteDepartment of Pediatric Hematology and Oncology, University Hospital Essen, Pediatrics III, Essen, Germany. miriam.goette@uk-essen.de.ORCID http://orcid.org/0000-0003-0841-8738
German Sport University Cologne · DEHeidelberg University · DEEssen University Hospital · DEGoethe University Frankfurt · DEHochschule Düsseldorf University of Applied Sciences · DEJohannes Gutenberg University Mainz · DEMünchen Klinik Schwabing · DEOslo University Hospital · NOOxford Brookes University · GBUniversity Hospital in Halle · DEUniversity Hospital Leipzig · DEUniversity Hospital Schleswig-Holstein · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResearch indicates reduced physical performance from diagnosis into survivorship of pediatric cancer patients. However, there is no systematic information or guideline available on the methods to assess physical performance and function in this population. The purpose was to systematically compile and describe assessments of physical performance and function in patients and survivors of pediatric cancer, including cardiorespiratory fitness, muscle strength, speed, balance, flexibility, functional mobility, gait and motor performance test batteries.

methodsWe searched the databases PubMed, SPORTDiscus, and Cochrane Database and performed abstract and full-text selection of 2619 articles according to the Cochrane Handbook of Systematic Reviews. Information on patients characteristics, assessments, information on validity and reliability, and relevant references was extracted.

resultsIn summary, 63 different assessments were found in 149 studies including 11639 participants. Most studies evaluated cardiorespiratory fitness and muscle strength with the majority conducted off treatment. Some outcomes (e.g. speed) and diagnoses (e.g. neuroblastoma) were severely underrepresented. With the exception of gait, leukemia patients represented the largest group of individuals tested.

conclusionsInsufficient data and patient heterogeneity complicate uniform recommendations for assessments. Our results support researchers and practitioners in selecting appropriate assessment to meet their specific research questions or individual daily practice needs. IMPACT: This systematic review includes 149 studies and provides a comprehensive summary of 63 assessments to evaluate cardiorespiratory fitness, muscle strength, speed, balance, flexibility, functional mobility, gait or motor performance test batteries in patients and survivors of pediatric cancer. We present the most studied fields within the pediatric cancer population, which are cardiorespiratory fitness and muscle strength, off treatment phase, and leukemia patients. We propose research priorities by identification of subgroups in terms of cancer type, phase of treatment, and outcome of interest that are underrepresented in studies currently available.

Indexed as

LeukemiaNeoplasmsChildHumansPhysical FitnessPhysical Functional PerformanceReproducibility of Results

Identifiers

PMID33859367
PMCPMC9064803
OpenAlexW3153892012

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.