Evidence map›Paper›PMID 33900458›Full record

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

Development of the Exercise in Cancer Evaluation and Decision Support (EXCEEDS) algorithm.

Kelley R Covington, Timothy Marshall, Grace Campbell, Grant R Williams, Jack B Fu, Tiffany D Kendig, Nancy Howe, Catherine M Alfano, Mackenzi Pergolotti

Abstract readReview
In one paragraph

Review 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 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–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.

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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Management of Fatigue in Adult Survivors of Cancer: ASCO-Society for Integrative Oncology Guideline Update.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Guideline
  2. Trial
  3. Trial
  4. Article
  5. Breast cancer survivors' perspectives on a clinical decision tool to support individualized exercise prescriptions and discussions.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  6. If Exercise Were a Pill, We'd All Prescribe It to Patients With Cancer. But It's Not.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Article
  7. Article
  8. Article
  9. The Use of Physiotherapy Navigators in Acute Cancer Care Settings: A Scoping Review.Archives of rehabilitation research and clinical translation · 2025
    Review
  10. Article
  11. Triage tools to inform the prioritisation of physical health services following a diagnosis of cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Article
  17. An initiative to implement a triage and referral system to make exercise and rehabilitation referrals standard of care in oncology.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  18. Article
  19. Article
  20. Predictors of cancer rehabilitation medicine referral and utilization based on the Moving Through Cancer physical activity screening assessment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    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

9 authors.

Kelley R CovingtonReVital Cancer Rehabilitation, Select Medical, Mechanicsburg, PA, USA. krcov@colostate.edu.ORCID http://orcid.org/0000-0001-5453-2414
Timothy MarshallIvy Rehab Network, NJ, White Plains, NY, USA.
Grace CampbellDepartment of Acute & Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA, USA.
Grant R WilliamsDepartment of Medicine, Division of Hematology/Oncology, University of Alabama at Birmingham, Birmingham, AL, USA.
Jack B FuDepartment of Palliative, Rehabilitation & Integrative Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Tiffany D KendigReVital Cancer Rehabilitation, Select Medical, Mechanicsburg, PA, USA.
Nancy HoweEdson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA.
Catherine M AlfanoNorthwell Health Cancer Institute, New York, NY, USA.
Mackenzi PergolottiReVital Cancer Rehabilitation, Select Medical, Mechanicsburg, PA, USA.

Funding

Myopenia and Mechanisms of Chemotherapy Toxicity in Older Adults with Colorectal Cancer: The M&M StudyK08CA234225 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WILLIAMS, GRANT R · 2018 to 2022
$1.0M
NCI NIH HHS K08 CA234225
6 · The paper itself

Abstract

purposeParticipation in exercise or rehabilitation services is recommended to optimize health, functioning, and well-being across the cancer continuum of care. However, limited knowledge of individual needs and complex decision-making are barriers to connect the right survivor to the right exercise/rehabilitation service at the right time. In this article, we define the levels of exercise/rehabilitation services, provide a conceptual model to improve understanding of individual needs, and describe the development of the Exercise in Cancer Evaluation and Decision Support (EXCEEDS) algorithm.

methodsFrom literature review, we synthesized defining characteristics of exercise/rehabilitation services and individual characteristics associated with safety and efficacy for each service. We developed a visual model to conceptualize the need for each level of specialized care, then organized individual characteristics into a risk-stratified algorithm. Iterative review with a multidisciplinary expert panel was conducted until consensus was reached on algorithm content and format.

resultsWe identified eight defining features of the four levels of exercise/rehabilitation services and provide a conceptual model of to guide individualized navigation for each service across the continuum of care. The EXCEEDS algorithm includes a risk-stratified series of eleven dichotomous questions, organized in two sections and ten domains.

conclusionsThe EXCEEDS algorithm is an evidence-based decision support tool that provides a common language to describe exercise/rehabilitation services, a practical model to understand individualized needs, and step-by-step decision support guidance. The EXCEEDS algorithm is designed to be used at point of care or point of need by multidisciplinary users, including survivors. Thus, implementation may improve care coordination for cancer exercise/rehabilitation services.

Indexed as

NeoplasmsAlgorithmsExercise TherapyHumansSurvivorsCancerClinical pathwayDecision supportExerciseSurvivorshipTriage

Identifiers

PMID33900458
PMCPMC8525648

What OpenQuestion holds

Textmetadata
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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.