Evidence map›Paper›PMID 34053445›Full record

SynthesisBMC cancer2021

Exercise interventions for people diagnosed with cancer: a systematic review of implementation outcomes.

Louise Czosnek, Justin Richards, Eva Zopf, Prue Cormie, Simon Rosenbaum, Nicole M Rankin

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.2field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Facilitators to the implementation of exercise into cancer care: a systematic review.Journal of cancer survivorship : research and practice · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Experiences and perceived benefits of remotely delivered dance/movement therapy for adult cancer patients: a multi-method program evaluation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Implementation of a Standard Care Program of Therapeutic Exercise in Metastatic Breast Cancer Patients.International journal of environmental research and public health · 2022
    Article
  16. Article
  17. Article
  18. Studying the implementation of exercise oncology interventions: a path forward.Translational journal of the American College of Sports Medicine · 2022
    Article
  19. Article
  20. 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

6 authors at 4 institutions in 2 countries.

Louise CzosnekMary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, 3000, Australia. Louise.czosnek@myacu.edu.au.ORCID http://orcid.org/0000-0002-2362-6888
Justin RichardsFaculty of Health, Victoria University of Wellington, Wellington, New Zealand.
Eva ZopfMary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, 3000, Australia.
Prue CormieMary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, 3000, Australia.
Simon RosenbaumSchool of Psychiatry, University of New South Wales, Sydney, Australia.
Nicole M RankinSchool of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Australian Catholic University · AUThe University of Sydney · AUBlack Dog Institute · AUPeter MacCallum Cancer Centre · AU

Funding

National Health and Medical Research Council (AU) APP1123336
6 · The paper itself

Abstract

purposeExercise is efficacious for people living after a cancer diagnosis. However, implementation of exercise interventions in real-world settings is challenging. Implementation outcomes are defined as 'the effects of deliberate and purposive actions to implement new treatments, practices, and services'. Measuring implementation outcomes is a practical way of evaluating implementation success. This systematic review explores the implementation outcomes of exercise interventions evaluated under real-world conditions for cancer care.

methodsUsing PRISMA guidelines, an electronic database search of Medline, PsycInfo, CINAHL, Web of Science, SportsDiscus, Scopus and Cochrane Central Registry of Controlled Trials was conducted for studies published between January 2000 and February 2020. The Moving through Cancer registry was hand searched. The Implementation Outcomes Framework guided data extraction. Inclusion criteria were adult populations with a cancer diagnosis. Efficacy studies were excluded.

resultsThirty-seven articles that described 31 unique programs met the inclusion criteria. Implementation outcomes commonly evaluated were feasibility (unique programs n = 17, 54.8%) and adoption (unique programs n = 14, 45.2%). Interventions were typically delivered in the community (unique programs n = 17, 58.6%), in groups (unique programs n = 14, 48.3%) and supervised by a qualified health professional (unique programs n = 14, 48.3%). Implementation outcomes infrequently evaluated were penetration (unique programs n = 1, 3.2%) and sustainability (unique programs n = 1, 3.2%).

conclusionsExercise studies need to measure and evaluate implementation outcomes under real-world conditions. Robust measurement and reporting of implementation outcomes can help to identify what strategies are essential for successful implementation of exercise interventions. IMPLICATIONS FOR CANCER SURVIVORS: Understanding how exercise interventions can be successful implemented is important so that people living after a cancer diagnosis can derive the benefits of exercise.

Indexed as

Health Plan ImplementationCancer SurvivorsExercise TherapyHealth PromotionHumansNeoplasmsSurvivorshipCancerExerciseImplementation outcomesPhysical activitySystematic review

Identifiers

PMID34053445
PMCPMC8166065
OpenAlexW3165569443

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.