ArticleJournal of cancer survivorship : research and practice2022
Implementation barriers to integrating exercise as medicine in oncology: an ecological scoping review.
Article in Journal of cancer survivorship : research and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06768918 (Digitizing Cancer Rehabilitation During and After Systemic Treatment), which is not on this map. Cited by 62 papers, 2 of them syntheses that pooled 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.
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.
Digitizing Cancer Rehabilitation During and After Systemic Treatment: Feasibility Testing Implementation in South Baltic Countries
Who cites it
62 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Dissemination planning in exercise oncology trials-a systematic review of trial protocols.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Pooled it
- Survivorship care for people affected by advanced or metastatic cancer: MASCC-ASCO standards and practice recommendations.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Pooled it
- A qualitative study of cancer survivors' exercise behaviour 4 months after a telerehabilitation program.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Trial
- Planning and evaluating an integrated clinical exercise oncology service: an exploratory mixed-methods study.BMC health services research · 2024Trial
- 'Making a connection': a qualitative study of experiences from a cancer telerehabilitation program.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Trial
- Informational and structural barriers to exercise oncology care in Spain: development of the MOVE-Onco questionnaire and preliminary findings.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026Article
- EXCEL-Punjabi: the process of using a community based participatory research approach for a culturally-tailored exercise oncology intervention.Research involvement and engagement · 2026Article
- Lung Cancer Survivorship: Challenges and Care Needs.Cancers · 2026Review
- One step forward, two steps back: a qualitative study of clinical perspectives on implementing exercise in neuro-oncology care.Journal of cancer survivorship : research and practice · 2026Article
- Article
- A qualitative analysis of cancer patients' views on facilitators and barriers for the implementation of oncological exercise therapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Oncology Rehabilitation in Australia: A National Survey Update.Asia-Pacific journal of clinical oncology · 2026Article
- Healthcare provider perspectives on barriers and facilitators to exercise promotion among breast cancer survivors: Differences across professions.Journal of cancer survivorship : research and practice · 2026Article
- Feasibility and safety of short-duration aerobic training in non-hematological cancer patients hospitalized for chemotherapy treatment.The oncologist · 2026Article
- Barriers and enablers to integrating physical activity in breast cancer care: A qualitative study using the TDF and COM-B model.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Physical Activity, Trust, and Research Participation Among Men From Minority Ethnic Backgrounds Living With Prostate Cancer: A Qualitative Study.Psycho-oncology · 2026Article
- Facilitators to the implementation of exercise into cancer care: a systematic review.Journal of cancer survivorship : research and practice · 2026Review
- A multi-center cross-sectional study to explore cancer patients' views on facilitators and barriers for the implementation of oncological exercise therapy.Frontiers in oncology · 2026Article
- A qualitative exploration of patient and clinician needs and preferences for a physical activity intervention during breast cancer chemotherapy.BMC cancer · 2025Article
- Qualitative research exploring the complexities of exercise promotion in prostate cancer survivorship.International journal of qualitative studies on health and well-being · 2025Article
2 more citing papers are in PubMed but not listed here.
Corrections and comments
- Erratum issued
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWhile calls have been made for exercise to become standard practice in oncology, barriers to implementation in real-world settings are not well described. This systematic scoping review aimed to comprehensively describe barriers impeding integration of exercise into routine oncology care within healthcare systems.
methodsA systematic literature search was conducted across six electronic databases (since 2010) to identify barriers to implementing exercise into real-world settings. An ecological framework was used to classify barriers according to their respective level within the healthcare system.
resultsA total of 1,376 results were retrieved; 50 articles describing implementation barriers in real-world exercise oncology settings were reviewed. Two hundred and forty-three barriers were identified across all levels of the healthcare system. Nearly 40% of barriers existed at the organizational level (n = 93). Lack of structures to support exercise integration and absence of staff/resources to facilitate its delivery were the most common issues reported. Despite the frequency of barriers at the organizational level, organizational stakeholders were largely absent from the research.
conclusionsImplementing exercise into routine cancer care is hindered by a web of interrelated barriers across all levels of the healthcare system. Organizational barriers are central to most issues. Future work should take an interdisciplinary approach to explore best practices for overcoming implementation barriers, with organizations as a central focus. IMPLICATIONS FOR CANCER SURVIVORS: This blueprint of implementation barriers highlights critical issues that need to be overcome to ensure people with cancer have access to the therapeutic benefits of exercise during treatment and beyond.
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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.