Evidence map›Paper›PMID 34533284›Full record

SynthesisCancer medicine2021

Tai Chi for cancer survivors: A systematic review toward consensus-based guidelines.

Lin Yang, Kerri Winters-Stone, Benny Rana, Chao Cao, Linda E Carlson, Kerry S Courneya, Christine M Friedenreich, Kathryn H Schmitz

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 pooled it
1.9field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Is physical activity effective against cancer-related fatigue in lung cancer patients? An umbrella review of systematic reviews and meta-analyses.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Pooled it
  4. Pooled it
  5. Review
  6. Review
  7. The Science of Tai Chi andJournal of integrative and complementary medicine · 2025
    Review
  8. Article
  9. Review
  10. The effect of traditional Chinese medicine on psychological conditions among elderly patients with cancer: a scoping review.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2024
    Article
  11. Review
  12. Review of psychological interventions in patients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Review
  13. Review
  14. 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

8 authors at 5 institutions in 2 countries.

Lin YangDepartment of Cancer Epidemiology and Prevention Research, Alberta Health Services, Calgary, Canada.ORCID 0000-0002-1698-6666
Kerri Winters-StoneSchool of Nursing and Knight Cancer Institute, Oregon Health & Science University, Portland, Oregon, USA.
Benny RanaDepartment of Cancer Epidemiology and Prevention Research, Alberta Health Services, Calgary, Canada.
Chao CaoProgram in Physical Therapy, Washington University School of Medicine, St Louis, Missouri, USA.ORCID 0000-0002-0455-1171
Linda E CarlsonDepartments of Oncology, University of Calgary, Calgary, Canada.
Kerry S CourneyaFaculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Canada.ORCID 0000-0002-9677-3918
Christine M FriedenreichDepartment of Cancer Epidemiology and Prevention Research, Alberta Health Services, Calgary, Canada.
Kathryn H SchmitzPenn State Cancer Institute, Penn State College of Medicine, Hershey, Pennsylvania, USA.ORCID 0000-0003-2400-2935
Alberta Health Services · CAOregon Health & Science University · USPenn State Milton S. Hershey Medical Center · USUniversity of Alberta · CAWashington University in St. Louis · US

Funding

Preventing Falls and Frailty in Prostate Cancer Survivors: GET FIT ProstateR01CA222605 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI WINTERS-STONE, KERRI M · 2018 to 2022
$3.3M
Preventing falls after cancer: Tai chi vs. strength trainingR01CA163474 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI WINTERS-STONE, KERRI M · 2012 to 2016
$3.0M
Transdisciplinary Research in Energetics and Cancer (TREC) Training GrantR25CA203650 · NCI · YALE UNIVERSITY · PI IRWIN, MELINDA L · 2016 to 2025
$2.9M
Canadian Cancer Society 707046NCI NIH HHS R01 CA163474NCI NIH HHS R01 CA222605NCI NIH HHS R25 CA203650NCI NIH HHS R25CA203650
6 · The paper itself

Abstract

To manage acute, long-term, and late effects of cancer, current guidelines recommend moderate-to-vigorous intensity aerobic and resistance exercise. Unfortunately, not all cancer survivors are able or willing to perform higher intensity exercise during difficult cancer treatments or because of other existing health conditions. Tai Chi is an equipment-free, multicomponent mind-body exercise performed at light-to-moderate intensity that may provide a more feasible alternative to traditional exercise programs for some cancer survivors. This systematic review evaluated the therapeutic efficacy of Tai Chi across the cancer care continuum. We searched MEDLINE/PubMed, Embase, SCOPUS, and CINAHL databases for interventional studies from inception to 18 September 2020. Controlled trials of the effects of Tai Chi training on patient-reported and objectively measured outcomes in cancer survivors were included. Study quality was determined by the RoB 2 tool, and effect estimates were evaluated using the Best Evidence Synthesis approach. Twenty-six reports from 14 trials (one non-randomized controlled trial) conducted during (n = 5) and after treatment (after surgery: n = 2; after other treatments: n = 7) were included. Low-level evidence emerged to support the benefits of 40-60 min of thrice-weekly supervised Tai Chi for 8-12 weeks to improve fatigue and sleep quality in cancer survivors. These findings need to be confirmed in larger trials and tested for scaling-up potential. Insufficient evidence was available to evaluate the effects of Tai Chi on other cancer-related outcomes. Future research should examine whether Tai Chi training can improve a broader range of cancer outcomes including during the pre-treatment and end of life phases.

Indexed as

Cancer SurvivorsPractice Guidelines as TopicTai JiFatigueHumansSleep Qualitycancer survivorcancer treatmentexercisesystemic reviewTai Chi

Identifiers

PMID34533284
PMCPMC8559497
OpenAlexW3201145403

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.