Evidence map›Paper›PMID 34903207›Full record

Trial reportBMC public health2021

Physical activity levels after low anterior resection for rectal cancer: one-year follow-up.

Anne Asnong, André D'Hoore, Albert Wolthuis, Yves Van Molhem, Bart Van Geluwe, Annouschka Laenen, Nele Devoogdt, An De Groef, Tessa De Vrieze, Charlotte Van Calster and 1 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 36% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Lifestyle perceptions following multimodal prehabilitation in patients undergoing cancer surgery: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  2. Article
  3. Article
  4. Accuracy of consumer-based activity trackers as measuring tool and coaching device in breast and colorectal cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  5. 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

11 authors at 4 institutions in 1 country.

Anne AsnongDepartment of Rehabilitation Sciences, Research Group Rehabilitation in Internal Disorders, KU Leuven - University of Leuven, Leuven, Belgium. anne.asnong@kuleuven.be.
André D'HooreDepartment of Abdominal Surgery, University Hospitals Leuven and KU Leuven - University of Leuven, Leuven, Belgium.
Albert WolthuisDepartment of Abdominal Surgery, University Hospitals Leuven and KU Leuven - University of Leuven, Leuven, Belgium.
Yves Van MolhemDepartment of Abdominal Surgery, OLV Hospitals Aalst/Asse/Ninove, Aalst, Belgium.
Bart Van GeluweDepartment of Abdominal Surgery, University Hospitals, Leuven, Belgium.
Annouschka LaenenInteruniversity Centre for Biostatistics and Statistical Bioinformatics, KU Leuven and Hasselt University, Leuven, Belgium.
Nele DevoogdtDepartment of Rehabilitation Sciences, Research Group Rehabilitation in Internal Disorders, KU Leuven - University of Leuven, Leuven, Belgium.
An De GroefDepartment of Rehabilitation Sciences, Research Group Rehabilitation in Internal Disorders, KU Leuven - University of Leuven, Leuven, Belgium.
Tessa De VriezeDepartment of Rehabilitation Sciences, Research Group Rehabilitation in Internal Disorders, KU Leuven - University of Leuven, Leuven, Belgium.
Charlotte Van CalsterDepartment of Rehabilitation Sciences, Research Group Rehabilitation in Internal Disorders, KU Leuven - University of Leuven, Leuven, Belgium.
Inge GeraertsDepartment of Rehabilitation Sciences, Research Group Rehabilitation in Internal Disorders, KU Leuven - University of Leuven, Leuven, Belgium.
KU Leuven · BEHasselt University · BEOnze Lieve Vrouwziekenhuis Hospital · BEUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOverall survival rates after rectal cancer have increased. Therefore, functional outcomes rightly deserve more interest. The aims of this study were to assess progression in total, sports, occupational and household physical activity levels of rectal cancer survivors, from preoperatively to 12 months after surgery/stoma closure and to explore predictive factors.

methodsMulti-center prospective study with 125 patients who underwent low anterior resection for rectal cancer. The Flemish Physical Activity Computerized Questionnaire was completed concerning all physical activity levels at baseline (past preoperative year) and at 1, 4, 6 and 12 months after surgery/stoma closure. At these timepoints, questionnaires (LARS-/ COREFO-questionnaire) regarding bowel symptoms were also filled out. Results were analyzed using linear mixed models for repeated measures.

resultsTotal physical activity levels up to 12 months remained significantly lower than preoperative. Occupational and sports physical activity levels remained significantly lower until 6 and 4 months postoperative, respectively. Predictive factors for decreased physical activity levels at a specific timepoint were: younger age and no stoma (total physical activity, 1 month), low/mid rectal tumor, no stoma, non-employed status (total, 4 months), higher COREFO-scores (occupational, 4 months) and non-employed status (total, 12 months). At all timepoints, lower COREFO-scores were associated with higher total physical activity levels; male gender and lower educational levels with higher occupational levels; younger age, normal BMI, employed status and adjuvant therapy with higher sports levels; and female gender, lower educational level and unemployed status with higher household levels.

conclusionsOne year after rectal cancer treatment, total physical activity levels were still not recovered. Rectal cancer patients, especially those at risk for decreased physical activity levels and with major bowel complaints, should be identified and guided to increase their activities.

trial registrationThis trial has been registered at Netherlands Trial Register ( NTR6383 , 23/01/2017).

Indexed as

ExerciseRectal NeoplasmsFemaleFollow-Up StudiesHumansMaleProspective StudiesActivities of daily livingBowel symptomsLow anterior resectionPhysical activityPredictive factorsQuestionnaireRectal neoplasms

Identifiers

PMID34903207
PMCPMC8667409
OpenAlexW4200424946

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.