Evidence map›Paper›PMID 37735664›Full record

ArticleBMC sports science, medicine & rehabilitation2023

Feasibility of delivering supervised exercise training following surgical resection and during adjuvant chemotherapy for pancreatic ductal adenocarcinoma (PRECISE): a case series.

Malcolm Brown, Dominic O'Connor, Richard Turkington, Martin Eatock, Rebecca Vince, Claire Hulme, Roy Bowdery, Rebecca Robinson, Jonathan Wadsley, Anthony Maraveyas and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04305067 (PRECISE), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

NCT04305067 nacompletednot on this map

PRECISE: PancREatic Cancer and Individualised Supervised Exercise: a Feasibility Study

TypeinterventionalSponsorQueen's University, BelfastRan2020 to 2022Enrolled8ConditionsPancreas AdenocarcinomaArmsExercise
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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.

Malcolm BrownSchool of Nursing and Midwifery, Queen's University Belfast Medical Biology Centre, 97 Lisburn Road, Belfast, BT9 7BL, UK. m.brown@qub.ac.uk.
Dominic O'ConnorSchool of Health Sciences, The University of Nottingham, Nottingham, England, UK.
Richard TurkingtonThe Patrick G. Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, Northern Ireland, UK.
Martin EatockThe Patrick G. Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, Northern Ireland, UK.
Rebecca VinceSchool of Sport, Exercise and Rehabilitation Sciences, University of Hull, Hull, England, UK.
Claire HulmeDepartment of Health and Community Sciences, University of Exeter Medical School, Exeter, England, UK.
Roy BowderyPancreatic Cancer UK Research Involvement Network, London, England, UK.
Rebecca RobinsonSheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England, UK.
Jonathan WadsleyDepartment of Oncology and Metabolism, The Medical School, University of Sheffield, Sheffield, England, UK.
Anthony MaraveyasHull York Medical School, University of Hull, Hull, England, UK.
Gillian PrueSchool of Nursing and Midwifery, Queen's University Belfast Medical Biology Centre, 97 Lisburn Road, Belfast, BT9 7BL, UK.

Funding

Pancreatic Cancer UK 2018RIF_12
6 · The paper itself

Abstract

introductionPancreatic ductal adenocarcinoma (PDAC) is an aggressive neoplasm, with surgical resection and adjuvant chemotherapy the only curative treatment. Treatment-related toxicities place a considerable burden on patients although exercise training has shown promise is helping to manage such adversities and facilitate rehabilitation. The feasibility and safety of exercise training as a supportive therapy during adjuvant chemotherapy remains unknown.

methodsPatients with PDAC were screened post-surgical resection and enrolled in a 16-week, progressive, concurrent exercise programme alongside their chemotherapy regimen. Feasibility was the primary objective detailing recruitment, retention and adherence rates throughout as well as the safety and fidelity of the intervention. Secondarily, the impact on functional fitness and patient-reported outcomes was captured at baseline, post-intervention and 3-month follow up.

resultsEight patients consented to participate in this trial, with five proceeding to enrol in exercise training. Concurrent exercise training is feasible and safe during adjuvant chemotherapy and prevented an expected decline in functional fitness and patient-reported outcomes during this time. DISCUSSION: This case series provides preliminary evidence that concurrent exercise training during adjuvant therapy is safe, feasible and well tolerated, preventing an expected decline in functional fitness, muscular strength and health-related quality of life (HRQoL). Given the adverse effects of treatment, these findings are promising and provide further evidence for the inclusion of exercise training as a standard of care for surgical rehabilitation and managing treatment-related toxicities. Future research should explore the impact of exercise training during neoadjuvant chemotherapy, with prehabilitation now standard practice for borderline resectable disease.

trial registrationClinicalTrials.gov Identifier: NCT04305067, prospectively registered 12/03/2020, https://classic. CLINICALTRIALS: gov/ct2/show/NCT04305067 .

Indexed as

ExerciseFeasibilityFunctional fitnessPancreatic ductal adenocarcinomaPatient-reported outcomes

Identifiers

PMID37735664
PMCPMC10514993

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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.