Evidence map›Paper›PMID 38219003›Full record

Trial reportAnnals of surgical oncology2024

A Feasibility Randomized Controlled Trial of Prehabilitation During Neoadjuvant Chemotherapy for Women with Breast Cancer: A Mixed Methods Study.

Priya Brahmbhatt, Nicole J Look Hong, Apishanthi Sriskandarajah, Nasrin Alavi, Sarah Selvadurai, David Berger-Richardson, Sharon Lemon-Wong, Joanna Mascarenhas, Leslie Gibson, Tracey Rapier and 4 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Annals of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 6% 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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Prehabilitation for cancer surgery: a systematic review of qualitative literature from experienced stakeholders.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. What helps or hinders adult cancer patients in accepting dietary interventions during chemotherapy? A qualitative synthesis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  3. Prehabilitation for patients undergoing neoadjuvant therapy prior to cancer resection: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  4. Trial
  5. Review
  6. Review
  7. Review
  8. 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

14 authors at 5 institutions in 1 country.

Priya BrahmbhattFaculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada.
Nicole J Look HongDivision of Surgical Oncology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Apishanthi SriskandarajahDivision of Surgical Oncology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Nasrin AlaviDivision of Surgical Oncology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Sarah SelvaduraiDivision of Surgical Oncology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
David Berger-RichardsonDivision of Surgical Oncology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Sharon Lemon-WongSunnybrook Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Joanna MascarenhasSunnybrook Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Leslie GibsonSunnybrook Health Sciences Centre, Toronto, ON, Canada.
Tracey RapierSunnybrook Health Sciences Centre, Toronto, ON, Canada.
Elie Isenberg-GrzedaDepartment of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Lori J BernsteinDepartment of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Daniel Santa MinaFaculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada. daniel.santamina@utoronto.ca.
Frances C WrightDivision of Surgical Oncology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada. frances.wright@sunnybrook.ca.
Sunnybrook Health Science Centre · CAHealth Sciences Centre · CAPrincess Margaret Cancer Centre · CAUniversity Health Network · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited data exist regarding the role of multimodal prehabilitation during neoadjuvant chemotherapy (NACT) for breast cancer. Determining large trial feasibility and identifying signals of prehabilitation benefit are needed. PATIENTS AND

methodsWe conducted a randomized controlled feasibility trial of multimodal prehabilitation versus usual care during NACT among women diagnosed with non-metastatic breast cancer. Intervention participants received an individualized exercise program, dietetic support, and stress management counseling during NACT. The trial assessed feasibility via rates of recruitment, attrition, adherence, and study-related adverse events. Physical fitness (Six Minute Walk Test, grip strength, anthropometrics) and patient-reported outcomes were assessed at baseline, after NACT completion, and 6 months after surgery as exploratory outcomes, and analyzed using linear mixed effects models. Qualitative data were collected from a subsample to understand feasibility and acceptability of prehabilitation.

resultsA total of 72 participants were enrolled from the 123 eligible patients (recruitment rate of 53%). There was a 13% attrition rate and no intervention-related adverse events. Participants in the prehabilitation group had better 6-min walk distance at the post-chemotherapy timepoint [between group difference of 49.43 m, 95% confidence interval (CI) - 118.1, 19.2] and at the post-surgery timepoint (27.3, 95% CI -96.8, 42.2) compared with the control group. Prehabilitation participants reported better quality of life, less fatigue, and improved physical activity levels compared with usual care participants. Interviews revealed that the intervention had a positive impact on the treatment experience.

conclusionsThis study demonstrated feasibility and improvement in physical and psychosocial outcomes. Larger trials assessing intervention efficacy to confirm indications of prehabilitation benefit are warranted.

Indexed as

Breast NeoplasmsFeasibility StudiesFemaleHumansNeoadjuvant TherapyPreoperative ExerciseQuality of Life

Identifiers

PMID38219003
OpenAlexW4390837370

What OpenQuestion holds

Textmetadata
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.