Evidence map›Paper›PMID 38457258›Full record

ArticleCancer medicine2024

CaRE@ELLICSR: Effects of a clinically integrated, group-based, multidimensional cancer rehabilitation program.

Christian J Lopez, Daniel Santa Mina, Victoria Tan, Manjula Maganti, Cheryl Pritlove, Lori J Bernstein, David M Langelier, Eugene Chang, Jennifer M Jones

Abstract read
In one paragraph

Article in Cancer medicine, 2024. 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
–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.

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.

  1. Trial
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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

9 authors.

Christian J LopezDepartment of Supportive Care, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.ORCID 0000-0002-1496-7090
Daniel Santa MinaFaculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada.
Victoria TanDepartment of Supportive Care, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.
Manjula MagantiDepartment of Biostatistics, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.
Cheryl PritloveApplied Health Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Lori J BernsteinDepartment of Supportive Care, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.
David M LangelierDepartment of Supportive Care, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.ORCID 0000-0002-9863-5084
Eugene ChangDepartment of Supportive Care, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.
Jennifer M JonesDepartment of Supportive Care, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.ORCID 0000-0002-8670-8514

Funding

Butterfield/Drew Chair in Cancer Survivorship ResearchPrincess Margaret Cancer Foundation
6 · The paper itself

Abstract

backgroundAlthough oncology clinical practice guidelines recognize the need and benefits of exercise, the implementation of these services into cancer care delivery remains limited. We developed and evaluated the impact of a clinically integrated 8-week exercise and education program (CaRE@ELLICSR).

methodsWe conducted a mixed methods, prospective cohort study to examine the effects of the program. Each week, participants attended a 1-h exercise class, followed by a 1.5-h education session. Questionnaires, 6-min walk tests (6MWT), and grip strength were completed at baseline (T0), 8 weeks (T1), and 20 weeks (T2). Semi-structured interviews were conducted with a sub-sample of participants about their experience with the program.

resultsBetween September 2017 and February 2020, 277 patients enrolled in the program and 210 consented to participate in the research study. The mean age of participants was 55 years. Participants were mostly female (78%), white/Caucasian (55%) and half had breast cancer (50%). Participants experienced statistical and clinically meaninful improvements from T0 to T1 in disability, 6MWT, grip strength, physical activity, and several cancer-related symptoms. These outcomes were maintained 3 months after program completion (T2). Qualitative interviews supported these findings and three themes emerged from the interviews: (1) empowerment and control, (2) supervision and internal program support, and (3) external program support.

conclusionsThis study demonstrates the impact of overcoming common organizational barriers to deliver exercise and rehabilitation as part of routine care. CaRE@ELLICSR demonstrated clinically meaningful improvements in patient-reported and functional outcomes and was considered beneficial and important by participants for their recovery and wellbeing.

Indexed as

Breast NeoplasmsQuality of LifeExerciseExercise TherapyFemaleHumansMaleMedical OncologyMiddle AgedProspective Studiescancerexerciseimplementationquality of liferehabilitationsupportive caresurvivorship

Identifiers

PMID38457258
PMCPMC10923049

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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.