Evidence map›Paper›PMID 39466349›Full record

SynthesisSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

Prehabilitation for patients undergoing neoadjuvant therapy prior to cancer resection: a systematic review and meta-analysis.

Y Chen, R Sebio-García, E Iglesias-Garcia, N Reguart, G Martinez-Palli, I Bello

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07509814 (Efficacy of an Extended Prehabilitation Program Versus Standard in Patients With Advanced Ovarian Cancer Within ERAS Protocols), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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.

NCT07509814 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Efficacy of an Extended Prehabilitation Program Versus Standard in Patients With Advanced Ovarian Cancer Within ERAS Protocols

TypeinterventionalSponsorHospital Clinic of BarcelonaRan2026 to 2028Enrolled225ConditionsOvarian Cancer With Peritoneal CarcinosisArmsExtended (Long)-Prehabilitation, Standard (Short)-Prehabilitation
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

6 authors.

Y ChenPhysical Medicine and Rehabilitation Department, Hospital Clinic de Barcelona, Casanova 160 Bis. 08036, Barcelona, Spain.
R Sebio-GarcíaPhysical Medicine and Rehabilitation Department, Hospital Clinic de Barcelona, Casanova 160 Bis. 08036, Barcelona, Spain. sebio@clinic.cat.
E Iglesias-GarciaPhysical Medicine and Rehabilitation Department, Hospital Clinic de Barcelona, Casanova 160 Bis. 08036, Barcelona, Spain.
N ReguartFundació de Recerca Clínic Barcelona - Institut d'Investigacions Biomèdiques August Pi i Sunyer Biomedical Research Institute (FRCB-IDIBAPS), Barcelona, Spain.
G Martinez-PalliFundació de Recerca Clínic Barcelona - Institut d'Investigacions Biomèdiques August Pi i Sunyer Biomedical Research Institute (FRCB-IDIBAPS), Barcelona, Spain.
I BelloFundació de Recerca Clínic Barcelona - Institut d'Investigacions Biomèdiques August Pi i Sunyer Biomedical Research Institute (FRCB-IDIBAPS), Barcelona, Spain.

Funding

China Scholarship Council 202309370028
6 · The paper itself

Abstract

purposeTo determine the effectiveness of uni- or multimodal prehabilitation on several outcomes in patients undergoing neoadjuvant therapy before cancer surgery.

methodsA systematic search was carried on May 1, 2023, using four major databases (SCOPUS, Web of Science, Medline (Ovid and Pubmed)) and updated monthly until February 2024. Inclusion criteria included (i) any original articles (any design), (ii) adult patients undergoing neoadjuvant therapy (NAT) prior to surgical resection, (iii) participation in uni- or multimodal prehabilitation programs during NAT, and (iv) reporting on any functional, treatment-related, or perioperative outcome. Two reviewers independently conducted the search and screened all records. Risk of bias was assessed using the Johanna Briggs Institute Appraisal Tools independently by two reviewers. A random-effects meta-analysis was performed for all outcomes with two or more studies.

resultsA total of 30 records met the inclusion criteria and were analyzed. Studies showed that prehabilitation during NAT can be feasible in most settings and increase or prevent the loss of cardiorespiratory fitness (CRF), maintain or improve muscle mass, and improve pathological response and treatment completion compared to no prehabilitation, but the certainty of the evidence is low to moderate. However, according to our findings, prehabilitation has little to no effect on postoperative complications and length of hospital stay as well as in health-related quality of life.

conclusionsPrehabilitation during NAT might be feasible and associated with improvements in cardiorespiratory fitness, muscle mass, and treatment response/completion with low-to-moderate certainty of evidence. Insufficient data on safety is available at this stage.

Indexed as

Neoadjuvant TherapyNeoplasmsPreoperative ExerciseHumansQuality of LifeCardiorespiratory fitnessNeoadjuvant therapyPostoperative ComplicationsPrehabilitation

Identifiers

PMID39466349

What OpenQuestion holds

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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.