Evidence map›Paper›PMID 40831029›Full record

Trial reportCancer2025

Physical fitness and clinically assessed disease burden in long-term childhood cancer survivors-The SURfit study.

Anna K Mayr, Simeon Zürcher, Iris Bänteli, Helge Hebestreit, Rahel Kasteler, Nicolas X von der Weid, Susi Kriemler, Christina Schindera, Corina S Rueegg

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
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.

Anna K MayrDepartment of Medicine, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0009-0003-0259-5749
Simeon ZürcherCenter for Psychiatric Rehabilitation, Universitäre Psychiatrische Dienste Bern (UPD) and University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.
Iris BänteliDepartment of Psychosomatic Medicine, University Hospital and University of Basel, Basel, Switzerland.
Helge HebestreitPediatric Department, University Hospital, Julius-Maximilians University, Würzburg, Germany.
Rahel KastelerDepartment of Oncology, Hematology, Immunology, Stem Cell Transplantation and Somatic Gene Therapy, University Children's Hospital Zurich, Zurich, Switzerland.
Nicolas X von der WeidDepartment of Pediatric Hematology and Oncology, University Children's Hospital Basel (UKBB) and University of Basel, Basel, Switzerland.
Susi KriemlerEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-3384-7940
Christina SchinderaDepartment of Pediatric Hematology and Oncology, University Children's Hospital Basel (UKBB) and University of Basel, Basel, Switzerland.
Corina S RueeggEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0003-3720-4659

Funding

Fond'Action contre le CancerFondation Recherche sur le Cancer de l'EnfantGedächtnis-Stiftung Susy Rückert zur KrebsbekämpfungKrebsliga Schweiz KLS-3175-02-2013Stiftung für krebskranke Kinder, Regio BasiliensisStiftung Henriette & Hans-Rudolf Dubach-BucherStiftung Krebs-Hilfe ZürichStiftung zur KrebsbekämpfungTaecker-Stiftung für Krebsforschung
6 · The paper itself

Abstract

backgroundIdentifying disease burden among childhood cancer survivors (CCS) can guide tailored care. Physical fitness predicts health and mortality and may help reduce disease burden in CCS. This study aimed to 1) describe the burden of clinically ascertained adverse health outcomes in long-term CCS, and 2) investigate the association between physical fitness and adverse health outcomes.

methodsThis study used baseline data of the SURfit study, a randomized controlled physical activity trial. The authors included 163 CCS, diagnosed <16 years, ≥16 years at enrollment, and ≥5 years since last cancer diagnosis. Clinically assessed health outcomes were categorized using the Common Terminology Criteria for Adverse Events. Physical fitness was assessed by cardiopulmonary-exercise-test (CPET), hand-grip strength, and the 1-minute sit-to-stand test (STS). Using multivariable Poisson regression models, this study investigated the association between physical fitness and adverse health outcomes.

resultsParticipants (30.5 ± 8.6 years old, time since diagnosis 22.9 ± 9 years) had 1170 adverse health outcomes, with 99% CCS having at least one. Musculoskeletal disorders were most common (130 of 163 [80%]). Higher levels of physical fitness were associated with fewer adverse health outcomes of any grade (CPET: prevalence rate ratio [PRR], 0.71 per watt/kg bodyweight, 95% confidence Interval [CI], 0.63-0.81, p < .001; hand-grip: PRR, 0.60 kg/kg bodyweight; 95% CI, 0.35-1.03, p = .063; STS: PRR, 0.95 per five repetitions; 95% CI, 0.93-0.97, p < .001).

conclusionCCS participating in an exercise intervention trial experienced a high burden of adverse health outcomes. Increased physical fitness was associated with reduced disease burden for all survivors, emphasizing the importance of encouraging fitness improvements, regardless of cancer history.

Indexed as

Cancer SurvivorsCost of IllnessNeoplasmsPhysical FitnessAdolescentAdultChildExerciseExercise TestFemaleHand StrengthHumansMaleMusculoskeletal DiseasesYoung Adultadverse eventsaerobic capacitychildhood cancer survivorsclinical assessmentCommon Terminology of Adverse Eventsdisease burdenphysical fitness

Identifiers

PMID40831029
PMCPMC12365372

What OpenQuestion holds

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LicenceCC BY
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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.