Evidence map›Paper›PMID 42091153›Full record

ArticleBMJ open2026

Development of a core screening, assessment and outcome set for cancer prehabilitation: an international Delphi consensus study protocol.

Thomas Parkington, Liam John Humphreys, Malcolm West, Anna Myers, Carol Keen, Linda Denehy, Chelsia Gillis, Lara Edbrooke, John Moore, Daniel Steffens and 6 more

Abstract read
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

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

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

  1. Pooled it
  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

16 authors.

Thomas ParkingtonAcademy of Sport and Physical Activity, Physical activity, Wellness and Public Health Research Group, Sheffield Hallam University, Sheffield, UK t.parkington@shu.ac.uk.ORCID http://orcid.org/0000-0002-5173-558X
Liam John HumphreysAcademy of Sport and Physical Activity, Physical activity, Wellness and Public Health Research Group, Sheffield Hallam University, Sheffield, UK.ORCID http://orcid.org/0000-0002-9279-1019
Malcolm WestAcademic Surgery, Cancer Sciences, University of Southampton Faculty of Medicine, Southampton, UK.
Anna MyersAcademy of Sport and Physical Activity, Physical activity, Wellness and Public Health Research Group, Sheffield Hallam University, Sheffield, UK.
Carol KeenSheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England, UK.
Linda DenehyDepartment of Physiotherapy, The University of Melbourne, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-2926-8436
Chelsia GillisSchool of Human Nutrition, McGill University, Montreal, Quebec, Canada.
Lara EdbrookeDepartment of Physiotherapy, The University of Melbourne, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-4149-5578
John MooreGM Cancer Clinical Director for Prehabilitation and Recovery University of Manchester and Manchester Metropolitan University, Manchester, UK.
Daniel SteffensSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Bart C BongersDepartment of Surgery, Institute of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, Maastricht, The Netherlands.
Gerrit D SlooterSurgical Oncology, Maxima Medical Centre Location Veldhoven, Veldhoven, Noord-Brabant, The Netherlands.
Karen NilePatient Author, Yorkshire Cancer Research, Harrogate, UK.
Neil GarnerPatient Author, Yorkshire Cancer Research, Harrogate, UK.
Robert CopelandAdvanced Wellbeing Research Centre, Sheffield Hallam University, Sheffield, UK.
National Cancer Prehabilitation Coll The Royal Marsden Cancer Charity

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA core screening, assessment and outcome set is needed in cancer prehabilitation to standardise what is measured in both research and services. Currently, there is significant variation in measures used, which limits comparability between studies and evidence synthesis. Standardising measures will improve the quality, comparability and impact of research by reducing heterogeneity between studies, minimising reporting bias, improving trial efficiency, enabling data synthesis into large datasets, supporting international collaboration and data sharing, and accelerating the implementation of best practices. METHODS AND ANALYSIS: An international Delphi consensus process will be conducted involving patients, healthcare professionals and researchers to identify screening, assessment and outcomes and their corresponding measurement instruments, to be included in a core set. The study consists of three phases: (1) A scoping review to identify screening, assessment and outcomes and associated measurement instruments currently used in cancer prehabilitation. (2) At least two rounds of a modified Delphi survey to prioritise the identified screening, assessment and outcomes using a 1-9 Likert scale. Consensus will be defined across stakeholder groups using prespecified thresholds. A consensus meeting will be held if agreement is not reached. (3) Measurement instruments corresponding to each retained screening, assessment and outcome will be assessed for quality for measurement properties and feasibility. Further Delphi rounds will be conducted to reach consensus on the most appropriate measurement instrument for each core screening, assessment and outcome. ETHICS AND DISSEMINATION: The study has ethical approval (Ref: 25/NW/0159). Findings will be disseminated through peer-reviewed publications, conference presentations, stakeholder networks and made publicly available via the Core Outcome Measures in Effectiveness Trials database.

Indexed as

NeoplasmsOutcome Assessment, Health CarePreoperative ExerciseConsensusDelphi TechniqueHumansResearch DesignScoping Reviews as TopicExerciseONCOLOGYPatient-Centered CarePatient Reported Outcome Measures

Identifiers

PMID42091153
PMCPMC13150867

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.