Evidence map›Paper›PMID 42376362›Full record

ArticleHealth science reports2026

Athletic Intervention After Thoracic Surgery for Lung Cancer: Rationale and Design of the ATHENA Study.

Giulia M Stella, Francesco Bertuccio, Tiziano Gemelli, Matteo Fortunati, Oscar Crisafulli, Mitela Tafa, Amelia Grosso, Annalisa DE Silvestri, Giulio Melloni, Angelo G Corsico and 1 more

Erratum issuedAbstract read
In one paragraph

Article in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Giulia M StellaDepartment of Internal Medicine and Medical Therapeutics University of Pavia Medical School Pavia Italy.
Francesco BertuccioDepartment of Internal Medicine and Medical Therapeutics University of Pavia Medical School Pavia Italy.ORCID https://orcid.org/0009-0009-7699-6610
Tiziano GemelliInterdipartimental Centre in Motor and Sport Activities, Sport Medicine Centre University of Pavia Pavia Italy.
Matteo FortunatiInterdipartimental Centre in Motor and Sport Activities, Sport Medicine Centre University of Pavia Pavia Italy.ORCID https://orcid.org/0000-0001-5738-2298
Oscar CrisafulliInterdipartimental Centre in Motor and Sport Activities, Sport Medicine Centre University of Pavia Pavia Italy.ORCID https://orcid.org/0000-0002-8586-6465
Mitela TafaDepartment of Internal Medicine and Medical Therapeutics University of Pavia Medical School Pavia Italy.
Amelia GrossoDepartment of Internal Medicine and Medical Therapeutics University of Pavia Medical School Pavia Italy.
Annalisa DE SilvestriBiostatistics and Clinical Trial Centre, Fondazione IRCCS San Matteo Pavia Italy.ORCID https://orcid.org/0000-0003-3128-8441
Giulio MelloniDepartment of Public Health, Experimental and Forensic Medicine University of Pavia Medical School Pavia Italy.
Angelo G CorsicoDepartment of Internal Medicine and Medical Therapeutics University of Pavia Medical School Pavia Italy.
Giuseppe D'AntonaInterdipartimental Centre in Motor and Sport Activities, Sport Medicine Centre University of Pavia Pavia Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The optimal therapeutic approach for early-stage NSCLC (I-II, and, in some specific cases, IIIa) is lung resective surgery with mediastinal lymphadenectomy. However, it should be remarked that lung resection surgery further negatively affects respiratory muscle function and health-related quality of life (HRQoL). It is well known that exercise interventions may improve pulmonary function but the optimal approach has not been determined yet. Aims: The aim of the present study is to investigate the results obtained by administering a specific athletic/physical protocol to a cohort of patients who undergo lung surgery after NSCLC diagnosis. Materials and Methods: Among patients who underwent a surgical treatment of NSCLC and followed in our Institution, those with the highest scores of performance status, defined after multidisciplinary evaluation by Interdisciplinary Group for Thoracic Neoplasms (GINT) will be addressed to the Interdipartimental Centre in Motor and Sport Activities, Sport Medicine Centre, University of Pavia for a work protocol based on mesocycles of 3times/week for 6 months. Results: Respiratory function, cardiopulmonary exercise capacity, caloric expenditure expressed as metabolic equivalents (METs), and health-related quality of life will be assessed at baseline, 3 months, and 6 months in a prospective single-arm pilot cohort. Caloric consumption will be measured by metabolic equivalents (MET). A quality of life (QoL) questionnaire and a spirometry will be administered to patients at the same intervals. Discussion: The primary exploratory endpoint will be the change in CPET-derived VO₂peak from baseline to 6 months; secondary endpoints will include changes in FEV₁, DLCO, MIP/MEP, METs, muscle power, and EORTC QLQ-C30 scores. For each patient, written informed consent will be obtained before the enrollment. Conclusion: Our study is, to the best of our knowledge the first perspective clinical trial encompassing athletic programs for patients with surgical treatment of NSCLC. The study is designed to provide preliminary data on feasibility, safety, and functional outcomes of a structured post-surgical athletic intervention in carefully selected patients with early-stage NSCLC.

Indexed as

aerobic trainingearly‐stage lung cancermotor sciencestructured exercise trainingthoracic surgery

Identifiers

PMID42376362
PMCPMC13311306

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Registered trials

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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.