Evidence map›Paper›PMID 42568293›Full record

Trial reportCancer medicine2026

Effects of Prehabilitation by Physical Activity on Fatigue After Surgery for Colorectal Cancer. Results From Secondary Analyses in the Randomized Controlled Trial PHYSSURG-C.

Kevin Afshari, Aron Onerup, Ying Li, Eva Angenete, Carolina Ehrencrona, Anette Wedin, Eva Haglind

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Cancer medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02299596 (Physsurg - a Controlled Randomized Trial on the Effect of Physical Activity in Relation to Outcome After Surgery), which is not on this map. Cited by 2 papers.

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

NCT02299596 nacompletednot on this map

Physsurg - a Controlled Randomized Trial on the Effect of Physical Activity in Relation to Outcome After Surgery

TypeinterventionalSponsorSahlgrenska University HospitalRan2015 to 2025Enrolled761ConditionsColorectal Cancer, SurgeryArmsPhysical activity
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  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

7 authors.

Kevin AfshariScandinavian Surgical Outcomes Research Group (SSORG), Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0001-6663-5242
Aron OnerupDepartment of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-1946-3529
Ying LiScandinavian Surgical Outcomes Research Group (SSORG), Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0001-7108-6532
Eva AngeneteScandinavian Surgical Outcomes Research Group (SSORG), Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0001-9966-4904
Carolina EhrencronaScandinavian Surgical Outcomes Research Group (SSORG), Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-1460-1021
Anette WedinScandinavian Surgical Outcomes Research Group (SSORG), Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Eva HaglindScandinavian Surgical Outcomes Research Group (SSORG), Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-1147-5605

Funding

AFA Insureance 150072ALF ALFGBG-4307771ALF ALFGBG-493341ALF ALFGBG-718221ALF ALFGBG-784821Anna-Lisa and Bror Björnsson's foundationDoktor Felix Neuberghs Stiftelse 2017- 347Göteborgs Läkaresällskap GLS-688001Göteborgs Läkaresällskap GLS-778731Göteborgs Läkaresällskap GLS-883991Lions Cancer Foundation West 2019:6Stiftelsen Assar Gabrielssons Fond FB 16-95Stiftelsen Assar Gabrielssons Fond FB19-07Stiftelsen Mary von Sydows, född Wijk, donationsfond 1216Svenska Läkaresällskapet SLS-499811Swedish Cancer Society CAN 2016/519Swedish Cancer Society Pj2019/190303Swedish Cancer Society Pj22 2006
6 · The paper itself

Abstract

objectiveThe objective of this study is to explore effects on self-reported fatigue at 4 weeks and 12 months after surgery in patients with colorectal cancer undergoing a pre- and postoperative exercise intervention compared to standard care in a randomized trial.

backgroundFatigue after cancer surgery is common and evidence suggests it could be alleviated by physical activity. In this post hoc exploratory study, we analyzed fatigue and other secondary outcomes from a randomized trial aimed at exploring if prehabilitation by additional physical activity could improve postoperative recovery.

methodPHYSSURG C was a multicenter, controlled, randomized trial. Patients diagnosed with colorectal cancer were randomized to additional unsupervised moderate physical exercise in accordance with WHO guidelines or usual care two weeks before and four weeks after surgery. Trial-specific questionnaires were used at baseline, at 4 weeks and 12 months. Outcomes were self-reported fatigue as well as quality of life, pain, and mental recovery at both postoperative follow-up times.

resultsA total of 518 patients were included in this analysis. At 4 weeks after surgery, the mean difference in fatigue was 3.75 ((CI 0.01;7.49), p = 0.05) with intention to treat approach, and in a per protocol analysis at 4 weeks the mean difference was 4.04 ((CI 0.14;7.93), p = 0.04), and at 12 months it was 4.29 ((CI 0.44; 8.14), p = 0.03). There were no differences between the intervention and control groups regarding quality of life, pain, or mental recovery.

conclusionThis exploratory study found a suggestion of less postoperative fatigue in the intervention group. Further studies are needed to define the role of unsupervised moderate exercise, if any, before and after surgery in regard to postoperative fatigue in patients with colorectal cancer.

trial registrationClinicalTrials.gov identifier: NCT02299596.

Indexed as

Colorectal NeoplasmsColorectal Surgical ProceduresExerciseFatiguePostoperative ComplicationsPreoperative ExerciseAgedFemaleHumansMaleMiddle AgedQuality of LifeSurveys and QuestionnairesTreatment Outcomecolorectal cancerfatigueprehabilitationsurgery

Identifiers

PMID42568293
PMCPMC13451934

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.