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Is there a role for physical activity interventions in the treatment pathway of bladder cancer? A scoping review of the literature
BMJ Open Sport & Exercise Medicine ( IF 3.9 ) Pub Date : 2021-03-01 , DOI: 10.1136/bmjsem-2020-000951
Agustina Bessa , Cecilia Bosco , Sneha Mehrotra , Megan Rowland , Hanyu Zhang , Beth Russell , Louis Fox , Katharina Beyer , Elke Rammant , Suzanne Amery , Kathryn Chatterton , Nicola Peat , Christel Haggstrom , Mieke Van Hemelrijck

Introduction Physical activity (PA) interventions have been introduced in patients with cancer as they may contribute to better treatment outcomes and quality of life (QoL). However, little is known about the impact of PA on patients with bladder cancer (BC). This scoping review aimed to explore efficacy and feasibility of existing PA interventions in the BC care pathway. Methods and analysis Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review guidelines and the Levac methodology framework were used; electronic databases were searched. Two independent reviewers screened all titles, abstracts and full-text publications for inclusion. The feasibility of integrating a PA intervention in the BC treatment pathway was discussed in a consultation phase with healthcare professionals and patient and public representatives. Results A total of 675 records were identified through database searching of which 14 studies were included in our scoping review. An additional 17 clinical trials were identified of which 12 were included for which no results have been published yet. The included studies looked at the feasibility of a PA intervention programme, the associations between PA, obesity and BC, but also the determinants of PA engagement for BC patients and the assessment of QoL. Conclusion This scoping review highlights that despite the general recognition on the role of PA in the BC treatment pathway, there is a gap regarding the understanding of the impact of PA interventions in BC care pathways as well as the limited understanding of factors underlying possible benefits of PA. No clear conclusions could be made regarding structure and processes of PA interventions that may lead to better outcomes. Further PA studies for patients with BC are needed to understand how to incorporate exercise guidelines recommendations.

中文翻译:

运动干预在膀胱癌的治疗途径中是否有作用?文献回顾

简介对癌症患者进行了体育锻炼(PA)干预,因为它们可能有助于改善治疗效果和生活质量(QoL)。但是,关于PA对膀胱癌(BC)患者的影响知之甚少。这项范围回顾旨在探讨现有的PA干预在BC护理途径中的功效和可行性。方法和分析使用了系统评价和荟萃分析的首选报告项目范围回顾指南和Levac方法框架。电子数据库进行了搜索。两名独立的审阅者筛选了所有标题,摘要和全文出版物以供收录。在与医疗保健专业人员以及患者和公众代表的协商阶段,讨论了将PA干预措施整合到BC治疗途径中的可行性。结果通过数据库搜索共鉴定了675条记录,其中14项研究纳入了我们的范围回顾。确定了另外17项临床试验,其中12项尚未公布结果。纳入的研究考察了PA干预计划的可行性,PA,肥胖与BC之间的关联,以及BC患者参与PA的决定因素和QoL评估。结论该范围回顾强调,尽管人们普遍认识到PA在BC治疗途径中的作用,但对于PA干预对BC护理途径的影响的理解以及对潜在的受益因素的了解有限,仍然存在差距。 PA。关于可能导致更好结果的PA干预的结构和过程,没有明确的结论。需要对BC患者进行进一步的PA研究,以了解如何纳入运动指南建议。
更新日期:2021-03-10
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