J 2024

Effect of exercise-based cancer rehabilitation via telehealth: a systematic review and meta-analysis

BAŤALÍK, Ladislav, Katerina CHAMRADOVA, Petr WINNIGE, Filip DOSBABA, Katerina BATALIKOVA et. al.

Basic information

Original name

Effect of exercise-based cancer rehabilitation via telehealth: a systematic review and meta-analysis

Authors

BAŤALÍK, Ladislav (203 Czech Republic), Katerina CHAMRADOVA, Petr WINNIGE (203 Czech Republic), Filip DOSBABA (203 Czech Republic, belonging to the institution), Katerina BATALIKOVA, Daniela VLAŽNÁ (703 Slovakia, belonging to the institution), Andrea JANÍKOVÁ (203 Czech Republic), Garyfallia PEPERA, Abu-Odah HAMMODA and Jing Jing SU

Edition

BMC Cancer, LONDON, BMC, 2024, 1471-2407

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30204 Oncology

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 3.800 in 2022

Organization unit

Faculty of Medicine

UT WoS

001227253300003

Keywords in English

Exercise-based rehabilitation; Telehealth; Cancer rehabilitation; Home-based exercise

Tags

International impact, Reviewed
Změněno: 24/6/2024 12:39, Mgr. Tereza Miškechová

Abstract

V originále

Purpose Exercise-based cancer rehabilitation via digital technologies can provide a promising alternative to centre-based exercise training, but data for cancer patients and survivors are limited. We conducted a meta-analysis examining the effect of telehealth exercise-based cancer rehabilitation in cancer survivors on cardiorespiratory fitness, physical activity, muscle strength, health-related quality of life, and self-reported symptoms. Methods PubMed, Web of Science, and reference lists of articles related to the aim were searched up to March 2023. Randomized controlled clinical trials were included comparing the effect of telehealth exercise-based cancer rehabilitation with guideline-based usual care in adult cancer survivors. The primary result was cardiorespiratory fitness expressed by peak oxygen consumption. Results A total of 1510 participants were identified, and ten randomized controlled trials (n = 855) were included in the meta-analysis. The study sample was 85% female, and the mean age was 52.7 years. Meta-analysis indicated that telehealth exercise-based cancer rehabilitation significantly improved cardiorespiratory fitness (SMD = 0.34, 95% CI 0.20, 0.49, I2 = 42%, p < 0.001) and physical activity (SMD = 0.34, 95% CI, 0.17, 0.51, I2 = 71%, p < 0.001). It was uncertain whether telehealth exercise-based cancer rehabilitation, compared with guideline-based usual care, improved the quality of life (SMD = 0.23, 95%CI, -0.07, 0.52, I2 = 67%, p = 0.14) body mass index (MD = 0.46, 95% CI, -1.19, 2.12, I2 = 60%, p = 0.58) and muscle strength (SMD = 0.07, 95% CI, -0.14, 0.28, I2 = 37%, p = 0.51). Conclusion This meta-analysis showed that telehealth exercise cancer rehabilitation could significantly increase cardiorespiratory fitness and physical activity levels and decrease fatigue. It is uncertain whether these interventions improve quality of life and muscle strength. High-quality and robust studies are needed to investigate specific home-based exercise regimens in different cancer subgroups to increase the certainty of the evidence.