Exercise and other non-pharmaceutical interventions for cancer-related fatigue in patients during or after cancer treatment: a systematic review incorporating an indirect-comparisons meta-analysis.

Détails

Ressource 1Télécharger: bjsports-2016-096422.full (1).pdf (1098.86 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_7753311DBB77
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Exercise and other non-pharmaceutical interventions for cancer-related fatigue in patients during or after cancer treatment: a systematic review incorporating an indirect-comparisons meta-analysis.
Périodique
British journal of sports medicine
Auteur(s)
Hilfiker R., Meichtry A., Eicher M., Nilsson Balfe L., Knols R.H., Verra M.L., Taeymans J.
ISSN
1473-0480 (Electronic)
ISSN-L
0306-3674
Statut éditorial
Publié
Date de publication
05/2018
Peer-reviewed
Oui
Volume
52
Numéro
10
Pages
651-658
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
To assess the relative effects of different types of exercise and other non-pharmaceutical interventions on cancer-related fatigue (CRF) in patients during and after cancer treatment.
Systematic review and indirect-comparisons meta-analysis.
Articles were searched in PubMed, Cochrane CENTRAL and published meta-analyses.
Randomised studies published up to January 2017 evaluating different types of exercise or other non-pharmaceutical interventions to reduce CRF in any cancer type during or after treatment.
Risk of bias assessment with PEDro criteria and random effects Bayesian network meta-analysis.
We included 245 studies. Comparing the treatments with usual care during cancer treatment, relaxation exercise was the highest ranked intervention with a standardisedmean difference (SMD) of -0.77 (95% Credible Interval (CrI) -1.22 to -0.31), while massage (-0.78; -1.55 to -0.01), cognitive-behavioural therapy combined with physical activity (combined CBT, -0.72; -1.34 to -0.09), combined aerobic and resistance training (-0.67; -1.01 to -0.34), resistance training (-0.53; -1.02 to -0.03), aerobic (-0.53; -0.80 to -0.26) and yoga (-0.51; -1.01 to 0.00) all had moderate-to-large SMDs. After cancer treatment, yoga showed the highest effect (-0.68; -0.93 to -0.43). Combined aerobic and resistance training (-0.50; -0.66 to -0.34), combined CBT (-0.45; -0.70 to -0.21), Tai-Chi (-0.45; -0.84 to -0.06), CBT (-0.42; -0.58 to -0.25), resistance training (-0.35; -0.62 to -0.08) and aerobic (-0.33; -0.51 to -0.16) showed all small-to-moderate SMDs.
Patients can choose among different effective types of exercise and non-pharmaceutical interventions to reduce CRF.
Mots-clé
Physical Therapy, Sports Therapy and Rehabilitation, Orthopedics and Sports Medicine, cancer related fatigue, exercise, indirect comparison meta-analysis., network meta-analysis, non-pharmaceutical interventions
Pubmed
Web of science
Open Access
Oui
Création de la notice
14/06/2017 11:38
Dernière modification de la notice
20/08/2019 15:34
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