Exercise intervention for post-treatment colorectal cancer survivors: a systematic review and meta-analysis

Gao, Ruitong; Yu, Tao; Liu, Lu; Bi, Jiasi; Zhao, Huiying; Tao, Yujia; Li, Feng; Guo, Lirong

doi:10.1007/s11764-020-00900-z

Cited by 28 publications

(20 citation statements)

References 53 publications

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“…Health promotion interventions for CRC survivors in the post‐treatment period mainly included PA or/and diet interventions. Four systematic reviews assessed the effectiveness of exercise in CRC patients after treatment, 51–54 commonly with supervised or home‐based self‐directed delivery during a 6–12‐week period, and found consistent positive effects on short‐term physical fitness 52,53 and fatigue 51,52 . One systematic review also found evidence of positive effects on health‐related QOL at immediate‐term follow‐up 52 .…”

Section: Resultsmentioning

confidence: 99%

“…These studies reported on a range of intervention types, according to their different intervention focus, which could be classified into CRC surveillance programme, 31,32 education (colostomy education, 33–37 psychosexual education, 38 psychoeducation, 39,40 healthy lifestyle education 41 ), psychosocial support, 42,43 supportive expression, 44,45 cognitive behavioural stress management (CBSM), 46 supportive care, 47–50 physical activity (PA) and/or dietary, 51–58 and survivorship care plan (SCP) 59,60 interventions. Detailed definitions of the interventions included are described in Table S1.…”

Section: Resultsmentioning

confidence: 99%

“…The studies that were included reported on various delivery formats, including face‐to‐face (one‐on‐one or in a group), 33–35,39–41,45,46,60 telephone, 36,38,42,48–50,56 web‐based, 58 and multiple combination with the following formats: face‐to‐face, telephone, home visit, home‐based, or web‐based 37,43,44,47,51–55,57,59 . These interventions were delivered by a range of health professionals, for example, nurse, therapist, doctor, oncologist, dietitian, psychologist, social worker, or trained research assistant.…”

Section: Resultsmentioning

confidence: 99%

“…One systematic review also found evidence of positive effects on health‐related QOL at immediate‐term follow‐up 52 . And the others demonstrated that exercise could improve cardiopulmonary fitness, metabolism, and tumour‐related biomarkers for CRC survivors post‐treatment 54 . In addition, five trials were published that were not included in these reviews.…”

Section: Resultsmentioning

confidence: 99%

“…In the current review, exercise offered through various formats, for example, home‐based self‐directed, telephone‐based, supervised exercise sessions, or a web‐based approach, comparing the effects and adherence to different delivery formats is valuable when exploring optimal delivery format. Studies reported that different exercise intensities associated with different changes in tumour markers, 53 and high‐intensity aerobic training, help reduce body fat percentage, 54 thus giving us hints on where to look when further investigating the relationship between exercise intensity and patient‐centred well‐being.…”

Section: Discussionmentioning

confidence: 99%

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A literature review of post‐treatment survivorship interventions for colorectal cancer survivors and/or their caregivers

Luo

Chen

et al. 2021

Psycho-Oncology

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Objective Colorectal cancer (CRC) survivors have reported a number of concerns and unmet needs after treatment completion. This paper aims to explore existing survivorship interventions after CRC treatment according to the American Cancer Society CRC Survivorship Care Guidelines, to identify study gaps, and provide valuable evidence directing future research. Methods Five electronic databases, including CINAHL, PsycINFO, Embase, PubMed, and Cochrane Library databases from 2005 to October 2020, were systematically searched to identify English or Chinese literature on CRC post‐treatment survivorship interventions. Manual searching through the articles' references lists was also conducted. Results Thirty studies met the criteria, and focused on addressing issues in four CRC Survivorship Care Guidelines domains. Several issues for CRC surveillance programmes remain to be explored. Regarding the long‐term physical and psychosocial effects of CRC treatment, we found mounting evidence for various interventions to solve ostomy issues and improve distress/depression/anxiety, strong evidence for exercise to improve fatigue, and limited evidence in addressing CRC patient sexual concerns. For health promotion, high‐quality evidence was found for exercises to improve cardiopulmonary fitness, metabolism, tumour‐related biomarkers, and short‐term improvement in physical fitness and QOL. Emerging evidence was found for a survivorship care plan to improve patient perceptions of care coordination. Conclusions Further refinements based on the existing evidence, and the development of comprehensive CRC survivorship care comprising multiple essential survivorship components, are required. Furthermore, considering both survivor and caregiver cancer survivorship needs, future research may optimise the care delivered, and help survivors and their families live better with cancer.

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