RT Journal Article
SR Electronic
T1 Is there a role for physical activity interventions in the treatment pathway of bladder cancer? A scoping review of the literature
JF BMJ Open Sport & Exercise Medicine
JO BMJ OPEN SP EX MED
FD BMJ Publishing Group Ltd
SP e000951
DO 10.1136/bmjsem-2020-000951
VO 7
IS 1
A1 Agustina Bessa
A1 Cecilia Bosco
A1 Sneha Mehrotra
A1 Megan Rowland
A1 Hanyu Zhang
A1 Beth Russell
A1 Louis Fox
A1 Katharina Beyer
A1 Elke Rammant
A1 Suzanne Amery
A1 Kathryn Chatterton
A1 Nicola Peat
A1 Christel Haggstrom
A1 Mieke Van Hemelrijck
YR 2021
UL http://bmjopensem.bmj.com/content/7/1/e000951.abstract
AB 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.