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@ARTICLE{Western:288060,
author = {B. Western and A. Ivarsson and I. Vistad and I. Demmelmaier
and N. K. Aaronson and G. Radcliffe and M. van Beurden and
M. Bohus and K. S. Courneya and A. J. Daley and D. A.
Galvão and R. Garrod and M. M. Goedendorp and K. A.
Griffith and W. H. van Harten and S. C. Hayes and F.
Herrero-Roman and A. E. Hiensch and M. L. Irwin and E. James
and M.-F. Kenkhuis and M. J. Kersten and H. Knoop and A.
Lucia and A. M. May and A. McConnachie and W. van Mechelen
and N. Mutrie and R. U. Newton and F. Nollet and H. S.
Oldenburg and R. Plotnikoff and M. E. Schmidt$^*$ and K. H.
Schmitz and K.-H. Schulz and C. E. Short and G. S. Sonke and
K. Steindorf$^*$ and M. M. Stuiver and D. R. Taaffe and L.
Thorsen and M. J. Velthuis and J. Wenzel and K. M.
Winters-Stone and J. Wiskemann$^*$ and S. Berntsen and L. M.
Buffart},
title = {{D}ropout from exercise trials among cancer survivors-{A}n
individual patient data meta-analysis from the {POLARIS}
study.},
journal = {Scandinavian journal of medicine $\&$ science in sports},
volume = {34},
number = {2},
issn = {0905-7188},
address = {Oxford [u.a.]},
publisher = {Wiley-Blackwell},
reportid = {DKFZ-2024-00318},
pages = {e14575},
year = {2024},
abstract = {The number of randomized controlled trials (RCTs)
investigating the effects of exercise among cancer survivors
has increased in recent years; however, participants
dropping out of the trials are rarely described. The
objective of the present study was to assess which
combinations of participant and exercise program
characteristics were associated with dropout from the
exercise arms of RCTs among cancer survivors.This study used
data collected in the Predicting OptimaL cAncer
RehabIlitation and Supportive care (POLARIS) study, an
international database of RCTs investigating the effects of
exercise among cancer survivors. Thirty-four exercise
trials, with a total of 2467 patients without metastatic
disease randomized to an exercise arm were included.
Harmonized studies included a pre and a posttest, and
participants were classified as dropouts when missing all
assessments at the post-intervention test. Subgroups were
identified with a conditional inference tree.Overall,
$9.6\%$ of the participants dropped out. Five subgroups were
identified in the conditional inference tree based on four
significant associations with dropout. Most dropout was
observed for participants with BMI >28.4 kg/m2 , performing
supervised resistance or unsupervised mixed exercise
$(19.8\%$ dropout) or had low-medium education and performed
aerobic or supervised mixed exercise $(13.5\%).$ The lowest
dropout was found for participants with BMI >28.4 kg/m2 and
high education performing aerobic or supervised mixed
exercise $(5.1\%),$ and participants with BMI ≤28.4 kg/m2
exercising during $(5.2\%)$ or post $(9.5\%)$
treatment.There are several systematic differences between
cancer survivors completing and dropping out from exercise
trials, possibly affecting the external validity of exercise
effects.},
keywords = {cancer (Other) / decision tree (Other) / exercise oncology
(Other) / individual patient data meta-analysis (Other)},
cin = {C110 / D120},
ddc = {796},
cid = {I:(DE-He78)C110-20160331 / I:(DE-He78)D120-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:38339809},
doi = {10.1111/sms.14575},
url = {https://inrepo02.dkfz.de/record/288060},
}