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作为运动干预可重复性最低要求的CORE-CERT项目:应用于乳腺癌患者运动研究的结果

CORE-CERT Items as a Minimal Requirement for Replicability of Exercise Interventions: Results From Application to Exercise Studies for Breast Cancer Patients.

作者信息

Bünzen Claudia, Knuth Janina, Bucher Marieke, Weisser Burkhard, Schmidt Thorsten

机构信息

Department of Sports Medicine, Christian-Albrechts-University Kiel, Institute of Sports Science, Kiel, Germany; and.

University Medical Center Schleswig-Holstein, Campus Kiel, Kiel, Germany.

出版信息

J Strength Cond Res. 2023 May 1;37(5):e346-e360. doi: 10.1519/JSC.0000000000004396. Epub 2023 Mar 28.

DOI:10.1519/JSC.0000000000004396
PMID:36727977
Abstract

Hacke, C, Knuth, J, Bucher, M, Weisser, B, and Schmidt, T. CORE-CERT items as a minimal requirement for replicability of exercise interventions: results from application to exercise studies for breast cancer patients. J Strength Cond Res 37(5): e346-e360, 2023-Exercise interventions have been demonstrated to be useful in the prevention and therapy for multiple different diseases. The Consensus on Exercise Reporting Template (CERT) has been developed as the reporting guideline for exercise studies. The main goals of CERT are to ensure completeness of reporting, to enable interpretation of exercise programs, and to allow extraction of data for meta-analyses and the development of guidelines. However, for clinicians, the most important aspect of good reporting might be the replicability of protocols for their patients. This study was designed to determine the core components of exercise interventions for breast cancer, which are considered as minimal requirement for replicability in practice. The original items of CERT were specified, subdivided, or extended by additional key items to develop a "CORE-CERT checklist." The original CERT and our CORE-CERT were then applied to 29 exercise RCTs for breast cancer obtained from the most frequently cited and most recent meta-analyses in current guidelines. The reporting quality using both templates were examined. Mean original CERT score was 11 of 19 (59%) of completed items and 13 of 19 (68%) of reporting completeness for CORE-CERT. Reporting quality using CORE-CERT items was approximately 8% higher, indicating a more precise description of items in CORE-CERT. Differences concerned exercise dosage, nonexercise components, supervision, and description of each exercise. We propose a novel CORE-CERT guideline necessary for the replicability of exercise interventions in clinical practice. The application of CORE-CERT demonstrated a slightly better but still insufficient reporting quality of exercise interventions for breast cancer.

摘要

哈克,C、克努特,J、布赫尔,M、魏瑟,B和施密特,T。作为运动干预可重复性最低要求的CORE-CERT项目:应用于乳腺癌患者运动研究的结果。《力量与体能研究杂志》37(5): e346 - e360,2023年——运动干预已被证明对多种不同疾病的预防和治疗有用。运动报告模板共识(CERT)已被制定为运动研究的报告指南。CERT的主要目标是确保报告的完整性,使运动计划能够被解读,并允许提取数据用于荟萃分析和指南制定。然而,对于临床医生来说,良好报告最重要的方面可能是其针对患者的方案的可重复性。本研究旨在确定乳腺癌运动干预的核心组成部分,这些被视为实践中可重复性的最低要求。通过额外的关键项目对CERT的原始项目进行了细化、细分或扩展,以制定一个“CORE-CERT清单”。然后将原始的CERT和我们的CORE-CERT应用于从当前指南中引用频率最高和最新的荟萃分析中获得的29项乳腺癌运动随机对照试验。检查了使用这两种模板的报告质量。原始CERT的平均得分是已完成项目的19项中的11项(59%),CORE-CERT的报告完整性为19项中的13项(68%)。使用CORE-CERT项目的报告质量大约高出8%,表明CORE-CERT中项目的描述更精确。差异涉及运动剂量、非运动成分、监督以及每项运动的描述。我们提出了一项新的CORE-CERT指南,这是临床实践中运动干预可重复性所必需的。CORE-CERT的应用表明乳腺癌运动干预的报告质量略好但仍不充分。

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