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A large trial showed a structured exercise programme improved survival after bowel cancer. Almost no health system pays for it, so almost no patient gets it.
A randomised trial of a three-year structured exercise programme after colon cancer chemotherapy reported improved disease-free survival, an effect size comparable with some adjuvant drugs at a small fraction of the cost. Reimbursement codes, referral pathways and trained providers are the barriers. Cardiac rehabilitation is the working template for how a supervised exercise service can be funded and audited at scale.
For colon cancer survivors, a prescribed, supported exercise programme is now an evidence-based treatment with a survival benefit comparable to many drugs. Health systems will need to fund exercise consultants as they fund chemotherapy. The trial does not tell us whether unsupervised advice achieves the same.
One term page, one bottleneck page and eleven idea pages on OnCo cite this paper by its DOI; this record gives the citation a page of its own so a reader can follow it without leaving OnCo. Read the abstract above alongside the citing pages listed under Related; the record was created automatically from the Europe PMC entry and its figures have not been checked by hand.
Shares A dose-finding trial for exercise after cancer, CHALLENGE (CCTG CO.21), Structured exercise programmes after curative treatment, The exercise prescription after cancer: the dose the guidelines state.
Shares A dose-finding trial for exercise after cancer, CHALLENGE (CCTG CO.21), Structured exercise programmes after curative treatment, The exercise prescription after cancer: the dose the guidelines state.
Shares CHALLENGE: a structured exercise programme after chemotherapy improves survival in colon cancer, Diet, exercise and lifestyle roadmap: causes established → interventions that disappointed → exercise proven as treatment, Exercise & lifestyle oncology, Incentives reward me-too drugs and marginal gains.
Shares CHALLENGE: a structured exercise programme after chemotherapy improves survival in colon cancer, Structured exercise prescribed like a drug in all curative-intent cancer care, Cachexia, toxicity and the limits of the patient, Diet, exercise and lifestyle roadmap: causes established → interventions that disappointed → exercise proven as treatment.
Shares Definition and classification of cancer cachexia: an international consensus, Structured exercise prescribed like a drug in all curative-intent cancer care, Cachexia, toxicity and the limits of the patient, Diet, exercise and lifestyle roadmap: causes established → interventions that disappointed → exercise proven as treatment.
Shares CHALLENGE: a structured exercise programme after chemotherapy improves survival in colon cancer, CHALLENGE (CCTG CO.21), Exercise & lifestyle oncology, HR-positive / HER2-negative breast cancer.
Shares Definition and classification of cancer cachexia: an international consensus, Structured exercise prescribed like a drug in all curative-intent cancer care, Cachexia, toxicity and the limits of the patient, Exercise & lifestyle oncology.
Shares CHALLENGE: a structured exercise programme after chemotherapy improves survival in colon cancer, CHALLENGE (CCTG CO.21), Exercise & lifestyle oncology, Colorectal cancer.