Frequency, Features, and Recommendations for Preventing Adverse Events in Supervised Exercise Programs for Pediatric Oncology Patients - Scorecard - MDSpire
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Frequency, Features, and Recommendations for Preventing Adverse Events in Supervised Exercise Programs for Pediatric Oncology Patients
Clinical Scorecard: Frequency, Features, and Recommendations for Preventing Adverse Events in Supervised Exercise Programs for Pediatric Oncology Patients
At a Glance
Category
Detail
Condition
Pediatric Oncology
Key Mechanisms
Supervised exercise sessions mitigate treatment-related symptoms and improve physical and psychological outcomes.
Target Population
Pediatric oncology patients undergoing treatment and post-treatment.
Care Setting
Pediatric oncology centers
Key Highlights
178 adverse events (AEs) documented across 74,083 exercise sessions.
1 AE per 416 sessions, with no life-threatening AEs observed.
85% of AEs were judged as exercise-related.
Most common AEs: pain (53%), nausea/vomiting (20%), circulatory problems (17%).
AEs primarily triggered by physical (over)exertion, medical treatments, and falls.
Guideline-Based Recommendations
Diagnosis
Systematic assessment of AEs during exercise sessions.
Management
Implement a consensus-based risk assessment.
Encourage multiprofessional collaboration.
Monitoring & Follow-up
Continuous professional education for exercise experts.
Risks
Monitor for pain, nausea, circulatory problems, and overexertion.
Patient & Prescribing Data
Pediatric patients undergoing cancer treatment.
Supervised exercise is beneficial with a low incidence of AEs.
Clinical Best Practices
Conduct prospective studies to refine prevention strategies.
Test effectiveness of evidence-based prevention strategies.
