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2019 Publications
Average scores for six domains (scope and purpose; stakeholder involvement; rigour of
development; clarity of presentation; applicability; and editorial independence) and
overall quality were calculated. From the literature search, we identified 29 articles,
representing 20 sets of guidelines meeting the selection criteria. The guidelines were
applicable to the following cancer populations: general (n = 9), breast (n = 5), lung (n =
2), colorectal (n = 1), head and neck (n = 1), myeloma (n = 1) and prostate (n = 1). The
guidelines were generally of moderate methodological quality (mean AGREE II overall
quality score: 4.6/7, range 2.5–6). The area of lowest quality was in the domain of
applicability (mean AGREE II quality domain score: 40%), whereas the strongest
domains were related to scope and purpose (81%) and clarity of presentation (77%).
Although there are limitations in the primary research informing the recommendations,
guidelines of acceptable quality exist to direct stakeholders on targeted PA
recommendations for a range of cancer populations. Improvement is needed in the
applicability of guidelines to enhance their relevance and clinical use. Health
professionals can play an important role in supporting people with cancer throughout
the disease trajectory and benefit from access to well-developed and appropriate
materials to interpret research knowledge on effective rehabilitation strategies,
including PA. © 2019 Shallwani et al. This is an open access article distributed under
the terms of the Creative Commons Attribution License, which permits unrestricted use,
distribution, and reproduction in any medium, provided the original author and source
are credited.
https://journals.plos.org/plosone/article/related?id=10.1371/journal.pone.0214846
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