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. 2019 Jan 31;2019(1):CD009075. doi: 10.1002/14651858.CD009075.pub3

Baumann 2010.

Methods Randomisation
  • 2 arms: endurance and activity of daily living‐training twice a day versus standard care


Recruitment period
  • March 2002 to July 2004


Median follow‐up time
  • No follow‐up analysis


Sample size calculation
  • Based on a pragmatic approach

Participants Eligibility criteria
  • Adults (≥ 18 years of age)

  • Malignant disease scheduled to receive transplantation

  • Good German language skills

  • Written informed consent


Participants (N = 64)
  • Intervention group (N = 32)

  • Control group (N = 32)


Mean age
  • Intervention group: 49.4 years

  • Control group: 44.1 years


Stage/type of disease
  • Intervention group: 10 AML, 6 ALL, 2 CML, 4 multiple myeloma, 5 NHL/CLL, 4 MDS, 1 solid tumour

  • Control group: 15 AML, 3 ALL, 1 CML, 5 multiple myeloma, 3 NHL/CLL, 2 MDS, 2 solid tumour, 1 immunodeficiency


Country
  • Germany

Interventions Exercise group
  • Endurance training on bicycle ergometer (10 to 20 minutes)

  • Activities of daily living training: included elements of daily living to maintain participant's mobility; daily 20 minutes including walking, stepping and stretching

  • Twice a day

  • Started 6 days before transplantation


Control group
  • Passive and active mobilisation (gymnastics, massage, extensions, co‐ordination training) with low intensity on 5 days per week

  • Started 1 day after transplantation until 1 day before discharge

Outcomes Reported and relevant for this review
  • Quality of life

  • Fatigue

  • Participant's endurance

  • Strength


Reported and not relevant for this review
  • Lung function

  • Blood count

Notes Conflict of interest not reported, funding not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote:"randomization was achieved....using computer‐generated numbers"
Allocation concealment (selection bias) Low risk Quote:"randomization was achieved....using computer‐generated numbers"
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Blinding in this context is not feasible
Blinding of outcome assessor (primary endpoint; mortality) Low risk The review authors judge that the outcome mortality in this unblinded trial is unlikely to be influenced by lack of blinding
Blinding of outcome assessor (patient‐reported outcomes) High risk Blinding in this context is not feasible
Blinding of outcome assessor (physical performance, AEs, SAEs) Unclear risk Not reported
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Quote:"All 64 randomized patients represented the intent‐to‐treat population"
Selective reporting (reporting bias) Unclear risk Protocol not available
Other bias Unclear risk Not reported