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. 2018 Oct 15;2018(10):CD011687. doi: 10.1002/14651858.CD011687.pub2

Cormie 2013.

Study characteristics
Methods Study design: randomised controlled trial
Study grouping: parallel group
Participants Baseline characteristics
100% men
Usual care
  • Age (yr): 71.2 (SD 6.9)


Exercise
  • Age (yr): 71.2 (SD 6.9)


Inclusion criteria: men with a histological diagnosis of prostate cancer, established bone metastatic disease. Participants required clearance from their treating physician to participate
Exclusion criteria: moderate‐to‐severe pain that limited activities of daily living or had musculoskeletal, cardiovascular, neurological (or a combination of these) disorders that could prevent them from exercising
Group differences: none
Interventions Usual care
  • Asked not to change their physical activity during the study


Exercise
  • 2 × 60 minutes for 12 weeks, 5‐minute warm‐up and 10‐minute cool down. Resistance training 2–4 sets of 8–12 repetition maximum for 8 different muscle groups

Outcomes Knee extension
  • Outcome type: continuous


Timed Up‐and‐Go Test
  • Outcome type: continuous

  • Range: 0–20

  • Unit of measure: seconds

  • Direction: lower was better


Balance (Sensory Organisation Test)
  • Outcome type: continuous

  • Range: 0–100

  • Unit of measure: score

  • Direction: higher was better

Identification Sponsorship source: Cancer Council of Western Australia
Country: Australia
Setting: Exercise Clinic
Comments: no comment
Author's name: P Cormie
Institution: Edith Cowan University Health and Wellness Institute
E‐mail: p.cormie@ecu.edu.au
Address: 270 Joondalup Drive, Joondalup, Western Australia, 6027
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Following familiarisation and baseline testing sessions, participants were randomised into 2 arms: exercise or usual care. Stratification for age was carried out and participants were randomised in an allocation ratio of 1:1 using a random assignment computer program
Allocation concealment (selection bias) Low risk Quote: "The project coordinator and exercise physiologists involved in assigning participants to groups were blinded to the allocation sequence."
Blinding of participants and personnel (performance bias)
All outcomes High risk Participants were not blinded as it is obvious if intervention was applied. This confers high risk of bias, despite attempts to blind the assessors
Blinding of outcome assessment (detection bias) Unclear risk There was no mention of whether assessors were blinded
Incomplete outcome data (attrition bias)
All outcomes High risk Data were not collected for 25% of participants for 2 outcomes (400‐m walk and leg extension) due to femur bone metastases
Selective outcome reporting (reporting bias) Unclear risk Protocol not available, insufficient evidence to make a decision
Size of study High risk Fewer than 50 participants per treatment arm
Other sources of bias Low risk Study appeared free of other sources of bias