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Table 3 GRADE evidence profile

From: The efficacy and safety of exercise regimens to mitigate chemotherapy cardiotoxicity: a systematic review and meta-analysis of randomized controlled trials

Certainty assessment

Participants (studies)

Follow-up

Risk of bias

Inconsistency

Indirectness

Imprecision

Publication bias

Overall certainty of evidence

VO2 peak, ml/kg/min Change

777

(8 RCTs)

not serious

very seriousa

not serious

not serious

none

Low

Echocardiographic outcomes—Left Ventricular Ejection fraction (%) change

403

(8 RCTs)

not serious

not serious

not serious

very seriousb

none

Low

Echocardiographic outcomes—Global Longitudinal strain (%) Change

332

(6 RCTs)

not serious

seriousc

not serious

very seriousb

none

Very low

Echocardiographic outcomes—Stroke volume (ml) change

260

(5 RCTs)

not serious

very seriousa

not serious

extremely seriousb

none

Very low

Echocardiographic outcomes—Left Ventricular end-diastolic volume (ml) change

166

(4 RCTs)

not serious

not serious

not serious

extremely seriousb

none

Very low

Echocardiographic outcomes—Left Ventricular end-systolic volume (ml) change

166

(4 RCTs)

not serious

not serious

not serious

very seriousb

none

Low

Echocardiographic outcomes—E/A ratio change

295

(5 RCTs)

not serious

not serious

not serious

seriousd

none

Moderate

Echocardiographic outcomes—Cardiac output (L/min) change

239

(4 RCTs)

not serious

very seriousa

not serious

seriousb

none

Very low

Adverse events—Any adverse event

227

(6 RCTs)

not serious

seriousc

not serious

very seriouse

none

Very low

Adverse events—Any serious advere event

249

(7 RCTs)

not serious

not serious

not serious

very seriouse

none

Low

Adverse events—Any advere event leading to withdrawal

295

(7 RCTs)

not serious

not serious

not serious

very seriouse

none

Low

Adverse events—All-Cause Mortality

295

(7 RCTs)

not serious

not serious

not serious

very seriouse

none

Low

RER Change

173

(4 RCTs)

not serious

not serious

not serious

very seriousf

none

Low

Resting Heart rate (BPM) Change

215

(5 RCTs)

not serious

not serious

not serious

very seriousb

none

Low

Peak Heart rate (BPM) Change

258

(6 RCTs)

not serious

not serious

not serious

very seriousb

none

Low

Resting Systolic blood pressure (mmHg) Change

113

(4 RCTs)

not serious

not serious

not serious

very seriousb

none

Low

Resting Diastolic blood pressure (mmHg) Change

113

(4 RCTs)

not serious

not serious

not serious

very seriousb

none

Low

  1. CI confidence interval, MD mean difference, RR risk ratio
  2. Explanations
  3. aI-square > 75%
  4. bWide confidence interval and number of patients is less than 400 patient
  5. cI-square > 50%
  6. dNumber of patients is less than 400 patients
  7. eWide confidence interval that does not exclude the appreciable benefit or harm
  8. fNumber of events is less than 300 event