Cochrane · systematic review · CD005263
Supervised exercise therapy versus home‐based exercise therapy versus walking advice for intermittent claudication
Hageman, D, Fokkenrood, HJP, Gommans, LNM, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
VascularAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
15
current version
GRADE rated
15
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 20%Low 5 · 33.3%Moderate 4 · 26.7%High 3 · 20%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Supervised exercise therapy versus home‐based exercise therapy for intermittent claudication
Population: patients with intermittent claudication
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Maximal treadmill walking distance after 3 months Supervised exercise therapy vs home‐based exercise therapy | no estimate extracted | 8 studies · 351 participants | Moderate Downgraded: imprecision |
Pain‐free treadmill walking distance after 3 months Supervised exercise therapy vs home‐based exercise therapy | no estimate extracted | 7 studies · 322 participants | Moderate Downgraded: imprecision |
Quality of life ‐ physical after 3 months (Short Form 36 physical component summary) Scale: 1 to 100 (higher scores indicate better quality of life) Supervised exercise therapy vs home‐based exercise therapy | no estimate extracted | 2 studies · 68 participants | Low Downgraded: risk of bias, imprecision |
Quality of life ‐ mental after 3 months (Short Form 36 mental component summary) Scale: 1 to 100 (higher scores indicate better quality of life) Supervised exercise therapy vs home‐based exercise therapy | no estimate extracted | 2 studies · 68 participants | Low Downgraded: risk of bias, imprecision |
Self‐reported functional impairment after 3 months (Walking Impairment Questionnaire combined) Scale: 1 to 100 (higher scores indicate better walking) Supervised exercise therapy vs home‐based exercise therapy | no estimate extracted | 1 study · 62 participants | Very low Downgraded: risk of bias, imprecision |
Supervised exercise therapy versus walking advice for intermittent claudication
Population: patients with intermittent claudication
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Maximal treadmill walking distance after 3 months Supervised exercise therapy vs walking advice | no estimate extracted | 7 studies · 624 participants | High |
Pain‐free treadmill walking distance after 3 months Supervised exercise therapy vs walking advice | no estimate extracted | 4 studies · 508 participants | High |
Quality of life ‐ physical after 3 months (Short Form 36 physical component summary) Scale: 1 to 100 (higher scores indicate better quality of life) Supervised exercise therapy vs walking advice | no estimate extracted | 2 studies · 296 participants | Low Downgraded: risk of bias, imprecision |
Quality of life ‐ mental after 3 months (Short Form 36 mental component summary) Scale: 1 to 100 (higher scores indicate better quality of life) Supervised exercise therapy vs walking advice | no estimate extracted | 2 studies · 296 participants | Low Downgraded: risk of bias, imprecision |
Self‐reported functional impairment after 3 months (Walking Impairment Questionnaire combined) Scale: 1 to 100 (higher scores indicate better walking) Supervised exercise therapy vs walking advice | no estimate extracted | 4 studies · 483 participants | High |
Home‐based exercise therapy versus walking advice for intermittent claudication
Population: patients with intermittent claudication
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Maximal treadmill walking distance after 3 months Home‐based exercise therapy vs walking advice | no estimate extracted | 4 studies · 137 participants | Moderate Downgraded: imprecision |
Pain‐free treadmill walking distance after 3 months Home‐based exercise therapy vs walking advice | no estimate extracted | 3 studies · 107 participants | Low Downgraded: imprecision, inconsistency |
Quality of life ‐ physical after 3 months (Short Form 36 physical component summary) Scale: 1 to 100 (higher scores indicate better quality of life) Home‐based exercise therapy vs walking advice | no estimate extracted | 1 study · 20 participants | Very low Downgraded: risk of bias, imprecision |
Quality of life ‐ mental after 3 months (Short Form 36 mental component summary) Scale: 1 to 100 (higher scores indicate better quality of life) Home‐based exercise therapy vs walking advice | no estimate extracted | 1 study · 20 participants | Very low Downgraded: risk of bias, imprecision |
Self‐reported functional impairment after 3 months (Walking Impairment Questionnaire combined) Scale: 1 to 100 (higher scores indicate better walking) Home‐based exercise therapy vs walking advice | no estimate extracted | 2 studies · 79 participants | Moderate Downgraded: imprecision |