Evidence map›Paper›PMID 19727846›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2010

Early nutritional intervention improves treatment tolerance and outcomes in head and neck cancer patients undergoing concurrent chemoradiotherapy.

Agostino Paccagnella, Michela Morello, Maria C Da Mosto, Carla Baruffi, Maria L Marcon, Alessandro Gava, Vittorio Baggio, Stefano Lamon, Roberta Babare, Giovanni Rosti and 6 more

2 registry-linked trialsAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 113 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 10 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03015077 nacompletednot on this mapstarted 2014, after this paper: background citation

Impacts of Oral Supplement With L-Glutamine on the Radiation-induced Toxicity and Nutritional Status of Head and Neck Cancer Patients Under Radiotherapy

TypeinterventionalSponsorKaohsiung Medical University Chung-Ho Memorial HospitalRan2014 to 2016Enrolled59ConditionsHead and Neck CancerArmsoral glutamine, placebo, Radiotherapy
NCT07575685 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Enhancing Cancer Care: RestoreMe Application for Personalized Nutrition and Activity in Cancer Patients

TypeinterventionalSponsorMontefiore Medical CenterRan2026 to 2035Enrolled150ConditionsNutrition Aspect of Cancer, Cancer, Dietary Recommendations, Mobile ApplicationsArmsRestoreMe
3 · Its place in the literature

Who cites it

113 citing papers in PubMed, 10 syntheses or guidelines pooled it, 264 citations in OpenAlex.

  1. Nutritional prehabilitation in patients with head and neck cancer: an evidence mapping analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
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  3. Guideline
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  7. Nutrition intervention approaches to reduce malnutrition in oncology patients: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016
    Pooled it
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  12. Body weight change in a medical supplement group in patients with early breast cancer during chemotherapy: a randomized, controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
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  15. A phase II study of HMB/Arg/Gln against oral mucositis induced by chemoradiotherapy for patients with head and neck cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
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  18. Multicenter phase II study of an oral care program for patients with head and neck cancer receiving chemoradiotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016
    Trial
  19. Nutri-jelly may improve quality of life and decrease tube feeding demand in head and neck cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2015
    Trial
  20. Trial

53 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 2 institutions in 1 country.

Agostino PaccagnellaDepartment of Medicine, Treviso Hospital, Treviso, Italy. apaccagnella@ulss.tv.it
Michela Morello
Maria C Da Mosto
Carla Baruffi
Maria L Marcon
Alessandro Gava
Vittorio Baggio
Stefano Lamon
Roberta Babare
Giovanni Rosti
Marta Giometto
Paolo Boscolo-Rizzo
Edward Kiwanuka
Michele Tessarin
Lorenza Caregaro
Carlo Marchiori
Ca' Foncello Hospital · ITUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

goals of workPatients with head and neck cancer (HNC) undergoing chemoradiotherapy are at high risk of malnutrition, which is related to complication rate. The aim of this study was to investigate the impact of an early intensive nutritional intervention on nutritional status and outcomes in patients undergoing chemoradiotherapy for HNC. MATERIALS AND

methodsWe analysed retrospectively the clinical documentation of 33 HNC patients who were referred for early nutritional intervention (nutrition intervention group, NG) before they were submitted to chemoradiotherapy. The outcome of these patients was compared to that of 33 patients who received chemoradiotherapy without receiving a specifically designed early nutrition support programme (control group, CG). MAIN

resultsNG patients lost less weight during chemoradiotherapy compared to CG patients (-4.6 +/- 4.1% vs -8.1 +/- 4.8% of pre-treatment weight, p < 0.01, at the completion of treatment). Patients in the NG experienced fewer radiotherapy breaks (>5 days) for toxicity (30.3% vs 63.6%, p < 0.01); the mean number of days of radiation delayed for toxicity was 4.4 +/- 5.2 in NG vs 7.6 +/- 6.5 in CG (p < 0.05); a linear correlation was found between percentage of weight lost from baseline to chemoradiotherapy completion and days of radiation delays (p < 0.01). There were less patients who had an unplanned hospitalisation in the NG relative to the CG (16.1% vs 41.4%, p = 0.03). In the NG, symptoms having an effect on the nutritional status developed early and were present in the nearly totality of patients at chemotherapy completion; 60.6% of NG patients needed tube feeding.

conclusionsEarly nutrition intervention in patients with HNC receiving chemoradiotherapy resulted in an improved treatment tolerance and fewer admissions to hospital. This result suggests that nutritional intervention must be initiated before chemoradiotherapy, and it needs to be continued after treatment completion.

Indexed as

Nutritional SupportCombined Modality TherapyDietary SupplementsFeeding and Eating DisordersFemaleHead and Neck NeoplasmsHumansIntubation, GastrointestinalMaleMalnutritionMiddle AgedNutritional StatusRetrospective StudiesTreatment OutcomeWeight Loss

Identifiers

PMID19727846
OpenAlexW2059355301

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.