Evidence map›Paper›PMID 20596799›Full record

ReviewInternal and emergency medicine2011

The "parallel pathway": a novel nutritional and metabolic approach to cancer patients.

Maurizio Muscaritoli, Alessio Molfino, Gianfranco Gioia, Alessandro Laviano, Filippo Rossi Fanelli

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Internal and emergency medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03926715 (Prevalence of Malnutrition in Surgery), which is not on this map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 10% 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.

NCT03926715 unknown statusnot on this mapstarted 2017, after this paper: background citation

Prevalence of Malnutrition in Surgery

TypeobservationalSponsorSocietà Italiana di Nutrizione Clinica e MetabolismoRan2017 to 2019Enrolled700ConditionsMalnutrition, Surgery, CancerArmsNutritional status
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Article
  9. Chronic Inflammation in Obesity and Cancer Cachexia.Journal of clinical medicine · 2022
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Diet-related interventions for cancer-associated cachexia.Journal of cancer research and clinical oncology · 2021
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Maurizio MuscaritoliDepartment of Clinical Medicine, Sapienza University of Rome, viale dell'Università, 37, 00185, Rome, Italy. maurizio.muscaritoli@uniroma1.it
Alessio Molfino
Gianfranco Gioia
Alessandro Laviano
Filippo Rossi Fanelli
Sapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer-associated malnutrition results from a deadly combination of anorexia, which leads to reduced food intake, and derangements of host metabolism inducing body weight loss, and hindering its reversal with nutrient supplementation. Cancer patients often experience both anorexia and weight loss, contributing to the onset of the clinical feature named as anorexia-cachexia syndrome. This condition has a negative impact upon patients' nutritional status. The pathogenesis of the anorexia-cachexia syndrome is multifactorial, and is related to: tumour-derived factors, host-derived factors inducing metabolic derangements, and side effects of anticancer therapies. In addition, the lack of awareness of cancer patients' nutritional issues and status by many oncologists, frequently results in progressive weight loss going undiagnosed until it becomes severe. The critical involvement of host inflammatory response in the development of weight loss, and, in particular, lean body mass depletion, limits the response to the provision of standard nutrition support. A novel nutritional and metabolic approach, named "parallel pathway", has been devised that may help maintain or improve nutritional status, and prevent or delay the onset of cancer cachexia. Such an approach may improve tolerance to aggressive anticancer therapies, and ameliorate the functional capacity and quality of life even in advanced disease stages. The "parallel pathway" implies a multiprofessional and multimodal approach aimed at ensuring early, appropriate and continuous nutritional and metabolic support to cancer patients in any phase of their cancer journey.

Indexed as

Nutritional StatusAnorexiaAntineoplastic AgentsBlood GlucoseCachexiaDietary ProteinsHumansLipid MetabolismMalnutritionMetabolismMuscle, SkeletalNeoplasmsPrognosisRisk FactorsWeight LossAntineoplastic AgentsBlood GlucoseDietary Proteins

Identifiers

PMID20596799
OpenAlexW2051923629

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.