Evidence map›Paper›PMID 21760776›Full record

ArticleGastroenterology research and practice2011

Cancer cachexia: mechanisms and clinical implications.

Claire L Donohoe, Aoife M Ryan, John V Reynolds

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Gastroenterology research and practice, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 130 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
130citing papers in PubMed, 1 pooled it
7.6field-weighted citation impact, top 2% 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.

NCT02681601 naterminatednot on this mapstarted 2016, after this paper: background citation

Nutrition Support to Improve Outcomes in Patients With Unresectable Pancreatic Cancer

TypeinterventionalSponsorJonsson Comprehensive Cancer CenterRan2016 to 2021Enrolled2ConditionsCancer of PancreasArmsNutrawell Powder, Diet Only, OmegaRich fish oil supplement
NCT02980653 phase2unknown statusnot on this mapstarted 2015, after this paper: background citation

A Phase II Study Assessing the Efficacy of Prophylaxis Use of Megestrol Acetate Against Cancer-related Critical Body Weight Loss in Patients With Head and Neck Cancer Who Receiving Concurrent Chemoradiotherapy

TypeinterventionalSponsorTTY BiopharmRan2015 to 2017Enrolled105ConditionsHead and Neck CancerArmsMegestrol acetate (MA) 400 mg/day
NCT03200639 nacompletednot on this mapstarted 2015, after this paper: background citation

Comparison of High Intensity Interval Body Weight Training Versus Combined Training on Body Composition, Physical Function, Metabolic Risk and Inflammation in Postmenopausal Women With and Without Gynecological Cancer

TypeinterventionalSponsorUniversidade Federal do Triangulo MineiroRan2015 to 2015Enrolled38ConditionsBreast Cancer Female, Gynecologic Cancer, Menopause, Physical ActivityArmsCombined training, High intensity interval training with body weight
3 · Its place in the literature

Who cites it

130 citing papers in PubMed, 1 synthesis or guideline pooled it, 272 citations in OpenAlex.

  1. Pooled it
  2. Integrated psychosocial, sleep, and immunonutritional intervention improves psychological adaptation, sleep disturbance, and inflammatory activation in rectal cancer: a randomized controlled trial.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Trial
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  4. Exercise improves functional capacity and lean body mass in patients with gastrointestinal cancer during chemotherapy: a single-blind RCT.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
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  5. Effects of a multimodal rehabilitation programme on inflammation and oxidative stress in oesophageal cancer survivors: the ReStOre feasibility study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
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  14. Predictors of the early discontinuation of anamorelin hydrochloride in gastrointestinal cancer-related cachexia: a multicenter retrospective cohort study (HGCSG2201).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
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70 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

3 authors at 2 institutions in 2 countries.

Claire L DonohoeDepartment of Surgery, Trinity Centre for Health Sciences, Trinity College Dublin, St James' Hospital, Dublin 8, Ireland.
Aoife M Ryan
John V Reynolds
Trinity College Dublin · IENew York University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cachexia is a multifactorial process of skeletal muscle and adipose tissue atrophy resulting in progressive weight loss. It is associated with poor quality of life, poor physical function, and poor prognosis in cancer patients. It involves multiple pathways: procachectic and proinflammatory signals from tumour cells, systemic inflammation in the host, and widespread metabolic changes (increased resting energy expenditure and alterations in metabolism of protein, fat, and carbohydrate). Whether it is primarily driven by the tumour or as a result of the host response to the tumour has yet to be fully elucidated. Cachexia is compounded by anorexia and the relationship between these two entities has not been clarified fully. Inconsistencies in the definition of cachexia have limited the epidemiological characterisation of the condition and there has been slow progress in identifying therapeutic agents and trialling them in the clinical setting. Understanding the complex interplay of tumour and host factors will uncover new therapeutic targets.

Identifiers

PMID21760776
PMCPMC3132494
OpenAlexW2028849454

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.