Evidence map›Paper›PMID 27213441›Full record

Trial reportNutrients2016

Short-Term Preoperative Calorie and Protein Restriction Is Feasible in Healthy Kidney Donors and Morbidly Obese Patients Scheduled for Surgery.

Franny Jongbloed, Ron W F de Bruin, René A Klaassen, Piet Beekhof, Harry van Steeg, Frank J M F Dor, Erwin van der Harst, Martijn E T Dollé, Jan N M IJzermans

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05457881 (Short-Term Endogenous Hydrogen Sulfide Upregulation For Vein Graft Disease), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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.

NCT05457881 nawithdrawnnot on this mapstarted 2024, after this paper: background citation

Short-Term Endogenous Hydrogen Sulfide Upregulation For Vein Graft Disease

TypeinterventionalSponsorBrigham and Women's HospitalRan2024 to 2029Enrolled0ConditionsVascular Diseases, SurgeryArmsScandi-Shake
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

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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

9 authors at 4 institutions in 1 country.

Franny JongbloedLaboratory of Experimental Transplantation and Intestinal Surgery (LETIS), Erasmus University Medical Center, Department of Surgery, Wytemaweg 80, 3015 CN Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands. f.jongbloed@erasmusmc.nl.
Ron W F de BruinLaboratory of Experimental Transplantation and Intestinal Surgery (LETIS), Erasmus University Medical Center, Department of Surgery, Wytemaweg 80, 3015 CN Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands. r.w.f.debruin@erasmusmc.nl.
René A KlaassenDepartment of Surgery, Maasstad Hospital, 3000 CA Rotterdam, The Netherlands. klaassenr@maasstadziekenhuis.nl.
Piet BeekhofLaboratory of Health Protection Research, National Institute of Public Health and the Environment, Antonie van Leeuwenhoeklaan 9, 3721 MA Bilthoven, The Netherlands. piet.beekhof@rivm.nl.
Harry van SteegLaboratory of Health Protection Research, National Institute of Public Health and the Environment, Antonie van Leeuwenhoeklaan 9, 3721 MA Bilthoven, The Netherlands. harry.van.steeg@rivm.nl.
Frank J M F DorLaboratory of Experimental Transplantation and Intestinal Surgery (LETIS), Erasmus University Medical Center, Department of Surgery, Wytemaweg 80, 3015 CN Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands. frank.dor@imperial.nhs.uk.
Erwin van der HarstDepartment of Surgery, Maasstad Hospital, 3000 CA Rotterdam, The Netherlands. harste@maasstadziekenhuis.nl.
Martijn E T DolléLaboratory of Health Protection Research, National Institute of Public Health and the Environment, Antonie van Leeuwenhoeklaan 9, 3721 MA Bilthoven, The Netherlands. martijn.dolle@rivm.nl.
Jan N M IJzermansLaboratory of Experimental Transplantation and Intestinal Surgery (LETIS), Erasmus University Medical Center, Department of Surgery, Wytemaweg 80, 3015 CN Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands. j.ijzermans@erasmusmc.nl.
Erasmus MC · NLMaasstad Ziekenhuis · NLNational Institute for Public Health and the Environment · NLLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurgery-induced oxidative stress increases the risk of perioperative complications and delay in postoperative recovery. In mice, short-term preoperative dietary and protein restriction protect against oxidative stress. We investigated the feasibility of a calorie- and protein-restricted diet in two patient populations.

methodsIn this pilot study, 30 live kidney donors and 38 morbidly obese patients awaiting surgery were randomized into three groups: a restricted diet group, who received a synthetic liquid diet with 30% fewer calories and 80% less protein for five consecutive days; a group who received a synthetic diet containing the daily energy requirements (DER); and a control group. Feasibility was assessed using self-reported discomfort, body weight changes, and metabolic parameters in blood samples.

resultsTwenty patients (71%) complied with the restricted and 13 (65%) with the DER-diet. In total, 68% of the patients reported minor discomfort that resolved after normal eating resumed. The mean weight loss on the restricted diet was significantly greater (2.4 kg) than in the control group (0 kg, p = 0.002), but not in the DER-diet (1.5 kg). The restricted diet significantly reduced levels of serum urea and plasma prealbumin (PAB) and retinol binding protein (RBP).

conclusionsA short-term preoperative calorie- and protein-restricted diet is feasible in kidney donors and morbidly obese patients. Compliance is high and can be objectively measured via changes in urea, PAB, and RBP levels. These results demonstrate that this diet can be used to study the effects of dietary restriction on surgery-induced oxidative stress in a clinical setting.

Indexed as

Caloric RestrictionDiet, Protein-RestrictedLaparoscopyLiving DonorsAdultBariatric SurgeryBiomarkersFeasibility StudiesFemaleHealth StatusHumansKidney TransplantationMaleMiddle AgedNephrectomyNetherlandsBiomarkersPrealbuminRetinol-Binding Proteins, Plasmacompliancedietary restrictionfeasibilitypreoperative dietprotein restriction

Identifiers

PMID27213441
PMCPMC4882718
OpenAlexW2401256662

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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.