Evidence map›Paper›PMID 30572723›Full record

ArticleNutrition and cancer2019

Diet and Behavior Modifications by Long-term Rectal Cancer Survivors to Manage Bowel Dysfunction-Associated Symptoms.

Virginia Sun, Christopher S Wendel, Wendy Demark-Wahnefried, Marcia Grant, Carmit K McMullen, Joanna E Bulkley, Lisa J Herrinton, Mark C Hornbrook, Robert S Krouse

Abstract read
In one paragraph

Article in Nutrition and cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.9field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Observational
  5. Social determinants of health, diet, and symptom experiences in colorectal cancer survivors: A scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  6. Article
  7. Article
  8. Baseline characteristics and recruitment for SWOG S1820: altering intake, managing bowel symptoms in survivors of rectal cancer (AIMS-RC).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  9. Illuminating the nutrition-related policy-practice gaps in colorectal cancer survivorship.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  10. Inhibition of DNAJC12 Inhibited Tumorigenesis of Rectal Cancer via Downregulating HSPA4 Expression.Evidence-based complementary and alternative medicine : eCAM · 2022
    Article
  11. Do cancer survivors change their diet after cancer diagnosis?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  12. [Low anterior resection syndrome-Causes and treatment approaches].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
    Review
  13. Article
  14. Rationale and Design of a Telehealth Self-Management, Shared Care Intervention for Post-treatment Survivors of Lung and Colorectal Cancer.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
    Article
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 6 institutions in 1 country.

Virginia Suna Department of Population Sciences , City of Hope , Duarte , California , USA.
Christopher S Wendelb University of Arizona , Tucson , Arizona , USA.
Wendy Demark-Wahnefriedc The University of Alabama at Birmingham , Birmingham , Alabama , USA.ORCID 0000-0001-5241-932X
Marcia Granta Department of Population Sciences , City of Hope , Duarte , California , USA.
Carmit K McMullend Center for Health Research, Kaiser Permanente Northwest , Portland , Oregon , USA.
Joanna E Bulkleyd Center for Health Research, Kaiser Permanente Northwest , Portland , Oregon , USA.
Lisa J Herrintone Kaiser Permanente Northern California Division of Research , Oakland , California , USA.
Mark C Hornbrookd Center for Health Research, Kaiser Permanente Northwest , Portland , Oregon , USA.
Robert S Krousef Corporal Michael J. Crescenz Veterans Affairs Medical Center and Perelman School of Medicine, University of Pennsylvania , Philadelphia , Pennsylvania , USA.
Kaiser Permanente Center for Health Research · USCity of Hope · USKaiser Permanente · USPhiladelphia VA Medical Center · USUniversity of Alabama at Birmingham · USUniversity of Arizona · US

Funding

VITAMIN AP30CA023074 · NCI · UNIVERSITY OF ARIZONA · PI Teri L Bankhead · 1985 to 2026
$110.2M
HR-QOL in Colorectal Cancer Survivors with StomasR01CA106912 · NCI · UNIVERSITY OF ARIZONA · PI HERRINTON, LISA J, KROUSE, ROBERT SCOTT · 2004 to 2013
$3.4M
NCI NIH HHS P30 CA023074NCI NIH HHS R01 CA106912
6 · The paper itself

Abstract

backgroundRectal cancer (RC) survivors experience significant bowel function issues after treatment. We aimed to describe self-reported dietary and behavioral modifications among long-term (≥5 yr) RC survivors to manage bowel dysfunction.

methodsRC survivors from Kaiser Permanente Northern California and Northwest regions completed surveys either via postage-paid return mail or telephone. Summary statistics on diet/behavioral modifications data were tabulated by proportion of responses. Modifications and frequency of bowel symptoms cited and were compared by ostomy status.

resultsA total of 575 respondents were included (overall response rate = 60.5%). Fruits and vegetables were troublesome for symptoms, but was also helpful in mitigating constipation, obstruction, and frequency, as well as improving predictability. Many respondents attributed red meat (17.7%), fried foods (13.9%), spicy foods (13.1%), carbonated beverages (8.0%), and sweets (7.6%) to increased diarrhea, gas, and urgency. Common behavioral modifications included controlling meal portions (50.6%), timing regularity (25.3%), and refraining from late night eating (13.8%). Permanent ostomy survivors were more likely to report symptoms of obstruction, while anastomosis survivors were more likely to report urgency.

conclusionMultiple modifications were attempted by RC survivors to manage bowel symptoms. Identifying diet changes among RC survivors can improve symptom management and survivorship care.

Indexed as

Behavior TherapyDietAgedAged, 80 and overCancer SurvivorsConstipationFemaleHumansMaleMiddle AgedRectal Neoplasms

Identifiers

PMID30572723
PMCPMC6456395
OpenAlexW2906672223

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.