Evidence map›Paper›PMID 31396746›Full record

GuidelineSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020

MASCC recommendations on the management of constipation in patients with advanced cancer.

Andrew Davies, Charlotte Leach, Ricardo Caponero, Andrew Dickman, David Fuchs, Judith Paice, Anton Emmanuel

Registry-linked trialAbstract readPractice GuidelineReview
PubMed Publisher
In one paragraph

Guideline in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04404933 (An Observational Study of Diagnostic Criteria, Clinical Features and Management of Opioid-induced Constipation), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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.

NCT04404933 completednot on this map

An Observational Study of Diagnostic Criteria, Clinical Features and Management of Opioid-induced Constipation (OIC) in Patients With Cancer Pain

TypeobservationalSponsorRoyal Surrey County Hospital NHS Foundation TrustRan2017 to 2019Enrolled100ConditionsOpioid-induced Constipation, Cancer, Cancer PainArmsTreatment algorithm for OIC
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Naldemedine for Opioid-Induced Constipation in Patients With Cancer: A Multicenter, Double-Blind, Randomized, Placebo-Controlled Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Inadequate management of opioid-induced constipation in European cancer pain patients: results of a real-world, multicentre, observational study ("E-StOIC").Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Observational
  13. Review
  14. Article
  15. Review
  16. Article
  17. Risk and main contributing factors for constipation in patients with gastrointestinal cancer: a multicenter cross-sectional study in China.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  18. Review
  19. Constipation in Cancer Patients - an Update of Clinical Evidence.Current treatment options in oncology · 2022
    Review
  20. Risk factors for opioid-induced constipation in cancer patients: a single-institution, retrospective analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 4 countries.

Andrew DaviesRoyal Surrey County Hospital, Egerton Road, Guildford, GU2 7XX, UK. adavies12@nhs.net.ORCID http://orcid.org/0000-0003-4207-4799
Charlotte LeachRoyal Surrey County Hospital, Egerton Road, Guildford, GU2 7XX, UK.
Ricardo CaponeroHospital Alemão Oswaldo Cruz, São Paulo, Brazil.
Andrew DickmanRoyal Liverpool Hospital, Liverpool, UK.
David FuchsKepler University Hospital, Linz, Austria.
Judith PaiceNorthwestern University, Chicago, IL, USA.
Anton EmmanuelUniversity College London Hospitals, London, UK.
Royal Surrey County Hospital · GBHospital Alemão Oswaldo Cruz · BRKepler Universitätsklinikum · ATNorthwestern University · USRoyal London Hospital · GBUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Palliative Care Study Group of the Multinational Association for Supportive Care in Cancer formed a subgroup to develop evidence-based recommendations on the management of constipation in patients with advanced cancer.

methodsThese recommendations were developed in accordance with the MASCC Guidelines Policy. A search strategy for Medline was developed, and the Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials were explored for relevant reviews/trials respectively. The recommendations were categorised by the level of evidence and a "category of guideline" based on the level of evidence (i.e. "recommendation", "suggestion", or "no guideline possible").

resultsThe group produced 15 recommendations, with varying levels of evidence and so varying categories of guideline. The recommendations relate to the assessment, the treatment, and the re-assessment of constipation.

conclusionsThese recommendations provide a framework for the management of constipation in advanced cancer, although every patient needs individualised management.

Indexed as

ConstipationDisease ProgressionEvidence-Based PracticeHumansMedical OncologyNeoplasmsPalliative CareSocieties, MedicalConstipationNeoplasmsPalliative carePractice guideline

Identifiers

PMID31396746
OpenAlexW2969109741

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.