Evidence map›Paper›PMID 31885583›Full record

ArticleJournal of oncology2019

Inadequate Nutrition Coverage in Outpatient Cancer Centers: Results of a National Survey.

Elaine B Trujillo, Katrina Claghorn, Suzanne W Dixon, Emily B Hill, Ashlea Braun, Elizabeth Lipinski, Mary E Platek, Maxwell T Vergo, Colleen Spees

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07575685 (Enhancing Cancer Care), which is not on this map. Cited by 74 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 4 pooled it
6.8field-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.

NCT07575685 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Enhancing Cancer Care: RestoreMe Application for Personalized Nutrition and Activity in Cancer Patients

TypeinterventionalSponsorMontefiore Medical CenterRan2026 to 2035Enrolled150ConditionsNutrition Aspect of Cancer, Cancer, Dietary Recommendations, Mobile ApplicationsArmsRestoreMe
3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 4 syntheses or guidelines pooled it, 127 citations in OpenAlex.

  1. Pooled it
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  6. A theoretical explanation for how a nutrition counseling and medically tailored meal delivery program benefitted participants living with lung cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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  10. Nutritional education and counseling program for adult cancer patients during radiotherapy: a cluster-randomized clinical trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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  16. Barriers to timely nutrition support in patients with cancer: A scoping review.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
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  17. Article
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  20. Research Priorities and Future Directions in Cardio-Oncology.Current treatment options in oncology · 2026
    Review

14 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

9 authors at 6 institutions in 1 country.

Elaine B TrujilloDivision of Cancer Prevention, National Cancer Institute, National Institutes of Health, Rockville, MD 20850, USA.
Katrina ClaghornAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA 19104, USA.
Suzanne W DixonCambia Health Solutions, Portland, OR, USA.
Emily B HillSchool of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH 43210, USA.
Ashlea BraunSchool of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH 43210, USA.
Elizabeth LipinskiSchool of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH 43210, USA.
Mary E PlatekDepartment of Cancer Prevention and Control and Radiation Medicine, Roswell Park Comprehensive Cancer Center and School of Health Related Professions, D'Youville College, Buffalo, NY 14263, USA.
Maxwell T VergoGeisel School of Medicine at Dartmouth, Hanover, NH 03755, USA.ORCID https://orcid.org/0000-0002-7120-6482
Colleen SpeesSchool of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH 43210, USA.ORCID https://orcid.org/0000-0001-6293-2899
The Ohio State University · USCambia Health Solutions (United States) · USDartmouth College · USD'Youville College · USNational Institutes of Health · USUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer-related malnutrition is associated with poor health outcomes, including decreased tolerance to cancer therapy, greater treatment toxicities, and increased mortality. Medical nutrition therapy (MNT) optimizes clinical outcomes, yet registered dietitian nutritionists (RDNs), the healthcare professionals specifically trained in MNT, are not routinely employed in outpatient cancer centers where over 90% of all cancer patients are treated. The objective of this study was to evaluate RDN staffing patterns, nutrition services provided in ambulatory oncology settings, malnutrition screening practices, and referral and reimbursement practices across the nation in outpatient cancer centers. An online questionnaire was developed by the Oncology Nutrition Dietetic Practice Group (ON DPG) of the Academy of Nutrition and Dietetics and distributed via the ON DPG electronic mailing list. Complete data were summarized for 215 cancer centers. The mean RDN full-time equivalent (FTE) for all centers was 1.7 ± 2.0. After stratifying by type of center, National Cancer Institute-Designated Cancer Centers (NCI CCs) employed a mean of 3.1 ± 3.0 RDN FTEs compared to 1.3 ± 1.4 amongst non-NCI CCs. The RDN-to-patient ratio, based on reported analytic cases, was 1 : 2,308. Per day, RDNs evaluated and counseled an average of 7.4 ± 4.3 oncology patients. Approximately half (53.1%) of the centers screened for malnutrition, and 64.9% of these facilities used a validated malnutrition screening tool. The majority (76.8%) of centers do not bill for nutrition services. This is the first national study to evaluate RDN staffing patterns, provider-to-patient ratios, and reimbursement practices in outpatient cancer centers. These data indicate there is a significant gap in RDN access for oncology patients in need of nutritional care.

Identifiers

PMID31885583
PMCPMC6893237
OpenAlexW2990894126

What OpenQuestion holds

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LicenceCC BY
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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.