Evidence map›Paper›PMID 32000818›Full record

Trial reportRadiation oncology (London, England)2020

Impact of a low FODMAP diet on the amount of rectal gas and rectal volume during radiotherapy in patients with prostate cancer - a prospective pilot study.

Christian Schaefer, Constantinos Zamboglou, Natalja Volegova-Neher, Carmen Martini, Nils Henrik Nicolay, Nina-Sophie Schmidt-Hegemann, Paul Rogowski, Minglun Li, Claus Belka, Arndt-Christian Müller and 2 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Radiation oncology (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Toxicity of rectal preparation strategies in ultra-hypofractionated SBRT for prostate cancer.Technical innovations & patient support in radiation oncology · 2026
    Article
  5. Western Dietary Pattern, Prudent Dietary Pattern, and Cancer-Specific Quality of Life in Prostate Cancer Survivors in the Health Professionals Follow-Up Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  6. Diet in adolescent and young adult patients with cancer and cancer survivors: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  7. Review
  8. Article
  9. Construction of a predictive model for radiation proctitis after radiotherapy for female pelvic tumors based on machine learning.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2022
    Article
  10. 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

12 authors at 4 institutions in 1 country.

Christian SchaeferDepartment of Radiation Oncology, University Hospital, LMU, Marchioninistr. 15, 81377, Munich, Germany. christian.schaefer@med.uni-muenchen.de.ORCID http://orcid.org/0000-0002-5382-5933
Constantinos ZamboglouDepartment of Radiation Oncology, Medical Center, University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Natalja Volegova-NeherDepartment of Radiation Oncology, Medical Center, University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Carmen MartiniDepartment of Radiation Oncology, Medical Center, University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Nils Henrik NicolayDepartment of Radiation Oncology, Medical Center, University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Nina-Sophie Schmidt-HegemannDepartment of Radiation Oncology, University Hospital, LMU, Marchioninistr. 15, 81377, Munich, Germany.
Paul RogowskiDepartment of Radiation Oncology, University Hospital, LMU, Marchioninistr. 15, 81377, Munich, Germany.
Minglun LiDepartment of Radiation Oncology, University Hospital, LMU, Marchioninistr. 15, 81377, Munich, Germany.
Claus BelkaDepartment of Radiation Oncology, University Hospital, LMU, Marchioninistr. 15, 81377, Munich, Germany.
Arndt-Christian MüllerUniversity Clinic for Radiation Oncology, University Hospital Tübingen, Tübingen, Germany.
Anca-Ligia GrosuDepartment of Radiation Oncology, Medical Center, University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Thomas BrunnerUniversity Clinic for Radiation Therapy, University Hospital Magdeburg, Magdeburg, Germany.
LMU Klinikum · DEUniversity of Freiburg · DEUniversity Children's Hospital Tübingen · DEUniversity Hospital Magdeburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSmall inter- and intrafractional prostate motion was shown to be a prerequisite for precise radiotherapy (RT) of prostate cancer (PCa) to achieve good local control and low rectal toxicity. As rectal gas and rectal volume are known to have a relevant effect on prostate motion, this study aims to reduce these parameters by using a Low FODMAP Diet (LFD) and to show feasibility of this intervention.

methodsWe compared a prospective intervention group (IG, n = 25) which underwent RT for PCa and whose patients were asked to follow a LFD during RT with a retrospective control group (CG, n = 25) which did not get any dietary advice. In the planning CT scan and all available cone beam CT scans rectal gas was classified based on a semiquantitative score (scale from 1 to 5) and rectal volume was measured. Furthermore, patients' compliance was evaluated by a self-assessment questionnaire.

resultsClinical and treatment characteristics were well balanced between both groups. A total of 266 (CG, 10.6 per patient) and 280 CT scans (IG, 11.2 per patient), respectively, were analysed. The frequency distribution of gas scores differed significantly from each other (p < .001) with the IG having lower scores. Rectal volume was smaller in the IG (64.28 cm

conclusionsThe use of a LFD significantly decreased rectal gas and rectal volume. LFD was feasible with an excellent patients' compliance. However, prospective trials with a larger number of patients and a standardized evaluation of gastrointestinal toxicity and quality of life are reasonable.

trial registrationGerman Clinical Trials Register, DRKS00012955. Registered 29 August 2017 - Retrospectively registered, https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00012955.

Indexed as

Diet, Carbohydrate-RestrictedAgedGermanyHumansMaleMiddle AgedMotionPatient CompliancePilot ProjectsProspective StudiesProstateProstatic NeoplasmsRadiotherapy, Intensity-ModulatedRectumTreatment OutcomeLow FODMAP dietRadiotherapy - prostate CancerRectal gasRectal volume

Identifiers

PMID32000818
PMCPMC6993432
OpenAlexW3008853353

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.