Evidence map›Paper›PMID 32438645›Full record

ArticleNutrients2020

Promising Effect of a New Ketogenic Diet Regimen in Patients with Advanced Cancer.

Keisuke Hagihara, Katsufumi Kajimoto, Satoshi Osaga, Naoko Nagai, Eku Shimosegawa, Hideyuki Nakata, Hitomi Saito, Mai Nakano, Mariko Takeuchi, Hideaki Kanki and 2 more

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 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

12 authors at 4 institutions in 1 country.

Keisuke HagiharaDepartment of Advanced Hybrid Medicine, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.
Katsufumi KajimotoDepartment of Advanced Hybrid Medicine, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.
Satoshi OsagaClinical Research Management Center, Nagoya City University Hospital, Aichi 467-8602, Japan.
Naoko NagaiDivision of Nutritional Management, Osaka University Hospital, Osaka 565-0871, Japan.
Eku ShimosegawaDepartment of Molecular Imaging in Medicine, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.
Hideyuki NakataDepartment of Advanced Hybrid Medicine, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.
Hitomi SaitoDepartment of Advanced Hybrid Medicine, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.
Mai NakanoDepartment of Advanced Hybrid Medicine, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.
Mariko TakeuchiDepartment of Advanced Hybrid Medicine, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.
Hideaki KankiDepartment of Advanced Hybrid Medicine, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.
Kuriko Kagitani-ShimonoUnited Graduate School of Child Development, Osaka University, Osaka 565-0871, Japan.
Takashi KijimaDepartment of Respiratory Medicine and Hematology, Hyogo College of Medicine, Hyogo 663-8501, Japan.
The University of Osaka · JPHyogo Medical University · JPNagoya City University Hospital · JPOsaka University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A ketogenic diet is expected to be an effective support therapy for patients with cancer, but the degree and duration of carbohydrate restriction are unclear. We performed a case series study of a new ketogenic diet regimen in patients with different types of stage IV cancer. Carbohydrates were restricted to 10 g/day during week one, 20 g/day from week two for three months, and 30 g/day thereafter. A total of 55 patients participated in the study, and data from 37 patients administered the ketogenic diet for three months were analyzed. No severe adverse events associated with the diet were observed. Total ketone bodies increased significantly, and both fasting blood sugar and insulin levels were suppressed significantly for three months after completion of the study. Five patients showed a partial response on Positron emission tomography-computed tomography (PET-CT) at three months. Three and seven patients showed complete and partial responses, respectively at one year. Median survival was 32.2 (maximum: 80.1) months, and the three-year survival rate was 44.5%. After three months on the ketogenic diet, the serum Alb, BS, and CRP (ABC) score could be used to stratify the patients into groups with significantly different survival rates (

Indexed as

Time FactorsAdultAgedBlood GlucoseDiet, KetogenicFastingFemaleHumansInsulinKetone BodiesMaleMiddle AgedNeoplasmsNeoplasm StagingPositron Emission Tomography Computed TomographySurvival RateBlood GlucoseInsulinKetone Bodiescancerketogenic dietPET-CT

Identifiers

PMID32438645
PMCPMC7284721
OpenAlexW3026762933

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.