Evidence map›Paper›PMID 32572611›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021

QOLEC2: a randomized controlled trial on nutritional and respiratory counseling after esophagectomy for cancer.

Eleonora Pinto, Maria Teresa Nardi, Rita Marchi, Francesco Cavallin, Rita Alfieri, Luca Saadeh, Matteo Cagol, Ilaria Baldan, Elisabetta Saraceni, Matteo Parotto and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. The strength of a randomized controlled trial lies in its design-randomization.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  6. Reply to: "The strength of a randomized controlled trial lies in its design-randomization".Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    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

15 authors.

Eleonora Pinto *Oesophageal and Digestive Tract Surgical Unit, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Maria Teresa Nardi *Nutritional Support Unit, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Rita MarchiRespiratory Intensive Care Unit, Azienda Ospedaliera di Padova, Padua, Italy.
Francesco CavallinOesophageal and Digestive Tract Surgical Unit, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Rita AlfieriOesophageal and Digestive Tract Surgical Unit, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Luca SaadehOesophageal and Digestive Tract Surgical Unit, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Matteo CagolOesophageal and Digestive Tract Surgical Unit, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Ilaria BaldanNutritional Support Unit, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Elisabetta SaraceniIntensive Care Unit (ISTAR 2), Azienda Ospedaliera di Padova, Padua, Italy.
Matteo ParottoIntensive Care Unit, Toronto General Hospital, Toronto, Ontario, Canada.
Fabio BarattoIntensive Care Unit (ISTAR 2), Azienda Ospedaliera di Padova, Padua, Italy.
Cristina CaberlottoOesophageal and Digestive Tract Surgical Unit, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Andrea VianelloRespiratory Intensive Care Unit, Azienda Ospedaliera di Padova, Padua, Italy.
Carlo Castoro *Department. of Upper GI Surgery, Humanitas Research Hospital-Humanitas University, Rozzano, Italy.
Marco Scarpa *General Surgery Unit, Azienda Ospedaliera di Padova, Padua, Italy. marcoscarpa73@yahoo.it.ORCID http://orcid.org/0000-0002-0217-6523

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEsophagectomy for cancer strongly impairs quality of life. The aim of this trial was to evaluate the effect of the nutritional and respiratory counseling on postoperative quality of life.

methodsAt hospital discharge, patients were randomized into four groups receiving respectively: nutritional and respiratory counseling, nutritional counseling alone, respiratory counseling alone, or standard care. The main endpoint was the impairment in quality of life in the first month after surgery. Linear mixed effect models were estimated to assess mean score differences (MDs) in quality of life scores.

resultsPatients receiving nutritional counseling reported less appetite loss (MD - 17.7, 95% CI - 32.2 to -3.3) than those not receiving nutritional counseling at 1 month after surgery. Dyspnea was similar between patients receiving vs. those not receiving respiratory counseling (MD - 3.1, 95% CI - 10.8 to 4.6). Global quality of life was clinically similar between patients receiving vs. those not receiving nutritional counseling over time (MD 0.9, 95% CI - 5.5 to 7.3), as well as in patients receiving vs. those not receiving respiratory counseling over time (MD 0.7, 95% CI - 5.9 to 7.2).

conclusionsIntensive postoperative care does not affect global quality of life even if nutritional counseling reduced appetite loss.

Indexed as

AgedCounselingEsophageal NeoplasmsEsophagectomyFemaleHealth EducationHumansMaleMiddle AgedNutrition TherapyQuality of LifeRespirationSurveys and QuestionnairesEsophageal cancerEsophagectomyNutritional counselingQuality of lifeRandomized controlled trial

Identifiers

PMID32572611
PMCPMC7307937

What OpenQuestion holds

Textmetadata
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.