Evidence map›Paper›PMID 33415362›Full record

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

The experience of nutritional care according to patients with head and neck cancer involved with a combined dietitian, specialist nurse and speech pathologist clinic in a regional Australia: a qualitative longitudinal study.

Emily Hazzard, Jennifer Haughton, Janaye Fish, Marianna Milosavljevic, Vhari Dickson, Jessica Boehm, Karen Walton, Bruce Ashford

Abstract read
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In one paragraph

Article 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 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Systematic Review of Patient Preferences and Experiences Regarding Dietetic Outpatient Care.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Preferences for oral nutritional supplement therapy among postoperative patients with gastric cancer: a discrete choice experiment.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

8 authors at 3 institutions in 1 country.

Emily HazzardDepartment of Nutrition and Dietetics, Wollongong Hospital, Illawarra Shoalhaven Local Health District, Wollongong, NSW, 2500, Australia. emily.hazzard1@health.nsw.gov.au.ORCID http://orcid.org/0000-0001-9967-5582
Jennifer HaughtonDepartment of Nutrition and Dietetics, Wollongong Hospital, Illawarra Shoalhaven Local Health District, Wollongong, NSW, 2500, Australia.
Janaye FishResearch Central, Wollongong Hospital, Illawarra Shoalhaven Local Health District, Wollongong, NSW, 2500, Australia.
Marianna MilosavljevicWollongong Hospital, Illawarra Shoalhaven Local Health District, Wollongong, NSW, 2500, Australia.
Vhari DicksonIllawarra and Shoalhaven Cancer Care Centres, Illawarra Shoalhaven Local Health District, Wollongong, NSW, 2500, Australia.
Jessica BoehmDepartment of Speech Pathology, Wollongong Hospital, Illawarra Shoalhaven Local Health District, Wollongong, NSW, 2500, Australia.
Karen WaltonSchool of Medicine, University of Wollongong, Wollongong, NSW, 2522, Australia.
Bruce AshfordWollongong Hospital, Illawarra Shoalhaven Local Health District, Wollongong, NSW, 2500, Australia.
Wollongong Hospital · AUUniversity of Wollongong · AUIllawarra Shoalhaven Local Health District · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMalnutrition is a co-morbidity of head and neck cancer (HNC) that has negative consequences for patients. Evidence-based guidelines (EBGs) provide recommendations to prevent and manage malnutrition. A clinic that combines the services of a dietitian, specialist oncology nurse and speech pathologist may promote the implementation of nutritional EBGs in regional Australia. This study aimed to explore the nutritional care experience that patients with HNC had in this setting.

methodsA qualitative longitudinal study collected data via semi-structured interviews with HNC patients who were treated in one regional cancer care network in Australia. Interviews were conducted at key points in their HNC journey from diagnosis to 4 months post-radiotherapy. Data was analysed using a grounded theory approach.

resultsTen participants completed a total of thirty-six interviews. The findings were grouped into four categories: "preparing for nutritional challenges", "multidisciplinary care directed by patient needs", "the battle to eat", and "incongruence between patient values and nutritional priorities".

conclusionThese findings highlight the nutritional burden associated with HNC and barriers to patients accepting nutritional support from healthcare professionals. Information provided by doctors and nurses prior to treatment may help patients prepare for the nutritional challenges ahead and accept support from dietitians. Furthermore, clinics that promote continuity through treatment and allow dietitians to lead aspects of nutritional care, in collaboration with nurses, speech pathologists and doctors, may also enhance the nutritional care experience. More qualitative research within HNC teams would provide further insight on enhancing the implementation of nutritional EBGs to improve outcomes for these patients.

Indexed as

AgedAllied Health PersonnelAustraliaFemaleHead and Neck NeoplasmsHumansLongitudinal StudiesMaleMalnutritionMiddle AgedNursesNutritional SupportNutritionistsPathologistsQualitative ResearchCancer treatmentHead and neck cancerLongitudinal research qualitative researchMultidisciplinary teamsNutritional carePatient experience

Identifiers

PMID33415362
OpenAlexW3119340763

What OpenQuestion holds

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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.