Evidence map›Paper›PMID 33417481›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2021

Early Interdisciplinary Supportive Care in Patients With Previously Untreated Metastatic Esophagogastric Cancer: A Phase III Randomized Controlled Trial.

Zhihao Lu, Yu Fang, Chang Liu, Xiaotian Zhang, Xiaowei Xin, Yi He, Yanshuo Cao, Xi Jiao, Tianqi Sun, Ying Pang and 8 more

4 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 69 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 5 pooled it
8.3field-weighted citation impact, top 1% 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.

NCT05253716 naunknown statusnot on this mapstarted 2022, after this paper: background citation

The Effects of Immunonutritional Supplement After Total Gastrectomy in Patients With Stage III Gastric Cancer on Long-term Disease-free Survival After Total Gastrectomy in Patients With Stage III Gastric Cancer

TypeinterventionalSponsorJinling Hospital, ChinaRan2022 to 2026Enrolled696ConditionsStage III Gastric CancerArmsONS
NCT06219083 recruitingnot on this map

Study of Nutritional Status and Clinical Outcomes in Patients With Common Malignancies

Typeobservational_patient_registrySponsorXiaoqin LuoRan2020 to 2031Enrolled1,538ConditionsCancer, Chemoradiotherapy, Nutrition, Healthy, Oncology
NCT06468969 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

A Prospective, Single-Center, Randomized Controlled Trial Comparing Enhanced Follow-up With Standard Follow-up in Post-Gastrectomy Patients With Advanced Gastric Cancer

TypeinterventionalSponsorFudan UniversityRan2024 to 2029Enrolled158ConditionsGastric Cancer, Total Gastrectomy, Postoperative Care, Quality of LifeArmsEnhanced Follow-up
NCT07087561 narecruitingnot on this mapstarted 2024, after this paper: background citation

The Effects and Mechanisms of Short-Term Nutritional Enhancement Combined With Health Education on Clinical Outcomes in Postoperative Patients With Colorectal Cancer: A Multicenter, Open-Label, Randomized Controlled Trial

TypeinterventionalSponsorXiaoqin LuoRan2024 to 2030Enrolled360ConditionsColorectal Cancer (Diagnosis), Malnutrition or Risk of MalnutritionArmsPersonalized Oral Nutritional Supplementation, Personalized Parenteral Nutritional Supplementation, Structured Nutrition-Focused Health Education
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 5 syntheses or guidelines pooled it, 131 citations in OpenAlex.

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  13. The multidimensional impact of malnutrition in incurable cancer.Current opinion in supportive and palliative care · 2026
    Review
  14. Article
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  17. Models, outcomes, barriers, and facilitators of supportive care in cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  18. Supportive or palliative? When words influence care more than guidelines.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  19. Review
  20. Article

9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 1 institution in 1 country.

Zhihao LuDepartment of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Hai-Dian District, Beijing, China.
Yu FangDepartment of Clinical Nutrition, Peking University Cancer Hospital & Institute, Hai-Dian District, Beijing, China.
Chang LiuDepartment of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Hai-Dian District, Beijing, China.
Xiaotian ZhangDepartment of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Hai-Dian District, Beijing, China.
Xiaowei XinDepartment of Clinical Nutrition, Peking University Cancer Hospital & Institute, Hai-Dian District, Beijing, China.
Yi HeDepartment of Psycho-Oncology, Peking University Cancer Hospital & Institute, Hai-Dian District, Beijing, China.
Yanshuo CaoDepartment of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Hai-Dian District, Beijing, China.
Xi JiaoDepartment of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Hai-Dian District, Beijing, China.
Tianqi SunPrecision Scientific (Beijing) Co, Ltd, Hai-Dian District, Beijing, China.
Ying PangDepartment of Psycho-Oncology, Peking University Cancer Hospital & Institute, Hai-Dian District, Beijing, China.
Yanli WangDepartment of Clinical Nutrition, Peking University Cancer Hospital & Institute, Hai-Dian District, Beijing, China.
Jun ZhouDepartment of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Hai-Dian District, Beijing, China.
Changsong QiDepartment of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Hai-Dian District, Beijing, China.
Jifang GongDepartment of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Hai-Dian District, Beijing, China.
Xicheng WangDepartment of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Hai-Dian District, Beijing, China.
Jian LiDepartment of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Hai-Dian District, Beijing, China.
Lili TangDepartment of Psycho-Oncology, Peking University Cancer Hospital & Institute, Hai-Dian District, Beijing, China.
Lin ShenDepartment of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Hai-Dian District, Beijing, China.ORCID 0000-0002-8798-4756
Peking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEffective interventions to improve prognosis in metastatic esophagogastric cancer (EGC) are urgently needed. We assessed the effect of the early integration of interdisciplinary supportive care for patients with metastatic EGC on overall survival (OS). PATIENTS AND

methodsAn open-label, phase III, randomized, controlled trial was conducted at Peking University Cancer Hospital & Institute. Patients with previously untreated metastatic EGC were enrolled. Patients were randomly assigned (2:1) to either early interdisciplinary supportive care (ESC) integrated into standard oncologic care or standard care (SC). ESC was provided by a team of GI medical oncologists, oncology nurse specialists, dietitians, and psychologists; patients in the SC group received standard oncologic care alone. The primary end point was OS in the intention-to-treat population.

resultsBetween April 16, 2015, and December 29, 2017, 328 patients were enrolled: 214 in the ESC group and 114 in the SC group. At the data cutoff date of January 26, 2019, 15 (5%) patients were lost to follow-up. The median number of cycles of first-line chemotherapy was five (interquartile range [IQR], 4-7) in the ESC group and four (IQR, 2-6) in the SC group. The median OS was 14.8 months (95% CI, 13.3 to 16.3) in the ESC group and 11.9 months (95% CI, 9.6 to 13.6) in the SC group (hazard ratio, 0.68; 95% CI, 0.51 to 0.9;

conclusionThe early integration of interdisciplinary supportive care is an effective intervention with survival benefits for patients with metastatic EGC. Further optimization and standardization are warranted.

Indexed as

Nutritional SupportPatient Care TeamPsychotherapyAgedAntineoplastic AgentsChinaCombined Modality TherapyDisease ProgressionEsophageal NeoplasmsFemaleHumansMaleMental HealthMiddle AgedNeoplasm MetastasisNutritional StatusAntineoplastic Agents

Identifiers

PMID33417481
PMCPMC8078238
OpenAlexW3118523372

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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.