Evidence map›Paper›PMID 34151843›Full record

ArticleCancer biomarkers : section A of Disease markers2021

Dynamic changes in practical inflammation and immunity markers in cancer patients receiving immune-enhancing nutritional supplementation during concurrent chemoradiotherapy.

Nontiya Homkham, Pooriwat Muangwong, Veeradej Pisprasert, Patrinee Traisathit, Rungarun Jiratrachu, Pattawee Chottaweesak, Imjai Chitapanarux

Open access · bronzeAbstract read
In one paragraph

Article in Cancer biomarkers : section A of Disease markers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. The effect of immunonutritional support in patients undergoing surgery and adjuvant chemotherapy for lung cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
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  3. Review
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

7 authors at 6 institutions in 1 country.

Nontiya HomkhamFaculty of Public Health, Thammasat University, Prathumthani, Thailand.
Pooriwat MuangwongDivision of Radiation Oncology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Veeradej PisprasertDivision of Clinical Nutrition, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Patrinee TraisathitDepartment of Statistics, Faculty of Science, Chiang Mai University, Chiang Mai, Thailand.
Rungarun JiratrachuDivision of Radiation Oncology, Faculty of Medicine, Prince of Songkla University, Songkla, Thailand.
Pattawee ChottaweesakRadiotherapy Unit, Radiology Department, Maharat Nakhonratchasima Hospital, Nakhonratchasima, Thailand.
Imjai ChitapanaruxDivision of Radiation Oncology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Chiang Mai University · THKhon Kaen University · THMaharaj Nakorn Chiang Mai Hospital · THMaharat Nakhon Ratchasima Hospital · THPrince of Songkla University · THThammasat University · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune-enhancing nutrition (IMN) strengthens the systematic inflammatory response and the immune system. Neutrophil to lymphocyte ratio (NLR) and absolute lymphocyte count (ALC) are affected during cancer therapies.

objectiveWe carried out an analysis of the dynamic changes in NLR and ALC over time in cancer patients with or without IMN supplementation.

methods88 cancer patients receiving concurrent chemoradiotherapy (CCRT) were randomized into regular diet group, and regular diet and IMN group.Generalized estimation equation models were used to assess associations between patient's characteristics, IMN, and dynamic changes in NLR and ALC over time.

resultsNLR and ALC at pre-CCRT were significantly associated with dynamic changes in NLR (adjusted β= 1.08, 95% confidence interval [CI]: 0.64-1.52) and ALC (adjusted β= 0.41, 95% CI: 0.36-0.46). The magnitudes of the NLR and ALC changes through CCRT were lower in patients receiving IMN, although the differences were not statistically significant except ALC at the end of CCRT in head and neck cancer patients (P= 0.023).

conclusionDynamic negative changes in both markers were demonstrated throughout CCRT. There were non-significant trend in promising changes in both NLR and ALC values in the whole group in IMN supplementation.

Indexed as

Biomarkers, TumorChemoradiotherapyDietary SupplementsFemaleHumansInflammationMaleNeoplasmsProspective StudiesBiomarkers, Tumorabsolute lymphocyte countcancerConcurrent chemoradiotherapyimmune-enhancing nutritionneutrophil to lymphocyte ratio

Identifiers

PMID34151843
PMCPMC8673492
OpenAlexW3167567874

What OpenQuestion holds

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LicenceCC BY-NC
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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.