Evidence map›Paper›PMID 34371859›Full record

Trial reportNutrients2021

Impact of a Geriatric Intervention to Improve Screening and Management of Undernutrition in Older Patients Undergoing Surgery for Colorectal Cancer: Results of the ANC Stepped-Wedge Trial.

Thomas Gilbert, Lorraine Bernard, Marine Alexandre, Sylvie Bin-Dorel, Laurent Villeneuve, Evelyne Decullier, Marc Bonnefoy, Anc Working Group

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 4 pooled it
1.2field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 4 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Geriatric Models of Surgical Care: A Scoping Review.Journal of advanced nursing · 2026
    Article
  6. Article
  7. 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

8 authors at 2 institutions in 1 country.

Thomas GilbertGeriatric Medicine Department, Hospices Civils de Lyon, Groupement Hospitalier Sud, CEDEX, 69495 Pierre-Bénite, France.ORCID 0000-0001-8270-7605
Lorraine BernardPublic Health Department, Epidemiology and Clinical Research Unit, Hospices Civils de Lyon, 69002 Lyon, France.ORCID 0000-0001-7798-8406
Marine AlexandrePublic Health Department, Epidemiology and Clinical Research Unit, Hospices Civils de Lyon, 69002 Lyon, France.
Sylvie Bin-DorelPublic Health Department, Epidemiology and Clinical Research Unit, Hospices Civils de Lyon, 69002 Lyon, France.
Laurent VilleneuvePublic Health Department, Epidemiology and Clinical Research Unit, Hospices Civils de Lyon, 69002 Lyon, France.ORCID 0000-0002-8713-7821
Evelyne DecullierPublic Health Department, Epidemiology and Clinical Research Unit, Hospices Civils de Lyon, 69002 Lyon, France.ORCID 0000-0002-2412-4767
Marc BonnefoyGeriatric Medicine Department, Hospices Civils de Lyon, Groupement Hospitalier Sud, CEDEX, 69495 Pierre-Bénite, France.
Anc Working Group
Hospices Civils de Lyon · FRUniversité Claude Bernard Lyon 1 · FR

Funding

Direction Générale de l'offre de Soins PREQHOS-23
6 · The paper itself

Abstract

Almost two in three patients who are aged 75 years and older and scheduled for surgery for colorectal cancer (CRC) are undernourished. Despite evidence that perioperative nutritional management can improve patients outcomes, international guidelines are still insufficiently applied in current practice. In this stepped-wedge cluster-randomized study of five surgical hospitals, we included 147 patients aged 70 years or older with scheduled abdominal surgery for CRC between October 2013 and December 2016. In the intervention condition, an outreach team comprising a geriatrician and a dietician visited patients and staff in surgical wards to assist with the correct application of guidelines. Evaluation, diagnosis, and prescription (according to nutritional status) were considered appropriate and strictly consistent with guidelines in 39.2% of patients in the intervention group compared to only 1.4% in the control group (

Indexed as

AgedAged, 80 and overColorectal NeoplasmsDietary SupplementsFemaleGeriatric AssessmentHumansMaleMalnutritionNutritional StatusNutrition PolicyNutrition TherapyPostoperative ComplicationsPreoperative CarePreoperative PeriodQuality Improvementagedenteral nutritionneoplasmspreoperative care/methods

Identifiers

PMID34371859
PMCPMC8308889
OpenAlexW3178589738

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.