Evidence map›Paper›PMID 34684353›Full record

Observational studyNutrients2021

Assessment of Nutritional Status and Nutrition Impact Symptoms in Patients Undergoing Resection for Upper Gastrointestinal Cancer: Results from the Multi-Centre NOURISH Point Prevalence Study.

Irene Deftereos, Justin M C Yeung, Janan Arslan, Vanessa M Carter, Elizabeth Isenring, Nicole Kiss, On Behalf Of The Nourish Point Prevalence Study Group

Registry-linked trialOpen access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05867810 (Nutritional Status Among Upper Gastrointestinal Cancer Patients Upon Admission), which is not on this map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 5% 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.

NCT05867810 completednot on this map

Nutritional Status Among Upper Gastrointestinal Cancer Patients Upon Admission

Typeobservational_patient_registrySponsorUniversiti Putra MalaysiaRan2020 to 2023Enrolled409ConditionsUpper Gastrointestinal Cancer Patients Upon Admission, Nutritional Status
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  8. Addressing Malnutrition in Australian Hospitals: A Scoping Review to Inform Systems Thinking.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
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  13. Review
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  17. Progression of nutritional impact symptoms in cancer patients undergoing radiotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
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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 4 institutions in 1 country.

Irene DeftereosDepartment of Surgery, Western Precinct, Melbourne Medical School, The University of Melbourne, St Albans, VIC 3021, Australia.ORCID 0000-0002-3822-147X
Justin M C YeungDepartment of Surgery, Western Precinct, Melbourne Medical School, The University of Melbourne, St Albans, VIC 3021, Australia.ORCID 0000-0002-7230-149X
Janan ArslanDepartment of Surgery, Western Precinct, Melbourne Medical School, The University of Melbourne, St Albans, VIC 3021, Australia.ORCID 0000-0003-2683-3775
Vanessa M CarterDepartment of Nutrition and Dietetics, Western Health, Footscray, VIC 3011, Australia.
Elizabeth IsenringFaculty of Health Sciences and Medicine, Bond University, Robina, QLD 4226, Australia.
Nicole KissInstitute for Physical Activity and Nutrition, Deakin University, Geelong, VIC 3220, Australia.ORCID 0000-0002-6476-9834
On Behalf Of The Nourish Point Prevalence Study Group
The University of Melbourne · AUBond University · AUDeakin University · AUFootscray Hospital · AU

Funding

Nestlé Health Science NA- small project grant
6 · The paper itself

Abstract

backgroundIdentification and treatment of malnutrition are essential in upper gastrointestinal (UGI) cancer. However, there is limited understanding of the nutritional status of UGI cancer patients at the time of curative surgery. This prospective point prevalence study involving 27 Australian tertiary hospitals investigated nutritional status at the time of curative UGI cancer resection, as well as presence of preoperative nutrition impact symptoms, and associations with length of stay (LOS) and surgical complications.

methodsSubjective global assessment, hand grip strength (HGS) and weight were performed within 7 days of admission. Data on preoperative weight changes, nutrition impact symptoms, and dietary intake were collected using a purpose-built data collection tool. Surgical LOS and complications were also recorded. Multivariate regression models were developed for nutritional status, unintentional weight loss, LOS and complications.

resultsThis study included 200 patients undergoing oesophageal, gastric and pancreatic surgery. Malnutrition prevalence was 42% (95% confidence interval (CI) 35%, 49%), 49% lost ≥5% weight in 6 months, and 47% of those who completed HGS assessment had low muscle strength with no differences between surgical procedures (

conclusionsDespite increasing recognition of the importance of preoperative nutritional intervention, a high proportion of patients present with malnutrition or clinically significant weight loss, which are associated with increased LOS. Factors associated with malnutrition and weight loss should be incorporated into routine preoperative screening. Further investigation is required of current practice for dietetics interventions received prior to UGI surgery and if this mitigates the impact on clinical outcomes.

Indexed as

Digestive System Surgical ProceduresNutritional StatusAgedAustraliaFemaleGastrointestinal NeoplasmsHumansMaleMalnutritionMuscle StrengthPostoperative ComplicationsPreoperative CarePrevalenceWeight Lossgastrointestinal cancergastrointestinal surgerymalnutritionnutrition impact symptomssubjective global assessment

Identifiers

PMID34684353
PMCPMC8539371
OpenAlexW3203453495

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.