Evidence map›Paper›PMID 34732233›Full record

ArticleTrials2021

Study protocol for an open labelled randomised controlled trial of perioperative oral nutrition supplement in breast and colorectal cancer patients undergoing elective surgery.

T X Wong, S T Chen, S H Ong, S Shyam, P Kandasami, W S S Chee

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04400552 (Perioperative Oral Nutrition Supplementation in Malnourished Surgical Cancer Patients- A Randomized Controlled Trial), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 42% 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.

NCT04400552 nacompletednot on this map

Perioperative Oral Nutrition Supplementation in Malnourished Surgical Cancer Patients- A Randomized Controlled Trial

TypeinterventionalSponsorIMU University, MalaysiaRan2018 to 2021Enrolled91ConditionsCancer of Breast, Cancer ColonArmsONS Pre-op + ONS Post-op, ONS Pre-op + ONS Post-op + ONS Post-op 3 months, Usual intake Pre-op + ONS Post-op
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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

6 authors at 1 institution in 1 country.

T X WongDivision of Nutrition & Dietetics, School of Health Sciences, International Medical University, 50700 Bukit Jalil, Kuala Lumpur, Malaysia.
S T ChenDivision of Nutrition & Dietetics, School of Health Sciences, International Medical University, 50700 Bukit Jalil, Kuala Lumpur, Malaysia.
S H OngDivision of Nutrition & Dietetics, School of Health Sciences, International Medical University, 50700 Bukit Jalil, Kuala Lumpur, Malaysia.
S ShyamDivision of Nutrition & Dietetics, School of Health Sciences, International Medical University, 50700 Bukit Jalil, Kuala Lumpur, Malaysia.
P KandasamiDepartment of Surgery, School of Medicine, International Medical University, Jalan Rasah, 70300, Seremban, Negeri Sembilan, Malaysia.
W S S CheeDivision of Nutrition & Dietetics, School of Health Sciences, International Medical University, 50700 Bukit Jalil, Kuala Lumpur, Malaysia. winnie_chee@imu.edu.my.ORCID http://orcid.org/0000-0003-3424-3943
IMU University · MY

Funding

International Medical University PHMS I/2020(01)
6 · The paper itself

Abstract

backgroundWhile it is well established that perioperative use of oral nutrition supplement (ONS) improves nutrition status among severely malnourished surgical cancer patients, the evidence requires further substantiation for non-severely malnourished patients with cancer. This protocol paper presents the rationale and design of a randomised controlled trial to evaluate the effectiveness of preoperative as well as an extended 90-day postoperative use of ONS on nutritional and clinical outcomes among patients undergoing elective surgery for breast and colorectal cancer.

methodsPatients with primary breast and colorectal cancer undergoing elective surgery are recruited from two tertiary hospitals. Eligible patients are assigned into one of the three intervention arms: (i) Group SS will receive ONS in addition to their normal diet up to 14 days preoperatively and postoperatively up to discharge; (ii) Group SS-E will receive ONS in addition to their normal diet up to 14 days preoperatively, postoperatively up to discharge and for an extended 90 days after discharge; and (iii) Group DS will receive ONS in addition to their normal diet postoperatively up to discharge from the hospital. The ONS is a standard formula fortified with lactium to aid in sleep for recovery. The primary endpoints include changes in weight, body mass index (BMI), serum albumin and prealbumin levels, while secondary endpoints are body composition (muscle and fat mass), muscle strength (handgrip strength), energy and protein intake, sleep quality, haemoglobin, inflammatory markers (transferrin, high sensitivity C-reactive protein, interleukin-6), stress marker (saliva cortisol), length of hospital stay and postoperative complication rate. DISCUSSION: This trial is expected to provide evidence on whether perioperative supplementation in breast and colorectal cancer patients presenting with high BMI and not severely malnourished but undergoing the stress of surgery would be beneficial in terms of nutritional and clinical outcomes.

trial registrationClinicalTrial.gov NCT04400552. Registered on 22 May 2020, retrospectively registered.

Indexed as

Colorectal NeoplasmsMalnutritionDietary SupplementsHand StrengthHumansNutritional StatusPatient DischargeRandomized Controlled Trials as TopicBreast cancerColorectal cancerNon-severe malnutritionPerioperative oral nutrition supplementSurgical outcomes

Identifiers

PMID34732233
PMCPMC8565021
OpenAlexW3174436651

What OpenQuestion holds

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LicenceCC BY
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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.