Evidence map›Paper›PMID 34811570›Full record

ReviewSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2022

Examining guidelines and new evidence in oncology nutrition: a position paper on gaps and opportunities in multimodal approaches to improve patient care.

Carla M Prado, Alessandro Laviano, Chelsia Gillis, Anthony D Sung, Maureen Gardner, Suayib Yalcin, Suzanne Dixon, Shila M Newman, Michael D Bastasch, Abby C Sauer and 2 more

Open access · hybridAbstract readReviewConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Review in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 3 pooled it
5.8field-weighted citation impact, top 3% 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

64 citing papers in PubMed, 3 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Enteral versus parenteral nutrition in auto-HCT: a randomized controlled trial on clinical outcomes and gut microbiome dynamics.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  16. Impact of COVID-19 on early identification of protein-energy malnutrition in the cancer care setting: a repeated cross-sectional survey of cancer care professionals.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  17. Meeting physical activity guidelines in conjunction with higher protein intake: associations with appendicular lean soft tissue index in middle aged adults with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  19. Review
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4 more citing papers are in PubMed but not listed here.

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

12 authors at 9 institutions in 4 countries.

Carla M PradoHuman Nutrition Research Unit, Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB, Canada.ORCID http://orcid.org/0000-0002-3609-5641
Alessandro LavianoDepartment of Translation and Precision Medicine, Sapienza University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0002-9809-3553
Chelsia GillisPeri Operative Program, McGill University Health Center, Montreal, QC, Canada.ORCID http://orcid.org/0000-0002-0615-5922
Anthony D SungDepartment of Medicine, Division of Hematologic Malignancies and Cellular Therapy, Duke University School of Medicine, Durham, NC, USA.
Maureen GardnerFlorida Cancer Specialists and Research Institute, Fort Myers, FL, USA.
Suayib YalcinDepartment of Medical Oncology, Hacettepe University Cancer Institute, Sihhiye, Ankara, Turkey.ORCID http://orcid.org/0000-0001-7850-6798
Suzanne DixonHumana Healthcare Research, Portland, OR, USA.ORCID http://orcid.org/0000-0003-4173-9103
Shila M NewmanThompson Cancer Survival Center, Knoxville, TN, USA.
Michael D BastaschUniversity of Texas Health/East Texas Cancer Institute, Athens, TX, USA.
Abby C SauerScientific & Medical Affairs, Abbott Nutrition, Columbus, OH, USA.ORCID http://orcid.org/0000-0002-2297-7133
Refaat HegaziScientific & Medical Affairs, Abbott Nutrition, Columbus, OH, USA.ORCID http://orcid.org/0000-0001-5564-0222
Martin R ChasenDepartment of Medicine, University of Toronto, Toronto, Canada. Martin.Chasen@williamoslerhs.ca.ORCID http://orcid.org/0000-0002-0406-9692
Abbott (United States) · USDuke University · USFlorida Cancer Specialists & Research Institute · USHacettepe University Hospital · TRMcGill University Health Centre · CASapienza University of Rome · ITThompson Cancer Survival Center · USUniversity of Alberta · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Malnutrition, muscle loss, and cachexia are prevalent in cancer and remain key challenges in oncology today. These conditions are frequently underrecognized and undertreated and have devastating consequences for patients. Early nutrition screening/assessment and intervention are associated with improved patient outcomes. As a multifaceted disease, cancer requires multimodal care that integrates supportive interventions, specifically nutrition and exercise, to improve nutrient intake, muscle mass, physical functioning, quality of life, and treatment outcomes. An integrated team of healthcare providers that incorporates societies' recommendations into clinical practice can help achieve the best possible outcomes. A multidisciplinary panel of experts in oncology, nutrition, exercise, and medicine participated in a 2-day virtual roundtable in October 2020 to discuss gaps and opportunities in oncology nutrition, alone and in combination with exercise, relative to current evidence and international societies' recommendations. The panel recommended five principles to optimize clinical oncology practice: (1) position oncology nutrition at the center of multidisciplinary care; (2) partner with colleagues and administrators to integrate a nutrition care process into the multidisciplinary cancer care approach; (3) screen all patients for malnutrition risk at diagnosis and regularly throughout treatment; (4) combine exercise and nutrition interventions before (e.g., prehabilitation), during, and after treatment as oncology standard of care to optimize nutrition status and muscle mass; and (5) incorporate a patient-centered approach into multidisciplinary care.

Indexed as

MalnutritionNutritional StatusHumansMedical OncologyNutrition AssessmentPatient CareQuality of LifeExerciseLow muscle massMalnutritionMultidisciplinaryMultimodalNutrition

Identifiers

PMID34811570
PMCPMC8857008
OpenAlexW3216861504

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.