Evidence map›Paper›PMID 34886909›Full record

ArticleBMC nutrition2021

Pilot trial of remote monitoring to prevent malnutrition after hepatopancreatobiliary surgery.

Kelvin Allenson, Kea Turner, Brian D Gonzalez, Erin Gurd, Sarah Zhu, Nicole Misner, Alicia Chin, Melissa Adams, Laura Cooper, Diana Nguyen and 11 more

Registry-linked trialAbstract read
In one paragraph

Article in BMC nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04091165 (Mobile APP Utilization for Enhanced Post-Operative Nutritional Recovery), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04091165 completednot on this map

Mobile APP Utilization for Enhanced Post-Operative Nutritional Recovery

TypeobservationalSponsorH. Lee Moffitt Cancer Center and Research InstituteRan2019 to 2022Enrolled23ConditionsGI Cancer, Nutritional DeficiencyArmsMy Plate Calorie Tracker
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

21 authors.

Kelvin AllensonDepartment of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Fl, USA.
Kea TurnerDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA. kea.turner@moffitt.org.ORCID http://orcid.org/0000-0002-7885-0879
Brian D GonzalezDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA.
Erin GurdDepartment of Nutrition Therapy, Moffitt Cancer Center, Tampa, Fl, USA.
Sarah ZhuDepartment of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Fl, USA.
Nicole MisnerDepartment of Nutrition Therapy, Moffitt Cancer Center, Tampa, Fl, USA.
Alicia ChinDepartment of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Fl, USA.
Melissa AdamsDepartment of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Fl, USA.
Laura CooperDepartment of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Fl, USA.
Diana NguyenDepartment of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Fl, USA.
Samer NaffoujeDepartment of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Fl, USA.
Diana L CastilloDepartment of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Fl, USA.
Maria KocabUniversity of South Florida Morsani College of Medicine, Tampa, Fl, USA.
Brian JamesUniversity of South Florida Morsani College of Medicine, Tampa, Fl, USA.
Jason DenboDepartment of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Fl, USA.
Jose M PimientoDepartment of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Fl, USA.
Mokenge MalafaDepartment of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Fl, USA.
Benjamin D PowersDepartment of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Fl, USA.
Jason B FlemingDepartment of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Fl, USA.
Daniel A AnayaDepartment of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Fl, USA.
Pamela J HodulDepartment of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Fl, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients undergoing hepatopancreatobiliary (HPB) surgery, such patients with pancreatic, periampullary, and liver cancer, are at high risk for malnutrition. Malnutrition increases surgical complications and reduces overall survival. Despite its severity, there are limited interventions addressing malnutrition after HPB surgery. The aim of this pilot trial was to examine feasibility, acceptability, usability, and preliminary efficacy of a remote nutrition monitoring intervention after HPB surgery.

methodsParticipants received tailored nutritional counseling before and after surgery at 2 and 4 weeks after hospital discharge. Participants also recorded nutritional intake daily for 30 days, and these data were reviewed remotely by registered dietitians before nutritional counseling visits. Descriptive statistics were used to describe study outcomes.

resultsAll 26 patients approached to participate consented to the trial before HPB surgery. Seven were excluded after consent for failing to meet eligibility criteria (e.g., did not receive surgery). Nineteen participants (52.6% female, median age = 65 years) remained eligible for remote monitoring post-surgery. Nineteen used the mobile app food diary, 79% of participants recorded food intake for greater than 80% of study days, 95% met with the dietitian for all visits, and 89% were highly satisfied with the intervention. Among participants with complete data, the average percent caloric goal obtained was 82.4% (IQR: 21.7).

conclusionsThis intervention was feasible and acceptable to patients undergoing HPB surgery. Preliminary efficacy data showed most participants were able to meet calorie intake goals. Future studies should examine intervention efficacy in a larger, randomized controlled trial.

trial registrationClinicaltrials.gov. Registered 16 September 2019, https://clinicaltrials.gov/ct2/show/NCT04091165 .

Indexed as

CancerDigital healthHepatopancreaticobiliaryMalnutritionMobile appNutritionSurgery

Identifiers

PMID34886909
PMCPMC8656101

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.