Evidence map›Paper›PMID 34897740›Full record

ReviewJPEN. Journal of parenteral and enteral nutrition2021

Nutrition challenges of cancer cachexia.

Omnia U Gaafer, Teresa A Zimmers

Open access · hybridAbstract readReview
In one paragraph

Review in JPEN. Journal of parenteral and enteral nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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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

2 authors at 2 institutions in 1 country.

Omnia U GaaferDepartment of Biochemistry and Molecular Biology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Teresa A ZimmersDepartment of Biochemistry and Molecular Biology, Indiana University School of Medicine, Indianapolis, Indiana, USA.ORCID 0000-0001-7872-0540
Indiana University Health · USIndiana University School of Medicine

Funding

Tumor Microenvironment and Metastasis ProgramP30CA082709 · NCI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI Sara K Quinney · 1999 to 2026
$59.3M
The role of the macroenvironment in pancreatic cancer-induced cachexiaP01CA236778 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI NEELON, BRIAN · 2021 to 2025
$9.7M
Resource CoreP30AR072581 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI Sharon M Moe · 2017 to 2026
$8.3M
The Musculoskeletal Cost of Organ RepairR01GM137656 · NIGMS · OREGON HEALTH & SCIENCE UNIVERSITY · PI KONIARIS, LEONIDAS G., ZIMMERS, TERESA A · 2020 to 2023
$1.6M
Morbidity, Mortality and Mechanisms of Persistent Muscle Wasting due to Abdominal Aortic Aneurysm-AAA CachexiaR21AR074908 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI KONIARIS, LEONIDAS G., ZIMMERS, TERESA A · 2019 to 2020
$381k
Molecular Mechanisms of Muscle and Fat Wasting in Pancreatic Cancer CachexiaI01BX004177 · VA · RLR VA MEDICAL CENTER · PI ZIMMERS, TERESA A · 2018 to 2021
–
Tumor tissue crosstalk in the macroenvironment of pancreatic cancer cachexiaI01CX002046 · VA · RLR VA MEDICAL CENTER · PI ZIMMERS, TERESA A · 2020 to 2024
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BLRD VA I01 BX004177BLRD VA I01 BX006433CSRD VA I01 CX002046NCI NIH HHS P01 CA236778NCI NIH HHS P30 CA082709NIAMS NIH HHS P30 AR072581NIAMS NIH HHS R21 AR074908NIGMS NIH HHS R01 GM137656
6 · The paper itself

Abstract

Cancer cachexia, or progressive weight loss, often despite adequate nutrition contributes greatly to cancer morbidity and mortality. Cachexia is metabolically distinct from starvation or protein malnutrition, although many patients with cancer and cachexia exhibit lowered appetite and food consumption. Tumors affect neural mechanisms that regulate appetite and energy expenditure, while promoting wasting of peripheral tissues via catabolism of cardiac and skeletal muscle, adipose, and bone. These multimodal actions of tumors on the host suggest a need for multimodal interventions. However, multiple recent consensus guidelines for management of cancer cachexia differ in treatment recommendations, highlighting the lack of effective, available therapies. Challenges to defining appropriate nutrition or other interventions for cancer cachexia include lack of consensus on definitions, low strength of evidence from clinical trials, and a scarcity of robust, rigorous, and mechanistic studies. However, efforts to diagnose, stage, and monitor cachexia are increasing along with clinical trial activity. Furthermore, preclinical models for cancer cachexia are growing more sophisticated, encompassing a greater number of tumor types in organ-appropriate contexts and for metastatic disease to model the clinical condition more accurately. It is expected that continued growth, investment, and coordination of research in this topic will ultimately yield robust biomarkers, clinically useful classification and staging algorithms, targetable pathways, pivotal clinical trials, and ultimately, cures. Here, we provide an overview of the clinical and scientific knowledge and its limitations around cancer cachexia.

Indexed as

CachexiaNeoplasmsHumansNutritional StatusQuality of LifeWeight Lossanimal modelsanorexiaappetitecachexiacancermalnutritionnutrition

Identifiers

PMID34897740
PMCPMC8756772
OpenAlexW4200219886

What OpenQuestion holds

Textmetadata
LicenceTDM
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.