Evidence map›Paper›PMID 34938654›Full record

SynthesisFrontiers in oncology2021

Gut Microbiome and Its Associations With Acute and Chronic Gastrointestinal Toxicities in Cancer Patients With Pelvic Radiation Therapy: A Systematic Review.

Jinbing Bai, Zahra A Barandouzi, Claire Rowcliffe, Rebecca Meador, Despina Tsementzi, Deborah Watkins Bruner

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Gut microbes · 2026
    Article
  2. Review
  3. Article
  4. Targeting gut microbiota and metabolites in cancer radiotherapy.Clinical and translational medicine · 2025
    Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Review
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.

Jinbing BaiNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, United States.
Zahra A BarandouziNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, United States.
Claire RowcliffeRollins School of Public Health, Emory University, Atlanta, GA, United States.
Rebecca MeadorNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, United States.
Despina TsementziRollins School of Public Health, Emory University, Atlanta, GA, United States.
Deborah Watkins BrunerNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, United States.
Emory University · US

Funding

Exploring the Microbiome-Gut-Brain Axis in Psychoneurological Symptoms for Children with Solid TumorsR00NR017897 · NINR · EMORY UNIVERSITY · PI BAI, JINBING · 2020 to 2022
$736k
Exploring the Microbiome-Gut-Brain Axis in Psychoneurological Symptoms for Children with Solid TumorsK99NR017897 · NINR · EMORY UNIVERSITY · PI BAI, JINBING · 2018 to 2019
$181k
NINR NIH HHS K99 NR017897NINR NIH HHS R00 NR017897
6 · The paper itself

Abstract

aimPelvic radiation therapy (RT) can impact the gut microbiome in patients with cancer and result in gastrointestinal (GI) toxicities. The purpose of this systematic review was to describe the effects of RT on the gut microbiome and the associations between the gut microbiome and GI toxicities in patients treated with pelvic RT.

methodsPubMed, Embase, and Web of Science databases were searched from their earliest records to August 2020. The articles screening process adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The Mixed Method Assessment Tool was used to assess the methodological quality for each included study. All study findings were synthesized and presented in narrative format. Thirteen studies were included. The gut microbiome of fecal samples was analyzed using 16S rRNA sequencing approaches.

resultsThere were disparities in alpha and beta diversities that existed across the studies. Divergent results were found among various phyla, including

conclusionsPelvic RT can disrupt the diversity and abundance of commensal gut microorganisms. A dysbiotic gut microbiome showed a promising association with radiation enteritis through alterations of the intestinal barrier function, innate immunity, and intestinal repair mechanisms; however, confounders, such as diet, were not thoroughly addressed.

Indexed as

cancergastrointestinal side effectsgut microbiomepelvic radiation therapytreatment toxicity

Identifiers

PMID34938654
PMCPMC8685326
OpenAlexW4200596002

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.