Evidence map›Paper›PMID 34960023›Full record

ArticleNutrients2021

Nutritional Status Impairment Due to Neoadjuvant Chemotherapy Predicts Post-Radical Cystectomy Complications.

Sharon Cohen, Jonathan Gal, Yuval Freifeld, Sobhi Khoury, Yoram Dekel, Azik Hofman, Kamil Malshi, Gilad Amiel, Itay Sagi, Ilan Leibovici and 5 more

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 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

15 authors at 2 institutions in 1 country.

Sharon CohenDepartment of Urology, Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan 5266202, Israel.
Jonathan GalSackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel.
Yuval FreifeldDepartment of Urology, Carmel Medical Center, Haifa 3436212, Israel.
Sobhi KhouryDepartment of Urology, Carmel Medical Center, Haifa 3436212, Israel.
Yoram DekelDepartment of Urology, Carmel Medical Center, Haifa 3436212, Israel.
Azik HofmanRappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa 3109601, Israel.
Kamil MalshiRappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa 3109601, Israel.
Gilad AmielRappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa 3109601, Israel.
Itay SagiSackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel.
Ilan LeiboviciSackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel.
Shay GolanSackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel.
Jack BanielSackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel.
Barak RozenzweigDepartment of Urology, Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan 5266202, Israel.
Zohar DotanDepartment of Urology, Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan 5266202, Israel.
Miki HaiflerDepartment of Urology, Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan 5266202, Israel.ORCID 0000-0002-3092-4170
Tel Aviv University · ILTechnion – Israel Institute of Technology · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRadical cystectomy (RC) is the standard treatment for muscle invasive bladder cancer (MIBC). Neoadjuvant chemotherapy (NAC) is associated with improved patient survival. The impact of NAC on nutritional status is understudied, while the association between malnutrition and poor surgical outcomes is well known. This study aims to examine the association between NAC, nutritional status impairment, and post-operative morbidity. MATERIALS AND

methodsWe included MIBC patients who underwent RC and received NAC from multiple academic centers in Israel. Cross-sectional imaging was used to measure the psoas muscle area and normalized it by height (smooth muscle index, SMI). Pre- and post-NAC SMI difference was calculated (represents nutritional status change). The primary outcomes were post-RC ileus, infection, and a composite outcome of any complication. Logistic regression models were fit to identify independent predictors of the outcomes.

resultsNinety-one patients were included in the study. The median SMI change was -0.71 (-1.58, -0.06) cm

conclusionsNAC-related nutritional deterioration is associated with increased risk of complications after RC. Our results hint towards the need for nutritional intervention during NAC prior to RC.

Indexed as

CystectomyAgedAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansMaleMiddle AgedNeoadjuvant TherapyNutritional StatusPostoperative ComplicationsRetrospective StudiesUrinary Bladder NeoplasmsAntineoplastic Agentscomplicationnutritionradical cystectomysarcopenia

Identifiers

PMID34960023
PMCPMC8708207
OpenAlexW4200288715

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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.