Evidence map›Paper›PMID 35215513›Full record

ArticleNutrients2022

A Qualitative Exploration of Nutrition Screening, Assessment and Oral Support Used in Patients Undergoing Cancer Surgery in Low- and Middle-Income Countries.

Anne Marie Sowerbutts, Stephen R Knight, Marie Carmela M Lapitan, Ahmad U Qureshi, Mayaba Maimbo, Edwin Mwintiereh Ta-Ang Yenli, Stephen Tabiri, Dhruva Ghosh, Pamela Alice Kingsley, Sudha Sundar and 8 more

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 35% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

18 authors at 10 institutions in 7 countries.

Anne Marie SowerbuttsFaculty of Medicine, Biology and Health, and Manchester Academic Health Science Centre, University of Manchester, Oxford Road, Manchester M13 9PL, UK.ORCID 0000-0003-3094-1488
Stephen R KnightNIHR Global Research Unit on Global Surgery, Centre for Medical Informatics, Usher Institute, University of Edinburgh, Edinburgh EH16 4SB, UK.ORCID 0000-0003-0448-3719
Marie Carmela M LapitanInstitute of Clinical Epidemiology, National Institutes of Health and Department of Surgery, University of the Philippines, Manila 1101, Philippines.ORCID 0000-0001-9569-2879
Ahmad U QureshiDepartment of Surgery, King Edward Medical University, Lahore 54000, Pakistan.ORCID 0000-0001-5960-9142
Mayaba MaimboDepartment of General Surgery, Kitwe Teaching Hospital, Kitwe 10101, Zambia.
Edwin Mwintiereh Ta-Ang YenliDepartment of Surgery, School of Medicine, University for Development Studies, Tamale 00233, Ghana.
Stephen TabiriDepartment of Surgery, School of Medicine, University for Development Studies, Tamale 00233, Ghana.
Dhruva GhoshDepartment of Paediatric Surgery, Christian Medical College, Ludhiana 141008, India.ORCID 0000-0003-2976-0241
Pamela Alice KingsleyDepartment of Radiation Oncology, Christian Medical College, Ludhiana 141008, India.ORCID 0000-0002-9517-0402
Sudha SundarInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham B15 2SQ, UK.
Catherine A ShawNIHR Global Research Unit on Global Surgery, Centre for Medical Informatics, Usher Institute, University of Edinburgh, Edinburgh EH16 4SB, UK.
Apple ValparaisoDepartment of Surgery, Philippine General Hospital, Manila 1101, Philippines.
Cristina Almira AlvizDepartment of Surgery, Philippine General Hospital, Manila 1101, Philippines.
Aneel BhanguNIHR Global Research Unit on Global Surgery, Institute of Translational Medicine, Heritage Building, Mindelsohn Way, Birmingham B15 2TH, UK.
Evropi TheodoratouCentre for Global Health, Usher Institute, University of Edinburgh, Edinburgh EH8 9AG, UK.
Thomas G WeiserDepartment of Clinical Surgery, University of Edinburgh, Edinburgh EH16 4SA, UK.ORCID 0000-0002-3118-3888
Ewen M HarrisonNIHR Global Research Unit on Global Surgery, Centre for Medical Informatics, Usher Institute, University of Edinburgh, Edinburgh EH16 4SB, UK.
Sorrel T BurdenFaculty of Medicine, Biology and Health, and Manchester Academic Health Science Centre, University of Manchester, Oxford Road, Manchester M13 9PL, UK.
University of Edinburgh · GBChristian Medical College, Vellore · INManchester Academic Health Science Centre · GBPhilippine General Hospital · PHUniversity for Development Studies · GHKing Edward Medical University · PKStanford University · USUniversity of Birmingham · GBUniversity of the Philippines Manila · PHZambia Forestry College · ZM

Funding

Cancer Research UK 22804Medical Research Council MR/S014527/1National Institute for Health Research NIHR 16.136.79
6 · The paper itself

Abstract

Preoperative undernutrition is a prognostic indicator for postoperative mortality and morbidity. Evidence suggests that treating undernutrition can improve surgical outcomes. This study explored the provision of nutritional screening, assessment and support on surgical cancer wards in low- and middle-income countries (LMICs). This was a qualitative study and participants took part in one focus group or one individual interview. Data were analysed thematically. There were 34 participants from Ghana, India, the Philippines and Zambia: 24 healthcare professionals (HCPs) and 10 patients. Results showed that knowledge levels and enthusiasm were high in HCPs. Barriers to adequate nutritional support were a lack of provision of ward and kitchen equipment, food and sustainable nutritional supplements. There was variation across countries towards nutritional screening and assessment which seemed to be driven by resources. Many hospitals where resources were scarce focused on the care of individual patients in favour of an integrated systems approach to identify and manage undernutrition. In conclusion, there is scope to improve the efficiency of nutritional management of surgical cancer patients in LMICs through the integration of nutrition assessment and support into routine hospital policies and procedures, moving from case management undertaken by interested personnel to a system-based approach including the whole multidisciplinary team.

Indexed as

Developing CountriesNeoplasmsEarly Detection of CancerHumansIncomeNutritional StatusNutrition Assessmentcancerlow- and middle-income countriesoncologyperioperativesurgeryundernutrition

Identifiers

PMID35215513
PMCPMC8876193
OpenAlexW4214482220

What OpenQuestion holds

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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.