Evidence map›Paper›PMID 35276977›Full record

Trial reportNutrients2022

Effects of Perioperative Oral Nutrition Supplementation in Malaysian Patients Undergoing Elective Surgery for Breast and Colorectal Cancers-A Randomised Controlled Trial.

Ting Xuan Wong, Wei Xiang Wong, Seong Ting Chen, Shu Hwa Ong, Sangeetha Shyam, Nurzarina Ahmed, Khairul Hazim Hamdan, Raflis Ruzairee Awang, Mohd Razali Ibrahim, Kandasami Palayan and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 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.

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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  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

11 authors.

Ting Xuan WongDivision of Nutrition & Dietetics, School of Health Sciences, International Medical University, Bukit Jalil, Kuala Lumpur 57000, Malaysia.ORCID 0000-0002-3708-6894
Wei Xiang WongDivision of Nutrition & Dietetics, School of Health Sciences, International Medical University, Bukit Jalil, Kuala Lumpur 57000, Malaysia.
Seong Ting ChenDivision of Nutrition & Dietetics, School of Health Sciences, International Medical University, Bukit Jalil, Kuala Lumpur 57000, Malaysia.ORCID 0000-0002-1242-2206
Shu Hwa OngDivision of Nutrition & Dietetics, School of Health Sciences, International Medical University, Bukit Jalil, Kuala Lumpur 57000, Malaysia.ORCID 0000-0003-3364-0111
Sangeetha ShyamDivision of Nutrition & Dietetics, School of Health Sciences, International Medical University, Bukit Jalil, Kuala Lumpur 57000, Malaysia.ORCID 0000-0002-3340-1519
Nurzarina AhmedDepartment of General Surgery, Hospital Tuanku Ja'afar, Seremban 70300, Malaysia.
Khairul Hazim HamdanDepartment of General Surgery, Hospital Kuala Lumpur, Kuala Lumpur 50586, Malaysia.
Raflis Ruzairee AwangDepartment of General Surgery, Hospital Kuala Lumpur, Kuala Lumpur 50586, Malaysia.
Mohd Razali IbrahimDepartment of General Surgery, Hospital Kuala Lumpur, Kuala Lumpur 50586, Malaysia.
Kandasami PalayanDepartment of Surgery, School of Medicine, International Medical University, Bukit Jalil, Kuala Lumpur 57000, Malaysia.
Winnie Siew Swee CheeDivision of Nutrition & Dietetics, School of Health Sciences, International Medical University, Bukit Jalil, Kuala Lumpur 57000, Malaysia.ORCID 0000-0003-3424-3943

Funding

International Medical University PHMS I/2020(01)Kotra Pharma (M) Sdn Bhd IMU R 204/2017
6 · The paper itself

Abstract

This study aimed to investigate the effectiveness of preoperative and an extended 90-days postoperative use of ONS among patients undergoing elective surgery for breast and colorectal cancers. Ninety-one patients were randomised into (i) Group SS received ONS up to 14 days preoperatively and postoperatively up to discharge, (ii) Group SS-E received ONS up to 14 days preoperatively, postoperatively up to discharge and for an extended 90-days after discharge and (iii) Group DS received ONS postoperatively up to discharge. Preoperatively, SS had significantly higher body weight (66.1 ± 15.3 kg vs. 62.5 ± 12.0 kg, p = 0.010) and BMI (26.8 ± 6.8 kg/m2 vs. 26.1 ± 6.7 kg/m2, p = 0.022) than DS when adjusted for baseline values. Postoperatively, SS-E had significantly higher handgrip strength (26 ± 9 kgF vs. 24 ± 6 kgF, p = 0.044) than DS at 90-days post-discharge after adjusted for preoperative values. At 90-days post-discharge, the proportions of patients in SS with albumin < 35 g/d, CAR ≥ 0.1, mPINI ≥ 0.4, mGPS score 1 or 2 were significantly reduced while in SS-E, the reduction in proportions of patients with high hsCRP and mPINI ≥ 0.4 was significant compared to upon discharge. Preoperative ONS had modest benefits in attenuating weight loss whilst postoperative supplementation up to 90-days post-discharge improved handgrip strength and inflammatory prognostic markers.

Indexed as

Colorectal NeoplasmsHand StrengthAftercareDietary SupplementsHumansPatient Dischargebreast cancercolorectal cancernon-severe malnutritionperioperative nutrition caresurgical outcomes

Identifiers

PMID35276977
PMCPMC8838234

What OpenQuestion holds

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Registered trials

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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.