Evidence map›Paper›PMID 35280748›Full record

ArticleFrontiers in oncology2022

Effects of Enteral Nutrition on Patients With Oesophageal Carcinoma Treated With Concurrent Chemoradiotherapy: A Prospective, Multicentre, Randomised, Controlled Study.

Jiahua Lyu, Anhui Shi, Tao Li, Jie Li, Ren Zhao, Shuchai Zhu, Jianhua Wang, Ligang Xing, Daoke Yang, Conghua Xie and 8 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02399306 (A Prospective, Multicenter, Randomized Controlled Study to Compare Chemoradiotherapy With or Without Enteral Nutrition Intervention for Locally Advanced Thoracic Esophageal Squamous Cell Carcinoma), which is not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 9% 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.

NCT02399306 phase3completednot on this map

A Prospective, Multicenter, Randomized Controlled Study to Compare Chemoradiotherapy With or Without Enteral Nutrition Intervention for Locally Advanced Thoracic Esophageal Squamous Cell Carcinoma

TypeinterventionalSponsorSichuan Cancer Hospital and Research InstituteRan2014 to 2017Enrolled222ConditionsEsophageal Squamous Cell Carcinoma, Enteral Nutrition Therapy, ChemoradiotherapyArmsEnteral nutrition, radiotherapy
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  11. Nasogastric tube feeding improves nutritional status and physical state in esophageal cancer patients during chemoradiotherapy: a retrospective study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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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

18 authors at 11 institutions in 1 country.

Jiahua LyuSichuan Cancer Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Anhui ShiDepartment of Radiotherapy, Peking University Cancer Hospital, Beijing, China.
Tao LiSichuan Cancer Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Jie LiDepartment of Radiotherapy, Shanxi Provincial Cancer Hospital, Taiyuan, China.
Ren ZhaoDepartment of Radiotherapy, General Hospital of Ningxia Medical University, Yinchuan, China.
Shuchai ZhuDepartment of Radiotherapy, Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Jianhua WangDepartment of Radiotherapy, Henan Provincial Cancer Hospital, Zhengzhou, China.
Ligang XingDepartment of Radiotherapy, Shandong Cancer Hospital, Shandong University, Jinan, China.
Daoke YangDepartment of Radiotherapy, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Conghua XieDepartment of Oncology, Zhongnan Hospital, Wuhan University, Wuhan, China.
Liangfang ShenDepartment of Oncology, Xiangya Hospital, Central South University, Changsha, China.
Hailin ZhangSichuan Cancer Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Guangying ZhuDepartment of Radiotherapy, Peking University Cancer Hospital, Beijing, China.
Jing WangDepartment of Radiotherapy, Shanxi Provincial Cancer Hospital, Taiyuan, China.
Wenyan PanDepartment of Radiotherapy, General Hospital of Ningxia Medical University, Yinchuan, China.
Fang LiSichuan Cancer Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Jinyi LangSichuan Cancer Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Hanping ShiDepartment of Gastrointestinal Surgery/Clinical Nutrition, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
University of Electronic Science and Technology of China · CNShanxi Provincial Cancer Hospital · CNNingxia Medical University · CNPeking University · CNCapital Medical University · CNFirst Affiliated Hospital of Zhengzhou University · CNHebei Medical University · CNShandong First Medical University · CNSichuan Cancer Hospital · CNWuhan University · CNXiangya Hospital Central South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The oesophageal carcinoma patients show high incidence of malnutrition, which negatively affects their therapy outcome. Moreover, benefits of enteral nutrition remain to be studied in details in these patients. Therefore, we set to assess the effects of enteral nutrition on the nutritional status, treatment toxicities and survival in the oesophageal carcinoma patients treated with concurrent chemoradiotherapy (CCRT). Materials and Methods: Eligible patients were randomly assigned to either the experimental or control group. The patients in the experimental group were treated with a whole-course enteral nutrition management, while the control group were provided a unsystematic nutrition without setting intake goals for energy and protein. The primary endpoint was a change in body weight, while the secondary endpoints included nutrition-related haematological indicators, toxicities, completion rate of treatment and survival. Results: A total of 222 patients were randomised to either the experimental (n=148) or control (n=74) group. Patients in the experimental group showed significantly less decrease in body weight, serum albumin and haemoglobin levels, a lower incidence rates of grade ≥3 myelosuppression and infection, and a higher completion rate of CCRT than those in the control group. While analyses of the 2 and 3 year overall survival (OS) and progression-free survival (PFS) did not reveal differences between these groups, we observed a significantly higher OS at 1 year (83.6% vs. 70.0%). In the subgroup analysis, patients with patient-generated subjective global assessment (PG-SGA)=C were likely to have better OS and PFS with enteral nutrition. Conclusions: In EC patients treated with CCRT, enteral nutrition conferred positive effects on the nutritional status, treatment toxicities and prognosis, which mandate its inclusion in clinical practice. Clinical Trial Registration: This prospective trial has been registered with www.clinicaltrials.gov as NCT02399306.

Indexed as

chemoradiotherapyenteral nutritionnutritional statusoesophageal carcinomaprognosis

Identifiers

PMID35280748
PMCPMC8914079
OpenAlexW4214531260

What OpenQuestion holds

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Registered trials

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.