Evidence map›Paper›PMID 35543526›Full record

SynthesisJPEN. Journal of parenteral and enteral nutrition2022

Effectiveness of dietary counseling with or without nutrition supplementation in hospitalized patients who are malnourished or at risk of malnutrition: A systematic review and meta-analysis.

Alvin Wong, Yingxiao Huang, P Marcin Sowa, Merrilyn D Banks, Judith D Bauer

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in JPEN. Journal of parenteral and enteral nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
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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

5 authors.

Alvin WongDepartment of Dietetic and Food Services, Changi General Hospital, Singapore, Singapore.ORCID 0000-0002-8187-7415
Yingxiao HuangDepartment of Dietetic and Food Services, Changi General Hospital, Singapore, Singapore.
P Marcin SowaCentre for the Business and Economics of Health, The University of Queensland, St Lucia, Queensland, Australia.ORCID 0000-0001-8892-4133
Merrilyn D BanksDepartment of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.ORCID 0000-0003-4467-4608
Judith D BauerSchool of Human Movement and Nutrition Sciences, University of Queensland, St. Lucia, Queensland, Australia.ORCID 0000-0002-3830-5147

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNutrition support is associated with improved survival and nonelective hospital readmission rates among malnourished medical inpatients; however, limited evidence supporting dietary counseling is available. We intend to determine the effect of dietary counseling with or without oral nutrition supplementation (ONS), compared with standard care, on hospitalized adults who are malnourished or at risk of malnutrition.

methodsWe searched MEDLINE/PubMed, CINAHL, Embase, Scopus, The Cochrane Library, and Google Scholar for studies listed from January 1, 2011, to August 31, 2021. Meta-analysis was performed to obtain pooled risk ratios (RRs) and 95% CIs to estimate the effect. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system was used to assess the certainty of the evidence.

resultsSixteen studies were identified. Compared with standard care, dietary counseling with or without ONS probably does not reduce inpatient rates of 30-day mortality (RR = 1.24; 0.60-2.55; I

conclusionsThere is an increase in the certainty of evidence regarding the positive impact of dietary counseling on outcomes. Future studies should standardize and provide details/frequencies of counseling methods and ONS adherence to determine dietary counseling effectiveness.

Indexed as

MalnutritionAdultCounselingDietary SupplementsHospitalizationHumansNutritional Supportadultgeriatricshome nutrition supportnutrition support teamsoutcomes research/quality

Identifiers

PMID35543526
PMCPMC9542820

What OpenQuestion holds

Textmetadata
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.