Evidence map›Paper›PMID 36847908›Full record

Observational studySupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2023

Are gastrointestinal problems, nutritional care, and nutritional care needs associated with quality of life in patients with advanced cancer? Results of the observational eQuiPe study.

Savvas Paschos, Nora Lize, Simone Eussen, Annemieke van der Padt-Pruijsten, Marieke van den Beuken-van Everdingen, Hanneke van Laarhoven, Marien den Boer, Alexander de Graeff, Ben van den Borne, Herma Ten Have and 4 more

Open access · greenAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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

14 authors at 10 institutions in 1 country.

Savvas PaschosNetherlands Comprehensive Cancer Organization (IKNL), PO box 19079, 3501DB, Utrecht, the Netherlands.
Nora LizeNetherlands Comprehensive Cancer Organization (IKNL), PO box 19079, 3501DB, Utrecht, the Netherlands.
Simone EussenDepartment of Epidemiology of the Faculty of Health, Medicine and Life Sciences, School for Cardiovascular Diseases (CARIM) and Care and Public Health Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands.ORCID https://orcid.org/0000-0003-0559-6838
Annemieke van der Padt-PruijstenDepartment of Internal Medicine, Maasstad Hospital, Rotterdam, the Netherlands.
Marieke van den Beuken-van EverdingenCenter of Expertise Palliative Care, Maastricht University Medical Center, Maastricht, the Netherlands.ORCID https://orcid.org/0000-0002-2446-2862
Hanneke van LaarhovenAmsterdam University Medical Centers, Department of Medical Oncology, Cancer Center Amsterdam, University of Amsterdam, Amsterdam, the Netherlands.
Marien den BoerLaurentius Hospital, Roermond, the Netherlands.
Alexander de GraeffDepartment of Medical Oncology, UMC Utrecht Medical Center, Utrecht, the Netherlands.
Ben van den BorneDepartment of Pulmonology, Catharina Hospital, Eindhoven, the Netherlands.
Herma Ten HaveCareyn, Utrecht, the Netherlands.
Marjolanda KennisInstitution Verbeeten, Tilburg, the Netherlands.
Sandra BeijerNetherlands Comprehensive Cancer Organization (IKNL), PO box 19079, 3501DB, Utrecht, the Netherlands.
Natasja J H RaijmakersNetherlands Comprehensive Cancer Organization (IKNL), PO box 19079, 3501DB, Utrecht, the Netherlands. n.raijmakers@iknl.nl.ORCID https://orcid.org/0000-0002-3000-2520
Lonneke van de Poll-FranseNetherlands Comprehensive Cancer Organization (IKNL), PO box 19079, 3501DB, Utrecht, the Netherlands.ORCID https://orcid.org/0000-0003-0413-6872
Netherlands Comprehensive Cancer Organisation · NLMaastricht University · NLAmsterdam University Medical Centers · NLInstituut Verbeeten · NLLaurentius Ziekenhuis · NLMaasstad Ziekenhuis · NLNederlandse Vereniging voor Kindergeneeskunde · NLRadboud University Nijmegen · NLTilburg University · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the association of gastrointestinal problems, received nutritional care, and nutritional care needs with quality of life (QoL) in patients with advanced cancer.

methodsA cross-sectional analysis within the observational prospective eQuiPe cohort study on experienced quality of care and QoL in patients with advanced cancer was performed. QoL and gastrointestinal problems were measured using the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ)-C30. Received nutritional care (yes/no) and nutritional care needs (yes/a little bit/no) were measured by two questions. Gastrointestinal problems were categorized as clinically important based on the Giesinger thresholds. Univariable and multivariable linear regression analyses adjusted for age, gender, and treatment were used to analyze the association of gastrointestinal problems, received nutritional care, and nutritional care needs with QoL.

resultsHalf of the 1080 patients with advanced cancer had clinically important gastrointestinal problems, 17% experienced nutritional care needs, and 14% received nutritional care. Multivariable analyses revealed that the presence of clinically important gastrointestinal problems (β (95% CI): -13.0 (-15.6; -10.4)), received nutritional care (β (95% CI): -5.1 (-8.5; -1.7)), and nutritional care needs (β (95% CI): -8.7 (-11.9; -5.5)) were associated with a low QoL.

conclusionMany patients with advanced cancer experience gastrointestinal problems, while only few patients receive nutritional care. These gastrointestinal problems, nutritional care needs, and nutritional care are associated with lower QoL, probably due to reversed causality or the irreversible nature of these problems in the palliative phase. More research on the relation of nutritional care, gastrointestinal problems, and QoL is needed to optimize nutritional support in end-of-life care.

Indexed as

NeoplasmsQuality of LifeCohort StudiesCross-Sectional StudiesHumansNutritional SupportProspective StudiesAdvanced cancerGastrointestinal problemsNutritional careNutritional care needsPalliative careQuality of life

Identifiers

PMID36847908
OpenAlexW4322217376

What OpenQuestion holds

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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.