Evidence map›Paper›PMID 37212639›Full record

ArticleJournal of the National Cancer Institute2023

The Pathways to Prevention program: nutrition as prevention for improved cancer outcomes.

Robert A Hiatt, Margaret F Clayton, Karen K Collins, Heather T Gold, Adeyinka O Laiyemo, Kimberly Parker Truesdale, Debra P Ritzwoller

Open access · hybridAbstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Barriers to timely nutrition support in patients with cancer: A scoping review.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Article
  6. Review
  7. Article
  8. Landscape analysis of oncology nutrition research among patients being treated for cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  9. Article
  10. Review
  11. Observational
  12. Article
  13. Bibliometric analysis of research trends in the relationship between frailty and neoplasms over the past decade.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  14. Review
  15. 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

7 authors at 6 institutions in 1 country.

Robert A HiattDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA.ORCID 0000-0001-7174-8436
Margaret F ClaytonThe University of Utah College of Nursing, Salt Lake City, UT, USA.
Karen K CollinsKaren Collins Nutrition, Jamestown, NY, USA.
Heather T GoldNew York University (NYU) Langone Health/NYU Grossman School of Medicine, New York, NY, USA.
Adeyinka O LaiyemoHoward University College of Medicine, Washington, DC, USA.
Kimberly Parker TruesdaleThe University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Debra P RitzwollerKaiser Permanente Colorado Institute for Health Research, Aurora, CO, USA.ORCID 0000-0001-7116-8458
Howard University · USKaiser Permanente · USNew York University · USUniversity of California, San Francisco · USUniversity of North Carolina at Chapel Hill · USUniversity of Utah · US

Funding

NIH HHS
6 · The paper itself

Abstract

Adequate nutrition is central to well-being and health and can enhance recovery during illness. Although it is well known that malnutrition, both undernutrition and overnutrition, poses an added challenge for patients with cancer diagnoses, it remains unclear when and how to intervene and if such nutritional interventions improve clinical outcomes. In July 2022, the National Institutes of Health convened a workshop to examine key questions, identify related knowledge gaps, and provide recommendations to advance understanding about the effects of nutritional interventions. Evidence presented at the workshop found substantial heterogeneity among published randomized clinical trials, with a majority rated as low quality and yielding mostly inconsistent results. Other research cited trials in limited populations that showed potential for nutritional interventions to reduce the adverse effects associated with malnutrition in people with cancer. After review of the relevant literature and expert presentations, an independent expert panel recommends baseline screening for malnutrition risk using a validated instrument following cancer diagnosis and repeated screening during and after treatment to monitor nutritional well-being. Those at risk of malnutrition should be referred to registered dietitians for more in-depth nutritional assessment and intervention. The panel emphasizes the need for further rigorous, well-defined nutritional intervention studies to evaluate the effects on symptoms and cancer-specific outcomes as well as effects of intentional weight loss before or during treatment in people with overweight or obesity. Finally, although data on intervention effectiveness are needed first, robust data collection during trials is recommended to assess cost-effectiveness and inform coverage and implementation decisions.

Indexed as

MalnutritionNeoplasmsHumansNutritional StatusObesityOverweight

Identifiers

PMID37212639
PMCPMC10407697
OpenAlexW4377221313

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.