Evidence map›Paper›PMID 38068834›Full record

ArticleNutrients2023

Standards for the Use of Enteral Nutrition in Patients with Diabetes or Stress Hyperglycaemia: Expert Consensus.

María I Rebollo-Pérez, Luna Florencio Ojeda, Pedro P García-Luna, José A Irles Rocamora, Gabriel Olveira, Juan Ramón Lacalle Remigio, Carmen Arraiza Irigoyen, Alfonso Calañas Continente, Cristina Campos Martín, María Luisa Fernández Soto and 8 more

Open access · goldAbstract readConsensus Statement
In one paragraph

Article in Nutrients, 2023. 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
1.0field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  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

18 authors at 14 institutions in 1 country.

María I Rebollo-PérezEndocrinology and Nutrition Clinical Management Unit, University Hospital Juan Ramón Jiménez, 21005 Huelva, Spain.ORCID 0000-0002-2261-8210
Luna Florencio OjedaEndocrinology and Nutrition Clinical Management Unit, University Hospital Juan Ramón Jiménez, 21005 Huelva, Spain.ORCID 0009-0001-1604-5807
Pedro P García-LunaRegional Andalusian Health Service, Service of Endocrinology and Nutrition, University Hospitals Virgen del Rocío, 41013 Seville, Spain.ORCID 0000-0001-7460-5422
José A Irles RocamoraFaculty of Medicine, University of Seville, 41009 Seville, Spain.ORCID 0000-0002-2866-6221
Gabriel OlveiraBiomedical Research Institute of Málaga (IBIMA), 29010 Málaga, Spain.ORCID 0000-0002-7646-2899
Juan Ramón Lacalle RemigioFaculty of Medicine, University of Seville, 41009 Seville, Spain.
Carmen Arraiza IrigoyenUniversity Hospital of Jaén, 23007 Jaén, Spain.ORCID 0000-0003-4131-413X
Alfonso Calañas ContinenteEndocrinology and Nutrition Clinical Management Unit, University Hospital Reina Sofia, 14004 Córdoba, Spain.
Cristina Campos MartínEndocrinology and Nutrition Clinical Management Unit, University Hospital Virgen Macarena, 41009 Seville, Spain.
María Luisa Fernández SotoEndocrinology and Nutrition Clinical Management Unit, University Hospital San Cecilio, 18012 Granada, Spain.
José Manuel García AlmeidaBiomedical Research Institute of Málaga (IBIMA), 29010 Málaga, Spain.ORCID 0000-0001-8570-184X
María Laínez LópezEndocrinology and Nutrition Clinical Management Unit, University Hospital Juan Ramón Jiménez, 21005 Huelva, Spain.
Concepción Losada MorellEndocrinology and Nutrition Clinical Management Unit, Internal Medicine Clinical Management Unit, Hospital Infanta Margarita, 14940 Cabra, Córdoba, Spain.
Luis Miguel Luengo PérezUniversity Hospital of Badajoz, 06080 Badajoz, Spain.ORCID 0000-0001-7780-1402
Teodosia Muñoz de Escalona MartínezEndocrinology and Nutrition Clinical Management Unit, University Hospital Torrecárdenas, 04009 Almeria, Spain.
José L Pereira-CunillRegional Andalusian Health Service, Service of Endocrinology and Nutrition, University Hospitals Virgen del Rocío, 41013 Seville, Spain.ORCID 0000-0001-8455-9765
Francisco J Vílchez-LópezEndocrinology and Nutrition Clinical Management Unit, Biomedical Research and Innovation Institute of Cádiz, University Hospital Puerta del Mar, 11009 Cádiz, Spain.
Juana M Rabat-RestrepoFaculty of Medicine, University of Seville, 41009 Seville, Spain.
Hospital Juan Ramón Jiménez · ESAndalusian Health Service · ESHospital Universitario Virgen Macarena · ESBiomedical Research and Innovation Institute of Cadiz · ESCentro de Implantología Cirugía Oral y Maxilofacial · ESCentro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas · ESComplejo Hospitalario de Jaén · ESComplejo Hospitalario Torrecárdenas · ESHospital Clínico Universitario Virgen de la Victoria · ESHospital Materno-Infantil · ESHospital Universitario de Valme · ESHospital Universitario Reina Sofía · ESUniversidad de Granada · ESUniversidad de Sevilla · ES

Funding

Fresenius Kabi Funded by Fresenius Kabi
6 · The paper itself

Abstract

(1) Background: Hyperglycaemia that occurs during enteral nutrition (EN) should be prevented and treated appropriately since it can have important consequences for morbidity and mortality. However, there are few quality studies in the literature regarding the management of EN in this situation. The objective of this project was to attempt to respond, through a panel of experts, to those clinical problems regarding EN in patients with diabetes or stress hyperglycaemia (hereinafter referred to only as hyperglycaemia) for which we do not have conclusive scientific evidence; (2) Methods: The RAND/UCLA Appropriateness Method, a modified Delphi panel method, was applied. A panel of experts made up of 10 clinical nutrition specialists was formed, and they scored on the appropriateness of EN in hyperglycaemia, doing so in two rounds. A total of 2992 clinical scenarios were examined, which were stratified into five chapters: type of formula used, method of administration, infusion site, treatment of diabetes, and gastrointestinal complications. (3) Results: consensus was detected in 36.4% of the clinical scenarios presented, of which 23.7% were deemed appropriate scenarios, while 12.7% were deemed inappropriate. The remaining 63.6% of the scenarios were classified as uncertain; (4) Conclusions: The recommendations extracted will be useful for improving the clinical management of these patients. However, there are still many uncertain scenarios reflecting that the criteria for the management of EN in hyperglycaemia are not completely standardised. More studies are required to provide quality recommendations in this area.

Indexed as

Diabetes MellitusHyperglycemiaConsensusEnteral NutritionFood, FormulatedHumansDelphidiabetesenteral nutritionexpert consensusstress hyperglycaemia

Identifiers

PMID38068834
PMCPMC10707756
OpenAlexW4389217897

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.