Evidence map›Paper›PMID 38433169›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

Outcomes of parenteral nutrition in patients with advanced cancer and malignant bowel obstruction.

David A Velasquez, Ankit Dhiman, Colette Brottman, Oliver S Eng, Emily Fenton, Jean Herlitz, Edward Lozano, Edwin McDonald, Valerie Reynolds, Elizabeth Wall and 4 more

Abstract read
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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.3field-weighted citation impact, top 13% 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, 4 citations in OpenAlex.

  1. The multidimensional impact of malnutrition in incurable cancer.Current opinion in supportive and palliative care · 2026
    Review
  2. Article
  3. Review
  4. Article
  5. Letter to the editor to "Outcomes of parenteral nutrition in patients with advanced cancer and malignant bowel obstruction".Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

David A VelasquezUniversity of Chicago, Pritzker School of Medicine, Chicago, IL, USA.
Ankit DhimanSection of General Surgery and Surgical Oncology, University of Chicago Medicine, Chicago, IL, USA.
Colette BrottmanSection of General Surgery and Surgical Oncology, University of Chicago Medicine, Chicago, IL, USA.
Oliver S EngSection of General Surgery and Surgical Oncology, University of Chicago Medicine, Chicago, IL, USA.
Emily FentonSection of General Surgery and Surgical Oncology, University of Chicago Medicine, Chicago, IL, USA.
Jean HerlitzDepartment of Internal Medicine, Section of Gastroenterology, Hepatology and Nutrition, University of Chicago Medicine, Chicago, IL, USA.
Edward LozanoDepartment of Internal Medicine, Section of Gastroenterology, Hepatology and Nutrition, University of Chicago Medicine, Chicago, IL, USA.
Edwin McDonaldDepartment of Internal Medicine, Section of Gastroenterology, Hepatology and Nutrition, University of Chicago Medicine, Chicago, IL, USA.
Valerie ReynoldsDepartment of Internal Medicine, Section of Gastroenterology, Hepatology and Nutrition, University of Chicago Medicine, Chicago, IL, USA.
Elizabeth WallDepartment of Internal Medicine, Section of Gastroenterology, Hepatology and Nutrition, University of Chicago Medicine, Chicago, IL, USA.
Jeffrey WhitridgeSection of General Surgery and Surgical Oncology, University of Chicago Medicine, Chicago, IL, USA.
Carol SemradDepartment of Internal Medicine, Section of Gastroenterology, Hepatology and Nutrition, University of Chicago Medicine, Chicago, IL, USA.
Kiran TuragaSection of General Surgery and Surgical Oncology, University of Chicago Medicine, Chicago, IL, USA.
Dejan MicicDepartment of Internal Medicine, Section of Gastroenterology, Hepatology and Nutrition, University of Chicago Medicine, Chicago, IL, USA. dmicic@bsd.uchicago.edu.
University of Chicago · US

Funding

NIH NCI-SOAR Grant #1R25CA240134-01
6 · The paper itself

Abstract

backgroundMalignant bowel obstruction (MBO) affects 3% to 15% of all cancer patients. In patients with advanced cancer and inoperable MBO, the average survival varies between four to nine weeks. Parenteral nutrition (PN) may improve survival in specific patient populations with malignant bowel obstruction.

aimsThis retrospective, single-center cohort study aimed to review individual patient outcomes on PN in the setting of advanced cancer with a diagnosis of MBO and identify clinical and laboratory markers predictive of short- and long-term survival to further highlight patients that would benefit from PN in the setting of an inoperable MBO.

resultsIn a retrospective analysis of 68 patients receiving PN for inoperable MBO, the median survival was 142 (IQR: 63.3-239.5) days. Patients experienced a median number of two hospital readmissions (range: 0-10) and spent a median of 29 days (range: 0-105) in the hospital after starting PN. Eighteen (26.5%) patients developed a catheter-related bloodstream infection (CRBSI). A diagnosis of appendiceal cancer was identified as a predictive marker of improved survival (HR: 0.53, 95% CI: 0.29-0.92, p = 0.023).

conclusionsThe use of PN in the context of end-of-life cancer care is a practice that necessitates improvement. Recognizing the outcomes and patient experiences of PN utilization is essential to physicians and patients.

Indexed as

NeoplasmsCohort StudiesHospitalsHumansParenteral NutritionRetrospective StudiesAdvanced cancerMalignant bowel obstructionParenteral nutrition

Identifiers

PMID38433169
OpenAlexW4392372090

What OpenQuestion holds

Textmetadata
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Registered trials

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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.