Evidence map›Paper›PMID 39207682›Full record

ArticleJournal of cancer survivorship : research and practice2026

Recommendations on the surveillance and supplementation of vitamins and minerals for upper gastrointestinal cancer survivors: a scoping review.

Sim Yee Cindy Tan, Tiffany Tsoukalas, Kirsten Javier, Tiffany Fazon, Sheena Singh, Janette Vardy

Abstract readScoping Review
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. 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

6 authors.

Sim Yee Cindy Tan *Sydney Medical School, University of Sydney, Concord, NSW, Australia. sim.tan@sydney.edu.au.
Tiffany Tsoukalas *Discipline of Nutrition and Dietetics, Sydney Nursing School, Faculty of Medicine and Health, University of Sydney, Camperdown, Australia.
Kirsten Javier *Cowra Community Health, Cowra Health Service, Cowra, NSW, Australia.
Tiffany FazonPsycho-Oncology Cooperative Research Group (PoCOG), School of Psychology, Faculty of Science, University of Sydney, Camperdown, NSW, Australia.
Sheena SinghNutrition and Dietetics Department, Concord Hospital, Concord, NSW, Australia.
Janette VardySydney Medical School, University of Sydney, Concord, NSW, Australia.

Funding

National Health Medical Research Council Investigator Grant [APP1176221]
6 · The paper itself

Abstract

backgroundEarly-stage upper gastrointestinal (UGI) cancer patients, after surgery, have altered gastrointestinal functions, compromising their nutritional status and health outcomes. Nutritional care provision to UGI survivors rarely focuses on long-term survivorship. Here, we explore recommendations for surveillance of micronutrient deficiency and supplementation for UGI cancer survivors after surgery.

methodsA scoping review, based on the Joanna Briggs Institute methodology for scoping reviews. Six databases (Medline, Embase, CINAHL, Cochrane, Scopus, and PsycINFO) and 21 cancer-related organisation websites were searched. Publications between 2010 and March 2024 with recommendations aimed at adult UGI cancer (oesophageal, gastric, pancreatic, small bowel, and biliary tract) survivors were included.

resultsTwenty-six publications met the selection criteria: 11 reviews (8 narrative reviews, 2 systematic, 1 meta-analysis), 7 expert opinions, 6 guidelines, and 2 consensus papers. Twenty-two publications recommended monitoring of micronutrient deficiencies, and 23 suggested supplementation, with 8 lacking details. Most were targeted at patients with gastric cancer (n = 19), followed by pancreatic cancer (n = 7) and oesophageal cancer (n = 3) with none for biliary tract and small bowel cancers. Vitamin B12 and iron were the most consistently recommended micronutrients across the three tumour groups.

conclusionLimited publications recommend surveillance of micronutrient status in UGI cancer survivors during the survivorship phase, especially for oesophageal and pancreatic cancer survivors; most were narrative reviews. These recommendations lacked details, and information was inconsistent. IMPLICATIONS FOR CANCER SURVIVORS: Long-term UGI cancer survivors are at risk of micronutrient deficiency after surgery. A standardised approach to prevent, monitor, and treat micronutrient deficiencies is needed.

Indexed as

Cancer SurvivorsDietary SupplementsGastrointestinal NeoplasmsMineralsVitaminsHumansMineralsVitaminsCancer survivorsMicronutrient deficienciesMineral and vitamin supplementsSurvivorship careUpper gastrointestinal cancer

Identifiers

PMID39207682
PMCPMC12989006

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