Evidence map›Paper›PMID 39497710›Full record

ArticleFrontiers in oncology2024

The impact of nutritional intervention on quality of life and outcomes in patients with head and neck cancers undergoing chemoradiation.

Sara Cardellini, Chiara Lucrezia Deantoni, Matteo Paccagnella, Amanda Casirati, Andrea Pontara, Alessandro Marinosci, Moreno Tresoldi, Leone Giordano, Anna Chiara, Italo Dell'Oca and 3 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Qualitative study on adherence to oral nutritional supplements in cancer patients: a social cognitive theory perspective.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  7. Article
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  9. Review
  10. Article
  11. Observational
  12. Review
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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

13 authors.

Sara CardelliniClinical Nutrition, IRCCS San Raffaele Scientific Institute, Milano, Italy.
Chiara Lucrezia DeantoniDepartment of Radiation Oncology, IRCCS San Raffaele Scientific Institute, Milano, Italy.
Matteo PaccagnellaTranslational Oncology ARCO Foundation, Cuneo, Italy.
Amanda CasiratiClinical Nutrition and Dietetics Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Andrea PontaraClinical Nutrition, IRCCS San Raffaele Scientific Institute, Milano, Italy.
Alessandro MarinosciGeneral Medicine and Advanced Care Unit, IRCCS San Raffaele Scientific Institute, Milano, Italy.
Moreno TresoldiGeneral Medicine and Advanced Care Unit, IRCCS San Raffaele Scientific Institute, Milano, Italy.
Leone GiordanoVita-Salute San Raffaele University, Milano, Italy.
Anna ChiaraDepartment of Radiation Oncology, IRCCS San Raffaele Scientific Institute, Milano, Italy.
Italo Dell'OcaDepartment of Radiation Oncology, IRCCS San Raffaele Scientific Institute, Milano, Italy.
Nadia Gisella Di MuzioDepartment of Radiation Oncology, IRCCS San Raffaele Scientific Institute, Milano, Italy.
Riccardo CaccialanzaClinical Nutrition, IRCCS San Raffaele Scientific Institute, Milano, Italy.
Aurora MirabileVita-Salute San Raffaele University, Milano, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Chemoradiotherapy in head and neck cancer patients has a curative intent but often deteriorates nutritional status leading to sarcopenia and cachexia. Methods: In this observational and single-centered study, a prospective evaluation of several biochemical and anthropometrical parameters, weight loss, handgrip strength, visual analogue scale of appetite, questionnaires associated with malnutrition & quality of life and body composition (obtained by Bioelectrical Impedance Vector Analysis) was performed before and after high-dose cisplatin chemotherapy combined with radiotherapy in 60 patients affected by head and neck cancer. Oral nutritional supplements were used to reach the correct number of daily calories and proteins. Results and discussion: All patients completed radiotherapy as planned and the 96,4% of them did not interrupt chemotherapy for toxicity, reaching a total dose of at least 200mg/m2. Despite a rapid deterioration of body composition during treatment, nutritional support helped patients to maintain (or in some cases improve) anthropometric parameters from the end of chemoradiotherapy to the following 3 months. Low prealbumin and albumin pre-treatment led to higher risk of toxicities with consequent reduction of cisplatin dose intensity, whereas weight at the end of the treatment seems to be an interesting predicting factor for disease free and overall survival (p=0.007; p=0.015).

Indexed as

body compositionchemotherapyhead and neck cancerhigh-dose cisplatinnutritional counsellingoral nutritional supplementquality of liferadiotherapy

Identifiers

PMID39497710
PMCPMC11532589

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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.