Evidence map›Paper›PMID 39878855›Full record

SynthesisJournal of cancer survivorship : research and practice2026

Global prevalence and moderating factors of malnutrition in colorectal cancer survivors: A meta-analysis.

Hidayat Arifin, Yu-Hao Chu, Ruey Chen, Chiu-Kuei Lee, Doresses Liu, Christina Yeni Kustanti, Tintin Sukartini, Kondwani Joseph Banda, Kuei-Ru Chou

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
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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

9 authors.

Hidayat ArifinSchool of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
Yu-Hao ChuSchool of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei, Taiwan.
Ruey ChenSchool of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
Chiu-Kuei LeeSchool of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
Doresses LiuSchool of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
Christina Yeni KustantiStudy Program of Nursing Science, Sekolah Tinggi Ilmu Kesehatan Bethesda Yakkum, Yogyakarta, Indonesia.
Tintin SukartiniResearch Group in Medical-Surgical Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.
Kondwani Joseph BandaSchool of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
Kuei-Ru ChouSchool of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan. kueiru@tmu.edu.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis meta-analysis aims to estimate the global prevalence of severe, moderate, overall malnutrition and moderating factors of malnutrition in colorectal cancer (CRC) survivors.

methodsA comprehensive search was conducted in Embase, CINAHL, Medline-OVID, PubMed, Scopus, and Web of Science from inception to February 8, 2024, without language, region, or publication date restrictions. A generalized linear mixed model and random-effects model were used to examine the pooled prevalence, and moderator analyses were implemented to investigate variations in the pooled prevalence.

resultsIn 35 studies involving 9,278 colorectal cancer survivors, the global prevalence was 12.10% for severe malnutrition (95% confidence interval (CI): 7.28-16.92; n = 507), 33.13% for moderate malnutrition (95% CI: 28.93-37.34; n: 2,192), and 47.78% for overall malnutrition (95% CI: 41.60-53.96; n: 3,812). Asia showed higher rates of severe malnutrition 16.67% (95% CI: 4.66-28.68, n: 232) and overall malnutrition 53.17% (95% CI: 39.66-66.69, n: 1,913), whereas low-middle income countries demonstrated higher rates of overall malnutrition 67.46% (95% CI: 30.25-100.00, n: 82). Male sex, colon cancer, advanced stage, metastasis, chemotherapy, surgery, adjuvant treatment, smoking, alcohol consumption, hypertension, and diabetes significantly moderated overall malnutrition prevalence.

conclusionsThis meta-analysis reports detailed data on the global prevalence of CRC survivors experience malnutrition, highlighting that health-care professionals should consider the identified moderating factors. IMPLICATIONS FOR CANCER SURVIVORS: Addressing malnutrition in CRC survivors is critical, as early and proactive nutritional management can enhance recovery, improve quality of life, and potentially reduce cancer-related complications associated with malnutrition.

Indexed as

Cancer SurvivorsColorectal NeoplasmsMalnutritionHumansPrevalenceColon cancerColorectal cancerMalnutritionMeta-analysisRectal cancer

Identifiers

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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.