Evidence map›Paper›PMID 40077640›Full record

SynthesisNutrients2025

A Neutropenic Diet in Haemato-Oncological Patients Receiving High-Dose Therapy and Hematopoietic Stem Cell Transplantation: A Systematic Review.

Luise Jahns, Jutta Hübner, Christina Mensger, Viktoria Mathies

Abstract readSystematic Review
In one paragraph

Synthesis in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Luise JahnsInstitute of Agricultural and Nutritional Sciences, Martin Luther University, 06120 Halle, Germany.
Jutta HübnerDepartment of Hematology and Internal Oncology, University Hospital Jena, 07747 Jena, Germany.ORCID 0000-0003-4931-568X
Christina MensgerDepartment of Hematology and Internal Oncology, University Hospital Jena, 07747 Jena, Germany.ORCID 0009-0006-0119-4259
Viktoria MathiesDepartment of Hematology and Internal Oncology, University Hospital Jena, 07747 Jena, Germany.ORCID 0000-0003-4381-8382

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesAlthough the benefits of low-germ diets for patients are increasingly being questioned, their application in practice is widespread. The aim of this review is to summarise the current data and evaluate the effectiveness of the neutropenic diet (ND) in adult haemato-oncological patients to provide a basis for practical guidelines.

methodsA systematic search was conducted in four electronic databases (Medline (Ovid), CINAHL (EBSCO), EMBASE (Ovid) and Cochrane CENTRAL) to identify English and German randomised controlled trials (RCTs) concerning the effectiveness of an ND in adult haematological patients. The main endpoints were fever and systemic infections, gastrointestinal (GI) infections, mortality, nutritional status and hospitalisation length.

resultsA total of five RCTs with 510 adult patients were included in this systematic review. All patients received high-dose chemotherapy in order to treat haemato-oncological malignancies. None of the analysed endpoints showed a significant advantage of the ND compared to the control group.

conclusionsAn ND does not have a beneficial effect on infection rates, GI health, mortality or hospitalisation length for haemato-oncological patients. On the contrary, an ND tends to negatively affect the patient's nutritional status; therefore, an adaption in clinical routine should take place.

Indexed as

Antineoplastic AgentsDietHematologic NeoplasmsHematopoietic Stem Cell TransplantationNeutropeniaAdultFemaleHumansMaleNutritional StatusRandomized Controlled Trials as TopicAntineoplastic Agentscancerhaematological malignancieshigh-dose chemotherapylow-bacterial dietneutropenianeutropenic dietnutritionnutrition therapystem cell transplantationsystematic review

Identifiers

PMID40077640
PMCPMC11901642

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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.