Evidence map›Paper›PMID 40913629›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Effective nutritional intervention improves the health-related quality of life (HRQL) of undernourished children with cancer: results of a randomized, controlled phase 3 trial.

Maya Prasad, Savita Goswami, Girish Chinnaswamy, Elena J Ladas, Ronald D Barr

Abstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 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. Article
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

5 authors.

Maya PrasadDivision of Paediatric Oncology, Tata Memorial Centre, Parel, Mumbai, India, 400012. maya.prasad@gmail.com.ORCID http://orcid.org/0000-0003-0127-7987
Savita GoswamiHomi Bhabha National Institute (HBNI), Anushakti Nagar, Mumbai, India.ORCID http://orcid.org/0000-0002-6522-4772
Girish ChinnaswamyDivision of Paediatric Oncology, Tata Memorial Centre, Parel, Mumbai, India, 400012.ORCID http://orcid.org/0000-0003-0565-0523
Elena J LadasColumbia University Irving Medical Center, New York, NY, 10032, USA.ORCID http://orcid.org/0000-0001-5077-5582
Ronald D BarrDepartment of Pediatrics, McMaster University, Hamilton, ON, L8S 4J9, Canada.ORCID http://orcid.org/0000-0002-5711-7440

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe association of nutritional intervention and health-related quality of life (HRQL) was examined in children with cancer.

methodsUndernourished children with cancer (N = 260) were randomized 1:1 to standard nutritional therapy (SNT) or SNT + Ready to Use Therapeutic Food (RUTF). HRQL was assessed using the Health Utilities Index® (HUI) at study entry and 6 weeks later. HUI has two systems, HUI2 and HUI3, with derived categories of disability. Scores after SNT and SNT + RUTF were compared.

resultsAt study entry there were no significant differences in HRQL scores between the two treatment arms. After 6 weeks of nutritional intervention, median overall HUI2 scores were comparable-0.90 with RUTF and 0.89 with SNT (p = 0.317)-but overall HUI3 scores were 0.90 and 0.79 (p = 0.009), respectively. At study entry and 6 weeks, 87 (35%) and 116 (46.6%) subjects had no or mild disability, and 162 (65%) and 133 (53.4%) had moderate or severe disability (p < 0.001) respectively using HUI2 scores. Corresponding scores with HUI3 were 66 (26.5%) and 103 (41.3%) for no or mild disability and 183 (73.5%) and 146 (58.6%) (p < 0.001) for moderate or severe disability at study entry and 6 weeks, respectively. Children with weight gain >10% had significant improvement in overall HUI2 (0.92 vs 0.84; p = 0.049) and HUI3 scores (0.88 vs 0.78; p = 0.010).

conclusionIn severely and moderately malnourished children with cancer, administration of RUTF and weight gain were associated with improved HRQL. Weight gain can improve HRQL in numerous domains and overall.

Indexed as

MalnutritionNeoplasmsQuality of LifeAdolescentChildChild, PreschoolFemaleHumansInfantMaleCancerChildrenNutritionQuality of life

Identifiers

PMID40913629
PMCPMC12414055

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