Evidence map›Paper›PMID 41156524›Full record

ReviewNutrients2025

Vitamin B12 in Cancer Patients: Clinical Insights into Deficiency, Excess, Diagnosis, and Management.

Małgorzata Osmola, Martyna Tyszka, Adam Jirka, Olga Ciepiela, Aleksandra Kapała, Marco Vincenzo Lenti, Tamara Matysiak-Budnik

Abstract readReview
In one paragraph

Review 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. Review
  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

7 authors.

Małgorzata OsmolaMaria Sklodowska-Curie Medical Academy in Warsaw, 03-411 Warsaw, Poland.ORCID 0000-0001-6188-7328
Martyna TyszkaDepartment of Clinical Oncology, Medical University of Warsaw, 02-091 Warsaw, Poland.ORCID 0000-0002-8533-4557
Adam JirkaIMAD, Hepato-Gastroenterology & Digestive Oncology, University Hospital of Nantes, 44-000 Nantes, France.
Olga CiepielaDepartment of Laboratory Medicine, Medical University of Warsaw, 02-091 Warsaw, Poland.ORCID 0000-0002-3694-4076
Aleksandra KapałaDepartment of Oncology Diagnostics, Cardio-Oncology and Palliative Medicine, Maria Skłodowska-Curie National Research Institute of Oncology, 02-871 Warsaw, Poland.ORCID 0000-0003-4572-6641
Marco Vincenzo LentiDepartment of Internal Medicine and Medical Therapeutics, University of Pavia, 27-100 Pavia, Italy.
Tamara Matysiak-BudnikIMAD, Hepato-Gastroenterology & Digestive Oncology, University Hospital of Nantes, 44-000 Nantes, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vitamin B12 (cobalamin) is a critical micronutrient involved in hematopoiesis and neurological function. Its deficiency, commonly presenting with anemia and neurological symptoms, is particularly relevant in oncology. While anemia affects up to 60% of cancer patients, the contribution of vitamin B12 deficiency to cancer-related anemia remains underexplored. Additionally, cobalamin-related neuropathy manifests or exacerbates existing chemotherapy-induced peripheral neuropathy (CIPN), a serious side effect of chemotherapy. Prevalence estimates in cancer populations range widely (6-48%), with higher rates in elderly and gastrointestinal cancer patients. This review summarizes current evidence on the prevalence and implications of both vitamin B12 deficiency and excess in patients with solid tumors. It discusses laboratory markers (such as serum vitamin B12, holotranscobalamin, methylmalonic acid, and homocysteine) that could improve diagnostic accuracy in oncology settings. Additionally, it evaluates supplementation strategies and discusses its role in mitigating CIPN. Additionally, it addresses B12's emerging immunological role in cancer therapy.

Indexed as

NeoplasmsVitamin B 12Vitamin B 12 DeficiencyAntineoplastic AgentsBiomarkersDietary SupplementsHumansPeripheral Nervous System DiseasesPrevalenceAntineoplastic AgentsBiomarkersVitamin B 12homocysteinemia in cancerhypercobalaminemiamethymalonic acidvitamin B12 deficiency in cancervitamin B12 in CIPNvitamin B12 supplementation in cancer

Identifiers

PMID41156524
PMCPMC12566637

What OpenQuestion holds

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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.