Evidence map›Paper›PMID 41686741›Full record

SynthesisNutrition and health2026

Prognostic impact of weight loss during radiation therapy in patients with head and neck cancer: A systematic review.

Emelie von Wascinski, Julijana Vracaric, Klaus-Henning Kahl, Stefan Schiele, Anna Rubeck, Lukas Käsmann, Johannes Doescher, Johannes Zenk, Georg Stüben, Maria Neu

Abstract readSystematic Review
In one paragraph

Synthesis in Nutrition and health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Emelie von WascinskiDepartment of Radiotherapy and Radiation Oncology, Faculty of Medicine, University of Augsburg, Augsburg, Germany.
Julijana VracaricDepartment of Radiotherapy and Radiation Oncology, Faculty of Medicine, University of Augsburg, Augsburg, Germany.
Klaus-Henning KahlDepartment of Radiotherapy and Radiation Oncology, Faculty of Medicine, University of Augsburg, Augsburg, Germany.
Stefan SchieleInstitute of Mathematics, University of Augsburg, Augsburg, Germany.
Anna RubeckInstitute of Mathematics, University of Augsburg, Augsburg, Germany.
Lukas KäsmannDepartment of Radiation Oncology, University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0001-6260-5249
Johannes DoescherDepartment of Otorhinolaryngology and Head & Neck Surgery, University Hospital Augsburg, Augsburg, Germany.
Johannes ZenkDepartment of Otorhinolaryngology and Head & Neck Surgery, University Hospital Augsburg, Augsburg, Germany.
Georg StübenDepartment of Radiotherapy and Radiation Oncology, Faculty of Medicine, University of Augsburg, Augsburg, Germany.
Maria NeuDepartment of Radiotherapy and Radiation Oncology, Faculty of Medicine, University of Augsburg, Augsburg, Germany.ORCID 0009-0003-0023-7577

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundMalnutrition and weight loss (WL) are frequent in patients with head and neck cancer (HNC) during radiotherapy (RT), affecting treatment tolerance and outcomes. Nutritional interventions aim to minimize WL and support therapy completion, yet the prognostic value of WL during RT remains unclear.Aims/ObjectivesTo systematically evaluate the prognostic impact of WL before, during and after RT in patients with HNC.Methods/MethodologyThis systematic review included studies from 2012 involving adult patients treated with definitive or postoperative RT for HNC, studies were eligible if WL/body mass index (BMI) change was analysed versus survival outcomes (overall survival (OS), disease-specific survival (DSS)/cancer-specific survival, disease-free survival (DFS)). A structured PubMed and Cochrane search was conducted and results were synthesized narratively.Results/FindingsEight studies met the inclusion criteria. Pretreatment WL > 10% consistently predicted inferior OS and disease-specific survival (DSS). WL during RT varied widely between studies: most reported no association with OS, whereas single studies reported worse DSS with critical WL, worse OS with ΔBMI >1 kg/m

Indexed as

Head and Neck NeoplasmsMalnutritionWeight LossBody Mass IndexDisease-Free SurvivalHumansNutritional StatusPrognosisbody mass indexMalnutritionnutritional managementradiation-induced toxicitysupportive caretreatment outcome

Identifiers

PMID41686741
PMCPMC13338475

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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.