Evidence map›Paper›PMID 41773753›Full record

GuidelineJPEN. Journal of parenteral and enteral nutrition2026

Guidelines for nutrition in adults with head and neck cancer: The American Society for Parenteral and Enteral Nutrition.

Nicole Kiss, Merran Findlay, Jacqui Frowen, Whitney E Lewis, Jeannine Mills, Anurag K Singh, David D Church, Jacob T Mey, Sarah Peterson, Kathleen Aguzzi and 12 more

Abstract readPractice Guideline
PubMed Full text at PMC Publisher
In one paragraph

Guideline in JPEN. Journal of parenteral and enteral nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

22 authors.

Nicole KissInstitute for Physical Activity and Nutrition, Deakin University, Geelong, Victoria, Australia.
Merran FindlayMaridulu Budyari Gumal (SPHERE) Cancer Clinical Academic Group, School of Clinical Medicine, University of New South Wales (UNSW Sydney), Sydney, New South Wales, Australia.
Jacqui FrowenSir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, Victoria, Australia.
Whitney E LewisBristol Myers Squibb, Princeton, New Jersey, USA.
Jeannine MillsDartmouth Cancer Center, Lebanon, New Hampshire, USA.
Anurag K SinghDepartment of Radiation Medicine, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
David D ChurchDepartment of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.ORCID https://orcid.org/0000-0003-4918-5037
Jacob T MeyPennington Biomedical Research Center, Baton Rouge, Louisiana, USA.ORCID https://orcid.org/0000-0001-6826-7762
Sarah PetersonDepartment of Clinical Nutrition, Rush University Medical Center, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0002-4821-5196
Kathleen AguzziOption Care Health, Bannockburn, Illinois, USA.
Sarah BelliniDepartment of Nutrition, Dietetics, and Food Science, Brigham Young University, Provo, Utah, USA.ORCID https://orcid.org/0000-0002-6755-6201
Maria Paula Villela CoelhoDepartment of Pediatrics, Sabará Hospital Infantil, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-8726-6228
Laura CordwinDepartment of Nutrition Services, Michigan Medicine, Ann Arbor, Michigan, USA.
Michael DuffyDepartment of Pediatrics, University of Arizona, Tucson, Arizona, USA.
Shanna HagerDepartment of Pharmacy, Select Specialty Hospital, Miami, Florida, USA.
Manpreet S MundiDivision of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, Minnesota, USA.ORCID https://orcid.org/0000-0001-7902-3544
Michael Owen-MichaaneDivision of Preventive Medicine and Nutrition, Columbia University Irving Medical Center, New York, New York, USA.
Kathleen PriceAmerican Society for Parenteral and Enteral Nutrition (ASPEN), Silver Spring, Maryland, USA.
Heather StannerAmerican Society for Parenteral and Enteral Nutrition (ASPEN), Silver Spring, Maryland, USA.
Bridget StormMetz Culinary Management, Dallas, Pennsylvania, USA.
Malika UdagedaraDepartment of Medicine, Division of Gastroenterology, University of Toronto, Toronto, Ontario, Canada.
Liam McKeeverDepartment of Clinical Nutrition, College of Health Sciences, Rush University, Chicago, Illinois, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHead and neck cancer represents the seventh most common cancer diagnosis globally. Maintaining sufficient nutrition is important for preventing malnutrition (undernutrition) and muscle wasting, which contribute to worse outcomes, although many patients are unable to maintain adequate oral intake throughout treatment. This guideline provides practice guidance on nutrition care for patients with head and neck cancer.

methodsAn interdisciplinary team developed key questions and scanned results from a systematic search of the PubMed, EMBASE, CINAHL, and Cochrane Central databases back to 2001. Recommendations were created for key questions concerning timing and duration of nutrition support (early vs delayed enteral nutrition [EN], postoperative feeding, and perioperative dietitian intervention), frequency of dietitian and speech pathology consultations, nutrition screening and assessment, macronutrient requirements, enteral access devices, adjunctive strategies (appetite stimulants and continuation of oral intake alongside EN), specialized nutrients (arginine, glutamine, ω-3, and immunonutrition), and interdisciplinary care.

resultsNinety-two studies were included. Recommendations were made supporting early initiation of EN when oral intake is inadequate, nutrition within 24 h after surgery, weekly consultation with a dietitian during radiotherapy, malnutrition screening and assessment with validated tools, interdisciplinary models of care, dietitian involvement before and after surgery, and when to consider use of specialized nutrients. Recommendations are also provided for protein intake (1.2-1.5 g/kg/day) and energy intake (≥30 kcal/kg/day).

conclusionThis guideline provides guidance for the nutrition care of patients with head and neck cancer, identifies research gaps, and calls for standardized outcome reporting to further the state of the evidence. This paper was approved by the ASPEN Board of Directors.

Indexed as

Enteral NutritionHead and Neck NeoplasmsMalnutritionParenteral NutritionAdultHumansNutritional RequirementsNutritional StatusNutrition AssessmentUnited Statesappetite stimulantsclinical guidelinesdietitian interventiondysphagiaenergy requirementsenteral nutritionfeeding tubeshead and neck cancerimmunonutritioninterdisciplinary caremalnutritionnasogastric tubenutrition assessmentnutrition screeningnutrition supportPEGpostoperative feedingprotein requirementsspecial nutrientsspeech pathology

Identifiers

PMID41773753
PMCPMC13047306

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.