Evidence map›Paper›PMID 42065006›Full record

ArticleJournal of nutrition and metabolism2026

Perception and Practices Regarding Muscle Loss Protection in Childhood Cancer Patients: A National Survey of Chinese Pediatric Oncologists in China.

Feng Tian, Yali Han, Pengli Wang, Chencheng Xu, Qianjun Wan, Kejia Yang, Dapeng Jiang

Abstract read
In one paragraph

Article in Journal of nutrition and metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Feng TianDepartment of Pediatric Surgery, Suzhou Wujiang District Children's Hospital, Suzhou, China.ORCID https://orcid.org/0000-0002-9118-4460
Yali HanDepartment of Oncology (Ward 2), Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China, shsmu.edu.cn.
Pengli WangDepartment of Pediatrics, Qingdao Municipal Hospital, Affiliated to University of Health and Rehabilitation Sciences, Qingdao, China, qdslyy.cn.
Chencheng XuDepartment of Oncology (Ward 2), Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China, shsmu.edu.cn.
Qianjun WanDepartment of Emergency, Maternal and Child Health Hospital of Hubei Province, Wuhan, China.
Kejia YangDepartment of Oncology (Ward 2), Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China, shsmu.edu.cn.
Dapeng JiangDepartment of Oncology (Ward 2), Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China, shsmu.edu.cn.ORCID https://orcid.org/0000-0002-7360-1662

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To investigate perception and practices regarding muscle loss protection (MLP) among Chinese pediatric oncologists in a nationwide survey. Methods: A nationwide online survey was conducted among pediatric oncologists using a self-designed structured questionnaire assessing predominant roles, barriers, practices, attitudes, and knowledge. Behavior and attitude were measured using a 5-point Likert scale. Barrier scores were based on classification: denial scores 3, uncertainty 2, and confirmation 1. Knowledge scores were calculated based on the number of correct responses (one point per correct answer). Binary logistic regression, ordinal logistic regression, and multiple linear regression models were applied to identify factors associated with knowledge, attitudes, behaviors, and composite scores related to MLP, and spatial analysis (Moran's I) was used to evaluate geographic clustering. Results: Among 253 respondents, physicians, surgeons, physiatrists, and nutritionists were most trusted to lead MLP. Physicians, particularly hematologists, received the most support as the predominant specialists. While the absence of relevant guidelines and consensus was a significant barrier, the primary barrier was illness severity. Although the general attitude was positive, behavior and knowledge were far from satisfactory. Doctors in centers with ML assessment resources had significantly higher practice scores. Spatial analysis indicated regional variation in scores, with localized patterns of relatively higher and lower performance across provinces. Conclusion: Chinese pediatric oncologists demonstrate positive attitudes but concerning deficiencies in MLP practices and knowledge, with notable disparities primarily associated with institutional resources and regional context. The development of evidence-based national guidelines is strongly recommended to standardize care and address these gaps.

Indexed as

guidelinemuscle loss protectionpediatric cancerradiotherapysarcopenia

Identifiers

PMID42065006
PMCPMC13126427

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.