Evidence map›Paper›PMID 42369636›Full record

SynthesisFrontiers in surgery2026

Effectiveness of nurse-led dietary modification recommendations in the management of defecation dysfunction among patients with rectal cancer after sphincter-saving surgery: a scoping review.

Liu Wen, Qi Bi Rong, Cao Qiu Jun, Wen Tao Tang, Xu Jian Min, Zhu Ai Yong

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in surgery, 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

6 authors.

Liu WenSchool of Nursing, Shanghai University of Medicine and Health Sciences, Shanghai, China.
Qi Bi RongDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Cao Qiu JunDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Wen Tao TangDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Xu Jian MinDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Zhu Ai YongSchool of Nursing, Shanghai University of Medicine and Health Sciences, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Different degrees of defecation dysfunction emerge after sphincter-saving surgery. It is essential to implement dietary management interventions to manage defecation dysfunction. This scoping review aimed to map the existing literature on nurse-led dietary modification recommendations for defecation dysfunction management and highlight any gaps in the literature. Design: A systematic scoping review model was applied. Methods: Four comprehensive databases were searched (01 November 2014 to 26 May 2025) and records were independently screened by two researchers using eligibility criteria. Articles were included if they were published in a peer-reviewed journal, employed quantitative research designs, and described a nurse-led dietary modification intervention for patients after sphincter-saving surgery. Data from the included studies were charted using a purpose-designed template, and data charting included participant characteristics, study methodology, information about the nurse-led dietary modification intervention, and the effectiveness of the intervention. Results: Five publications met the study inclusion criteria: four randomized controlled pilot studies and one population-based, before-and-after pilot study. The studies varied in terms of intervention components, timing of delivery, and delivery mode. Two studies specifically focused on the effects of dietary modification programs, while the other three studies listed dietary management as one of the comprehensive nurse-led interventions. Nurse-led dietary recommendations included dietary fiber management, a diet diary, symptom-specific dietary modifications, and fiber supplement usage. Patient or public contribution: Nurse-led dietary modification recommendations had different degrees of effectiveness in improving defecation dysfunction in this review. Further research regarding remote and precise nurse-led dietary management is warranted, and a more standardized, evidence-based nurse-led dietary modification program could be provided for clinical nursing care. Systematic Review Registration: PROSPERO ChiCTR2400082167.

Indexed as

dietary modificationnurse-led interventionrectal cancerscoping reviewsphincter-saving surgery

Identifiers

PMID42369636
PMCPMC13296621

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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.