Evidence map›Paper›PMID 42613928›Full record

SynthesisJournal of medical Internet research2026

Effect of Digital Health Interventions on the Nutritional Status and Quality of Life of Patients With Colorectal Cancer: Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Xiujuan Feng, Jinna Wang, Huihui Shi, Rui Liang, Wenkai Zheng, Lijun Han, Kueh Yee Cheng, Ruhaya Hasan, Zhuoxin Wang, Ying Wei and 1 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of medical Internet research, 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

11 authors.

Xiujuan FengNutrition Programme, School of Health Sciences, Health Campus, Universiti Sains Malaysia, 4th FI., Kota Bharu, Kelantan, 16150, Malaysia, 60 17-9371499.ORCID http://orcid.org/0009-0001-8681-224X
Jinna WangDepartment of Traditional Chinese Medicine, Tangdu Hospital, The Fourth Military Medical University, Xi 'an, Shaanxi Province, China.ORCID http://orcid.org/0009-0003-6107-4089
Huihui ShiDepartment of Psychiatry, Shandong Mental Health Center, Jinan, Shandong Province, China.ORCID http://orcid.org/0009-0003-5390-162X
Rui LiangDepartment of Nursing, College of Nursing and Rehabilitation, Xi'an Jiaotong University City College, Xi 'an, Shaanxi Province, China.ORCID http://orcid.org/0009-0009-7498-1079
Wenkai ZhengDepartment of Nursing, College of Nursing and Rehabilitation, Xi'an Jiaotong University City College, Xi 'an, Shaanxi Province, China.ORCID http://orcid.org/0009-0004-1619-6279
Lijun HanDepartment of Traditional Chinese Medicine, Tangdu Hospital, The Fourth Military Medical University, Xi 'an, Shaanxi Province, China.ORCID http://orcid.org/0009-0006-9921-6339
Kueh Yee ChengBiostatistics and Research Methodology Unit, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia.ORCID http://orcid.org/0009-0009-3348-5909
Ruhaya HasanSchool of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia.ORCID http://orcid.org/0009-0008-4999-3951
Zhuoxin WangSchool of Economics and Management, Xi'an Jiaotong University City College, Xi 'an, Shaanxi Province, China.ORCID http://orcid.org/0009-0003-6558-9661
Ying WeiDepartment of Traditional Chinese Medicine, Tangdu Hospital, The Fourth Military Medical University, Xi 'an, Shaanxi Province, China.ORCID http://orcid.org/0009-0003-8574-4526
Hafzan YusoffNutrition Programme, School of Health Sciences, Health Campus, Universiti Sains Malaysia, 4th FI., Kota Bharu, Kelantan, 16150, Malaysia, 60 17-9371499.ORCID http://orcid.org/0000-0002-6940-0841

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Digital health interventions may improve clinical outcomes in patients with colorectal cancer (CRC), but their impact on nutritional status (NS) and quality of life (QoL) remains unclear. Objective: This study systematically evaluated the impact of digital health interventions on the NS and QoL in patients with CRC. Methods: A systematic search was performed across PubMed, Embase, Cochrane, and Web of Science from inception to March 2026 to identify randomized controlled trials evaluating digital health interventions on NS or QoL in CRC. Two reviewers independently performed screening, data extraction, and risk of bias assessment (Cochrane Risk of Bias Assessment Tool [RoB 1.0]). Meta-analysis used a random-effects model to compute standardized mean differences (SMD) or mean differences (MD) with 95% CIs. Heterogeneity was assessed using Results: Eleven RCTs from 7 countries, involving 1210 participants aged 37.7-69.0 years. The meta-analysis shows that digital health interventions have no significant effect on improving NS (MD 2.23, 95% CI -10.50 to 14.97; Conclusions: Digital health interventions have a moderate effect on improving the QoL in patients with CRC, especially when guided interventions are employed, the effect is clearer and more stable. This innovatively identifies "guided intervention models" as a key moderator of efficacy, contrasting with prior reviews that focused solely on technology. Our findings provide new evidence highlighting the importance of interpersonal support in digital health applications. In practice, digital tools should integrate professional medical guidance and supervision rather than being implemented in isolation, to more effectively improve health outcomes in patients with CRC.

Indexed as

Colorectal NeoplasmsNutritional StatusQuality of LifeDigital HealthDigital MediaHumansRandomized Controlled Trials as Topiccolorectal cancerdigital health interventionnutritional statusquality of liferandomized controlled trials

Identifiers

PMID42613928
PMCPMC13486467

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.