ONC: MNT Interventions for Cancer Patients (2024-25)
Author and Year:
Ueshima J, Nagano A, Maeda K, et al. 2023
PubMed ID:
Article Title:
Nutritional counseling for patients with incurable cancer: Systematic review and meta-analysis
Authors:
Ueshima J, Nagano A, Maeda K, Enomoto Y, Kumagai K, Tsutsumi R, Higashibeppu N, Uneno Y, Kotani J
Journal:
Clinical Nutrition
Year of publication:
2023
Volume:
42
Issue:
2
Page numbers:
227-234
Study Design:
Randomized Controlled Trial
Risk of Bias Assessment Rating:
Low
Inclusion Criteria:
Systematic reviews were limited to full-text, peer-reviewed articles written in English and published between 1981 and 2020. Randomized control trials of patients aged >/=18 years with advanced or recurrent cancer that is not curable and who were histologically or clinically diagnosed with cancer were included, and the eligible studies were those with at least 67% of patients with stage 4 cancer. Eligible interventions were nutritional guidance provided by any method, including group sessions, telephone counseling, written materials, or web-based. Approaches, in addition to standard clinical nutritional counseling that is delivered by a nutritional therapy specialist or healthcare provider. Also included were studies that assessed oral nutritional supplements or exercise interventions in combination with nutritional interventions.
Exclusion Criteria:
Studies that analyzed only the effects of interventions with specific nutrients were excluded. Controls included standard cancer care, placebo, or exercise only.
Research Purpose:
To determine whether nutritional counseling by registered dietitians and/or nutritional specialists is recommended for adult patients with incurable advanced or recurrent cancer who are refractory to or intolerant of anticancer therapy.
Blinding efforts:
The screening was performed independently by two authors (J.U. and A.N.) using Rayyan (Qatar Computing Research Institute, Doha, Qatar). In case of disagreement, the reasons for the disagreement were clarified; then, a third reviewer (K.M.) was consulted on the decision whether to include or exclude the study.
Study Location:
Not applicable
Source(s) of Funding:
Not-for-profit
Please specify names of funders:
The study was supported by the Japan Society for the Promotion of Science (Grant number: 21H03390 to Maeda).