Summary of Evidence on Nutritional Management for Patients Undergoing Chemotherapy

ABSTRACT Objective This paper aims to consolidate the most robust evidence on nutritional strategies for patients undergoing chemotherapy, offering evidence‐based guidance for clinical practice. The review highlights critical evidence gaps in nutritional therapy for advanced gastric cancer (AGC) pat...

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Main Authors: Xin Dan, Ya‐Lin He, Ya‐Lin Tian, Tang‐Lin Chen, Jia‐Yi Yu
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Cancer Medicine
Subjects:
Online Access:https://doi.org/10.1002/cam4.70519
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author Xin Dan
Ya‐Lin He
Ya‐Lin Tian
Tang‐Lin Chen
Jia‐Yi Yu
author_facet Xin Dan
Ya‐Lin He
Ya‐Lin Tian
Tang‐Lin Chen
Jia‐Yi Yu
author_sort Xin Dan
collection DOAJ
description ABSTRACT Objective This paper aims to consolidate the most robust evidence on nutritional strategies for patients undergoing chemotherapy, offering evidence‐based guidance for clinical practice. The review highlights critical evidence gaps in nutritional therapy for advanced gastric cancer (AGC) patients undergoing systemic therapy, integrating findings from both prospective and retrospective studies. Method According to the “6S” evidence resource pyramid model, clinical decision‐making tools, guidelines, expert consensus, and systematic reviews on nutritional management for chemotherapy patients were systematically retrieved from national and international databases. The methodological quality of the selected literature was evaluated using AGREE II for guidelines, the JBI Evidence‐Based Healthcare Center's standards for systematic reviews, and expert consensus developed by evidence‐based practice experts. Results A total of 47 articles were analyzed, consisting of 12 guidelines, 12 expert consensus statements, and 23 systematic reviews. The findings were categorized into five dimensions: interdisciplinary collaboration, nutritional screening and assessment, nutritional requirements, nutritional therapy, and discharge and follow‐up, resulting in the identification of 62 pieces of relevant evidence. Conclusions The study provides comprehensive, evidence‐based recommendations for nutritional management in chemotherapy patients. Application of the evidence should be adapted to specific clinical scenarios, patient conditions, preferences, and expert judgment to ensure both feasibility and relevance in clinical practice. Contributions This review consolidates diverse nutritional management strategies into a unified framework, addressing evidence gaps in AGC under systemic therapy. Integrating prospective and retrospective studies with interdisciplinary insights provides evidence‐based recommendations to enhance patient care through personalized and standardized approaches.
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spelling doaj-art-61f8a1099ada499da3a575fdd05686822025-01-20T10:51:32ZengWileyCancer Medicine2045-76342024-12-011324n/an/a10.1002/cam4.70519Summary of Evidence on Nutritional Management for Patients Undergoing ChemotherapyXin Dan0Ya‐Lin He1Ya‐Lin Tian2Tang‐Lin Chen3Jia‐Yi Yu4Department of Radiation Therapy and Chemotherapy for Cancer Nursing, West China Second University Hospital Sichuan University Chengdu Sichuan ChinaDepartment of Radiation Therapy and Chemotherapy for Cancer Nursing, West China Second University Hospital Sichuan University Chengdu Sichuan ChinaDepartment of Radiation Therapy and Chemotherapy for Cancer Nursing, West China Second University Hospital Sichuan University Chengdu Sichuan ChinaDepartment of Radiation Therapy and Chemotherapy for Cancer Nursing, West China Second University Hospital Sichuan University Chengdu Sichuan ChinaDepartment of Radiation Therapy and Chemotherapy for Cancer Nursing, West China Second University Hospital Sichuan University Chengdu Sichuan ChinaABSTRACT Objective This paper aims to consolidate the most robust evidence on nutritional strategies for patients undergoing chemotherapy, offering evidence‐based guidance for clinical practice. The review highlights critical evidence gaps in nutritional therapy for advanced gastric cancer (AGC) patients undergoing systemic therapy, integrating findings from both prospective and retrospective studies. Method According to the “6S” evidence resource pyramid model, clinical decision‐making tools, guidelines, expert consensus, and systematic reviews on nutritional management for chemotherapy patients were systematically retrieved from national and international databases. The methodological quality of the selected literature was evaluated using AGREE II for guidelines, the JBI Evidence‐Based Healthcare Center's standards for systematic reviews, and expert consensus developed by evidence‐based practice experts. Results A total of 47 articles were analyzed, consisting of 12 guidelines, 12 expert consensus statements, and 23 systematic reviews. The findings were categorized into five dimensions: interdisciplinary collaboration, nutritional screening and assessment, nutritional requirements, nutritional therapy, and discharge and follow‐up, resulting in the identification of 62 pieces of relevant evidence. Conclusions The study provides comprehensive, evidence‐based recommendations for nutritional management in chemotherapy patients. Application of the evidence should be adapted to specific clinical scenarios, patient conditions, preferences, and expert judgment to ensure both feasibility and relevance in clinical practice. Contributions This review consolidates diverse nutritional management strategies into a unified framework, addressing evidence gaps in AGC under systemic therapy. Integrating prospective and retrospective studies with interdisciplinary insights provides evidence‐based recommendations to enhance patient care through personalized and standardized approaches.https://doi.org/10.1002/cam4.70519cancerchemotherapyevidence summarymanagementnutrients
spellingShingle Xin Dan
Ya‐Lin He
Ya‐Lin Tian
Tang‐Lin Chen
Jia‐Yi Yu
Summary of Evidence on Nutritional Management for Patients Undergoing Chemotherapy
Cancer Medicine
cancer
chemotherapy
evidence summary
management
nutrients
title Summary of Evidence on Nutritional Management for Patients Undergoing Chemotherapy
title_full Summary of Evidence on Nutritional Management for Patients Undergoing Chemotherapy
title_fullStr Summary of Evidence on Nutritional Management for Patients Undergoing Chemotherapy
title_full_unstemmed Summary of Evidence on Nutritional Management for Patients Undergoing Chemotherapy
title_short Summary of Evidence on Nutritional Management for Patients Undergoing Chemotherapy
title_sort summary of evidence on nutritional management for patients undergoing chemotherapy
topic cancer
chemotherapy
evidence summary
management
nutrients
url https://doi.org/10.1002/cam4.70519
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AT tanglinchen summaryofevidenceonnutritionalmanagementforpatientsundergoingchemotherapy
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