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Clinical practice guidelines for the nutrition of colorectal cancer patients: a systematic review

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Abstract

Purpose

The aim of this study is to rigorously assess the methodological quality of published clinical practice guidelines (CPGs) related to nutrition among colorectal cancer patients, to compile consensus recommendations, and to evaluate the quality of the included CPGs.

Methods

The systematic search covered eight electronic databases, two relevant professional association websites, and six guideline websites from their inception up to January 22, 2023. The methodological quality of the eligible guidelines was evaluated using the Appraisal of Guidelines Research and Evaluation II (AGREE II) instrument, and then, consensus recommendations were synthesized. The scores for each domain were expressed as the mean ± standard deviation (SD). Using the mean score as the benchmark for comparison, they were subsequently ranked from highest to lowest. The included guidelines were then categorized as having “high,” “moderate,” or “low” quality based on their scores.

Results

The literature search yielded ten guidelines. The findings indicated that the “Clarity of presentation” domain had the highest mean score (65.2 ± 7.7). This demonstrates how the guidelines effectively articulate recommendations. Additionally, the “Scope and purpose” domain achieved a mean score of 60.7 ± 10.9, followed by “Rigor of development” (51.7 ± 15.7), “Editorial independence” (51.1 ± 21), “Stakeholder involvement” (48 ± 16.8), and “Applicability” domains (47.5 ± 17.3). Two CPGs received an overall rating of “high quality” and were recommended; four CPGs received an overall rating of “moderate” and were recommended with modifications; and four CPGs received an overall rating of “low quality” and were not recommended. Furthermore, this study compiled twenty consensus recommendations related to nine distinct clinical issues.

Conclusion

This study identified disparities in the methodological quality of the included CPGs, particularly in the “Applicability” domain, thus emphasizing the need for advancement in clinical feasibility and implementation. Notably, there is few guidelines specifically targeting colorectal cancer nutrition. These synthesized findings provided an intuitive, convenient, and comprehensive reference for evaluating nutrition among colorectal cancer patients. When applying these results, users should make careful decisions based on their specific situations.

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Data availability

No datasets were generated or analysed during the current study.

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Authors and Affiliations

  1. The First Hospital of Jilin University, No. 1 Xinmin Street, ChangchunJilin, 130021, China

    Cheng Chang, Xiaosu Zhao, Si Chen, Lijie Wang, Yang Yang, Ruling Huang, Haijia Zhang & Jing Du

  2. School of Nursing, Jilin University, No.965 Xinjiang Street, ChangchunJilin, 130021, China

    Jiao Sun & Dongpo Song

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  1. Cheng Chang
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Contributions

CC and JS: concept and design.

XSZ: supervision

CC, JS, and XSZ: drafting of the manuscript

CC, SC, LJW, and YY: acquisition of data

CC, RLH, HJZ, DPS, and JD: analysis and interpretation of the data

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Correspondence to Xiaosu Zhao.

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Chang, C., Sun, J., Zhao, X. et al. Clinical practice guidelines for the nutrition of colorectal cancer patients: a systematic review. Support Care Cancer 32, 187 (2024). https://doi.org/10.1007/s00520-024-08394-6

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