RT info:eu-repo/semantics/article
T1 Effects of immunonutrition on cancer patients undergoing surgery: a scoping review
A1 García Malpartida, Katherine
A1 Aragón Valera, Carmen
A1 Botella Romero, Francisco
A1 Ocón Bretón, María Julia
A1 López Gómez, Juan José
K1 Cancer - Surgery
K1 Cáncer - Cirugía
K1 Oncology
K1 Surgical oncology
K1 Cirurgia oncològica
K1 Immunonutrition
K1 Nutrition
K1 Food science
K1 Cancer
K1 Cancer - Complications
K1 Cáncer - Complicaciones y secuelas
K1 Mortality
K1 Mortalidad
K1 Immunology
K1 3207.13 Oncología
K1 3213 Cirugía
K1 3206 Ciencias de la Nutrición
K1 2412 Inmunología
AB Introduction: There is a large body of evidence about immunonutrition formulas; however, there are still doubts about their usefulness in routine clinical practice as compared with standard formulas. In the age of personalized medicine, new studies appear every year regarding several types of patients; therefore, an updated point of view on these formulas is necessary. Methods: The Embase database was searched from 2016 to 14 March 2022. Our criteria were articles published in English and Spanish. The evidence quality was evaluated using GRADEpro, and the review was developed according to the PRISMA statement. Results: In this review, a total of 65 unique records were retrieved; however, 36 articles did not meet the inclusion criteria and were thus excluded. In total, 29 articles were included in the final analysis. In the last few years, many meta-analyses have attempted to identify additional existing studies of surgical patients with certain pathologies, mainly oncological patients. Immunonutrition prior to oncological surgery was shown to cause a decrease in inflammatory markers in most of the studies, and the main clinical events that changed were the infectious complications after surgery. The length of stay and mortality data are controversial due to the specific risk factors associated with these events. Conclusions: The use of immunonutrition in patients who have undergone oncological surgery decreases the levels of inflammatory markers and infectious postoperative complications in almost all localizations. However, more studies are needed to assess the use of immunonutrition based on Enhanced Recovery After Surgery (ERAS) protocols.
PB MDPI
SN 2072-6643
YR 2023
FD 2023
LK https://uvadoc.uva.es/handle/10324/69111
UL https://uvadoc.uva.es/handle/10324/69111
LA eng
NO Nutrients, 2023, Vol. 15, Nº. 7, 1776
NO Producción Científica
DS UVaDOC
RD 10-nov-2024