Effect of perioperative immunonutrition intervention among gynecological cancer patients: a systematic review

Background: Gynecologic cancer (GC) patients often experience systemic inflammation, malnutrition, and compromised postoperative outcomes. This systematic review aims to comprehensively synthesize existing data regarding the impact of perioperative immunonutrition (IMN) intervention on GC patients....

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Main Authors: Ho, ChiouYi, Mohd Yusof, Barakatun Nisak, Abdul Majid, Hazreen, Mat Daud, Zulfitri Azuan
Format: Article
Language:English
Published: Elsevier 2024
Online Access:http://psasir.upm.edu.my/id/eprint/116366/
http://psasir.upm.edu.my/id/eprint/116366/1/116366.pdf
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author Ho, ChiouYi
Mohd Yusof, Barakatun Nisak
Abdul Majid, Hazreen
Mat Daud, Zulfitri Azuan
author_facet Ho, ChiouYi
Mohd Yusof, Barakatun Nisak
Abdul Majid, Hazreen
Mat Daud, Zulfitri Azuan
author_sort Ho, ChiouYi
building UPM Institutional Repository
collection Online Access
description Background: Gynecologic cancer (GC) patients often experience systemic inflammation, malnutrition, and compromised postoperative outcomes. This systematic review aims to comprehensively synthesize existing data regarding the impact of perioperative immunonutrition (IMN) intervention on GC patients. Methods: The databases of CENTRAL, EMBASE, Web of Science, and the Cochrane Library were used to conduct a literature search, supplemented by internet search engines and manual searches. Publications released between January 2009 and October 2023 was identified, reviewed, and data extracted. Results: The review encompasses six studies involving 712 patients, comprising two randomized controlled trials (RCTs), two prospective studies, and two retrospective cohort studies. Three studies prescribed IMN perioperatively; two pre-operatively and one post-operatively. Four out of six studies reported less post-operative infection and complications. Two studies reported shorter hospitalization using the IMN formula. One study reported a longer hospitalization with IMN supplementation. Overall survival showed no significant difference in the two studies. Four studies reported positive modulation of inflammatory markers and lymphocytes as outcomes, with IMN formulas. Discussion and conclusion: Perioperative IMN emerge as a promising intervention, demonstrating notable benefits included shortened hospitalization as well and positive modulation of inflammatory markers.
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spelling upm-1163662025-04-10T06:47:20Z http://psasir.upm.edu.my/id/eprint/116366/ Effect of perioperative immunonutrition intervention among gynecological cancer patients: a systematic review Ho, ChiouYi Mohd Yusof, Barakatun Nisak Abdul Majid, Hazreen Mat Daud, Zulfitri Azuan Background: Gynecologic cancer (GC) patients often experience systemic inflammation, malnutrition, and compromised postoperative outcomes. This systematic review aims to comprehensively synthesize existing data regarding the impact of perioperative immunonutrition (IMN) intervention on GC patients. Methods: The databases of CENTRAL, EMBASE, Web of Science, and the Cochrane Library were used to conduct a literature search, supplemented by internet search engines and manual searches. Publications released between January 2009 and October 2023 was identified, reviewed, and data extracted. Results: The review encompasses six studies involving 712 patients, comprising two randomized controlled trials (RCTs), two prospective studies, and two retrospective cohort studies. Three studies prescribed IMN perioperatively; two pre-operatively and one post-operatively. Four out of six studies reported less post-operative infection and complications. Two studies reported shorter hospitalization using the IMN formula. One study reported a longer hospitalization with IMN supplementation. Overall survival showed no significant difference in the two studies. Four studies reported positive modulation of inflammatory markers and lymphocytes as outcomes, with IMN formulas. Discussion and conclusion: Perioperative IMN emerge as a promising intervention, demonstrating notable benefits included shortened hospitalization as well and positive modulation of inflammatory markers. Elsevier 2024-10-01 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/116366/1/116366.pdf Ho, ChiouYi and Mohd Yusof, Barakatun Nisak and Abdul Majid, Hazreen and Mat Daud, Zulfitri Azuan (2024) Effect of perioperative immunonutrition intervention among gynecological cancer patients: a systematic review. Clinical Nutrition ESPEN, 64. pp. 168-176. ISSN 2405-4577; eISSN: 2405-4577 https://linkinghub.elsevier.com/retrieve/pii/S2405457724013263 10.1016/j.clnesp.2024.09.022
spellingShingle Ho, ChiouYi
Mohd Yusof, Barakatun Nisak
Abdul Majid, Hazreen
Mat Daud, Zulfitri Azuan
Effect of perioperative immunonutrition intervention among gynecological cancer patients: a systematic review
title Effect of perioperative immunonutrition intervention among gynecological cancer patients: a systematic review
title_full Effect of perioperative immunonutrition intervention among gynecological cancer patients: a systematic review
title_fullStr Effect of perioperative immunonutrition intervention among gynecological cancer patients: a systematic review
title_full_unstemmed Effect of perioperative immunonutrition intervention among gynecological cancer patients: a systematic review
title_short Effect of perioperative immunonutrition intervention among gynecological cancer patients: a systematic review
title_sort effect of perioperative immunonutrition intervention among gynecological cancer patients: a systematic review
url http://psasir.upm.edu.my/id/eprint/116366/
http://psasir.upm.edu.my/id/eprint/116366/
http://psasir.upm.edu.my/id/eprint/116366/
http://psasir.upm.edu.my/id/eprint/116366/1/116366.pdf