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Nutrition support and clinical outcomes following allogeneic stem cell transplantation
Nutrition support is frequently required post allogeneic stem cell transplantation (SCT) and while there is some evidence on the benefits of enteral nutrition (EN), parenteral nutrition (PN) is widely used in practice. The study aimed to examine the impact of EN versus PN on early outcomes following...
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Published in: | Bone marrow transplantation (Basingstoke) 2023-10, Vol.58 (10), p.1137-1142 |
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description | Nutrition support is frequently required post allogeneic stem cell transplantation (SCT) and while there is some evidence on the benefits of enteral nutrition (EN), parenteral nutrition (PN) is widely used in practice. The study aimed to examine the impact of EN versus PN on early outcomes following SCT. All patients who underwent allogeneic SCT over 2.5 years were included in the analysis. Data was retrospectively collected on mode of nutrition support with clinical outcome data obtained from an existing database. Clinical outcomes were compared between groups by logistic, poisson and negative binomial regression, with adjustment for baseline confounders as appropriate. Patients who received EN then changed to PN had a longer length of hospital stay compared to those who received EN only (IR 1.24, 95% CI: 1.11–1.38,
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doi_str_mv | 10.1038/s41409-023-02080-7 |
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p
< 0.001). Compared to those who received EN only, patients who received EN that changed to PN or PN only had a longer time to neutrophil engraftment (IR 1.11, 95% CI: 1.02–1.20,
p
= 0.016 and IR 1.16, 95% CI: 1.03–1.30,
p
= 0.017) and platelet engraftment (IR 1.20, 95% CI 1.08–1.33,
p
< 0.001 and IR 1.24, 95% CI 1.08–1.42,
p
= 0.002). Enteral nutrition should be first line nutritional support for patients undergoing allogeneic SCT.</description><identifier>ISSN: 0268-3369</identifier><identifier>EISSN: 1476-5365</identifier><identifier>DOI: 10.1038/s41409-023-02080-7</identifier><identifier>PMID: 37542189</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/67/1990 ; 692/700/228 ; Allografts ; Bone marrow ; Cell Biology ; Clinical outcomes ; Enteral nutrition ; Hematology ; Internal Medicine ; Leukocytes (neutrophilic) ; Medicine ; Medicine & Public Health ; Nutrition ; Parenteral nutrition ; Patients ; Public Health ; Stem cell transplantation ; Stem Cells ; Transplantation</subject><ispartof>Bone marrow transplantation (Basingstoke), 2023-10, Vol.58 (10), p.1137-1142</ispartof><rights>Crown 2023</rights><rights>2023. Crown.</rights><rights>Crown 2023.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-774308cd000c490c94826ad9a173184dbea64dd9c559093c851f52c3e587d70c3</citedby><cites>FETCH-LOGICAL-c375t-774308cd000c490c94826ad9a173184dbea64dd9c559093c851f52c3e587d70c3</cites><orcidid>0000-0002-9200-8186</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27898,27899</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37542189$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Andersen, Sarah</creatorcontrib><creatorcontrib>Xu, Jiani</creatorcontrib><creatorcontrib>Llewellyn, Stacey</creatorcontrib><creatorcontrib>Kennedy, Glen</creatorcontrib><creatorcontrib>Bauer, Judy</creatorcontrib><title>Nutrition support and clinical outcomes following allogeneic stem cell transplantation</title><title>Bone marrow transplantation (Basingstoke)</title><addtitle>Bone Marrow Transplant</addtitle><addtitle>Bone Marrow Transplant</addtitle><description>Nutrition support is frequently required post allogeneic stem cell transplantation (SCT) and while there is some evidence on the benefits of enteral nutrition (EN), parenteral nutrition (PN) is widely used in practice. The study aimed to examine the impact of EN versus PN on early outcomes following SCT. All patients who underwent allogeneic SCT over 2.5 years were included in the analysis. Data was retrospectively collected on mode of nutrition support with clinical outcome data obtained from an existing database. Clinical outcomes were compared between groups by logistic, poisson and negative binomial regression, with adjustment for baseline confounders as appropriate. Patients who received EN then changed to PN had a longer length of hospital stay compared to those who received EN only (IR 1.24, 95% CI: 1.11–1.38,
p
< 0.001). Compared to those who received EN only, patients who received EN that changed to PN or PN only had a longer time to neutrophil engraftment (IR 1.11, 95% CI: 1.02–1.20,
p
= 0.016 and IR 1.16, 95% CI: 1.03–1.30,
p
= 0.017) and platelet engraftment (IR 1.20, 95% CI 1.08–1.33,
p
< 0.001 and IR 1.24, 95% CI 1.08–1.42,
p
= 0.002). Enteral nutrition should be first line nutritional support for patients undergoing allogeneic SCT.</description><subject>692/699/67/1990</subject><subject>692/700/228</subject><subject>Allografts</subject><subject>Bone marrow</subject><subject>Cell Biology</subject><subject>Clinical outcomes</subject><subject>Enteral nutrition</subject><subject>Hematology</subject><subject>Internal Medicine</subject><subject>Leukocytes (neutrophilic)</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nutrition</subject><subject>Parenteral nutrition</subject><subject>Patients</subject><subject>Public Health</subject><subject>Stem cell transplantation</subject><subject>Stem Cells</subject><subject>Transplantation</subject><issn>0268-3369</issn><issn>1476-5365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LxDAQhoMouq7-AQ8S8OKlOmmSJjmK-AWiF_UaYppdKm1SkxTx35t1_QAPEoYMzDPvvLwIHRA4IUDlaWKEgaqgpqVAQiU20Iww0VScNnwTzaBuZEVpo3bQbkovAIQx4NtohwrOaiLVDD3dTTl2uQsep2kcQ8zY-BbbvvOdNT0OU7ZhcAkvQt-Ht84vsSnN0nnXWZyyG7B1fY9zND6NvfHZrMT20NbC9Mntf_1z9Hh58XB-Xd3eX92cn91WtljIlRCMgrQtAFimwCom68a0yhBBiWTtszMNa1tlOVegqJWcLHhtqeNStAIsnaPjte4Yw-vkUtZDl1aGjHdhSrqWrFFFirKCHv1BX8IUfXFXqHIOKC9vjuo1ZWNIKbqFHmM3mPiuCehV6nqdui6p68_UtShLh1_S0_Pg2p-V75gLQNdAKiO_dPH39j-yHyrUjRk</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Andersen, Sarah</creator><creator>Xu, Jiani</creator><creator>Llewellyn, Stacey</creator><creator>Kennedy, Glen</creator><creator>Bauer, Judy</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7QP</scope><scope>7T5</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P64</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9200-8186</orcidid></search><sort><creationdate>20231001</creationdate><title>Nutrition support and clinical outcomes following allogeneic stem cell transplantation</title><author>Andersen, Sarah ; Xu, Jiani ; Llewellyn, Stacey ; Kennedy, Glen ; Bauer, Judy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-774308cd000c490c94826ad9a173184dbea64dd9c559093c851f52c3e587d70c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>692/699/67/1990</topic><topic>692/700/228</topic><topic>Allografts</topic><topic>Bone marrow</topic><topic>Cell Biology</topic><topic>Clinical outcomes</topic><topic>Enteral nutrition</topic><topic>Hematology</topic><topic>Internal Medicine</topic><topic>Leukocytes (neutrophilic)</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nutrition</topic><topic>Parenteral nutrition</topic><topic>Patients</topic><topic>Public Health</topic><topic>Stem cell transplantation</topic><topic>Stem Cells</topic><topic>Transplantation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Andersen, Sarah</creatorcontrib><creatorcontrib>Xu, Jiani</creatorcontrib><creatorcontrib>Llewellyn, Stacey</creatorcontrib><creatorcontrib>Kennedy, Glen</creatorcontrib><creatorcontrib>Bauer, Judy</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest - Health & Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biological Sciences</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Applied & Life Sciences</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Bone marrow transplantation (Basingstoke)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Andersen, Sarah</au><au>Xu, Jiani</au><au>Llewellyn, Stacey</au><au>Kennedy, Glen</au><au>Bauer, Judy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nutrition support and clinical outcomes following allogeneic stem cell transplantation</atitle><jtitle>Bone marrow transplantation (Basingstoke)</jtitle><stitle>Bone Marrow Transplant</stitle><addtitle>Bone Marrow Transplant</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>58</volume><issue>10</issue><spage>1137</spage><epage>1142</epage><pages>1137-1142</pages><issn>0268-3369</issn><eissn>1476-5365</eissn><abstract>Nutrition support is frequently required post allogeneic stem cell transplantation (SCT) and while there is some evidence on the benefits of enteral nutrition (EN), parenteral nutrition (PN) is widely used in practice. The study aimed to examine the impact of EN versus PN on early outcomes following SCT. All patients who underwent allogeneic SCT over 2.5 years were included in the analysis. Data was retrospectively collected on mode of nutrition support with clinical outcome data obtained from an existing database. Clinical outcomes were compared between groups by logistic, poisson and negative binomial regression, with adjustment for baseline confounders as appropriate. Patients who received EN then changed to PN had a longer length of hospital stay compared to those who received EN only (IR 1.24, 95% CI: 1.11–1.38,
p
< 0.001). Compared to those who received EN only, patients who received EN that changed to PN or PN only had a longer time to neutrophil engraftment (IR 1.11, 95% CI: 1.02–1.20,
p
= 0.016 and IR 1.16, 95% CI: 1.03–1.30,
p
= 0.017) and platelet engraftment (IR 1.20, 95% CI 1.08–1.33,
p
< 0.001 and IR 1.24, 95% CI 1.08–1.42,
p
= 0.002). Enteral nutrition should be first line nutritional support for patients undergoing allogeneic SCT.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>37542189</pmid><doi>10.1038/s41409-023-02080-7</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-9200-8186</orcidid></addata></record> |
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subjects | 692/699/67/1990 692/700/228 Allografts Bone marrow Cell Biology Clinical outcomes Enteral nutrition Hematology Internal Medicine Leukocytes (neutrophilic) Medicine Medicine & Public Health Nutrition Parenteral nutrition Patients Public Health Stem cell transplantation Stem Cells Transplantation |
title | Nutrition support and clinical outcomes following allogeneic stem cell transplantation |
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