Cochrane · systematic review · CD010954

Immunonutrition for patients undergoing surgery for head and neck cancer

Howes, N, Atkinson, C, Thomas, S, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

ENTAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 40%Low 3 · 60%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Immunonutrition compared to standard care for patients undergoing surgery for head and neck cancer

Population: patients undergoing surgery for head and neck cancer
5 questions
OutcomeEffectEvidenceStatus / GRADE
Postoperative length of hospital stay (days)
Immunonutrition vs standard care
MD 2.510 studies · 757 participantsLow
Downgraded: imprecision
Wound infection
Immunonutrition vs standard care
RR 0.94 [0.7, 1.26]12 studies · 812 participantsVery low
Downgraded: imprecision
Fistula formation
Immunonutrition vs standard care
RR 0.48 [0.27, 0.85]10 studies · 747 participantsLow
Downgraded: imprecision
Adverse events/tolerance of feeds
Immunonutrition vs standard care
RR 1.33 [0.86, 2.06]9 studies · 719 participantsVery low
Downgraded: imprecision
All‐cause mortality
Immunonutrition vs standard care
RR 1.33 [0.48, 3.66]14 studies · 776 participantsLow
Downgraded: imprecision