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Bladder and Urothelial Cancer Treatments · Journal article
Frontiers in Nutrition · August 13, 2026
A consensus or society position rather than new primary data.
This systematic review synthesizes 16 guidance documents and evidence summaries with expert Delphi consultation to produce 91 structured evidence statements on nutritional management of bladder cancer across the treatment course. The work provides an evidence-based framework for clinical practice but represents a synthesis of existing guidance rather than primary evidence of clinical outcomes.
Systematic review of guidance documents and expert consensus with two-round Delphi consultation. Studies addressing nutritional management in bladder cancer across treatment methods and nutritional statuses; clinical population is patients with bladder cancer, particularly those with nutritional risk undergoing radical cystectomy.. Intervention: Whole-course nutritional management of bladder cancer, including nutrition team formation, three-tier nutritional diagnosis, nutrition support therapy, interventions, surveillance, health education, and follow-up.. Not stated.
Sixteen studies included: one expert recommendation, one clinical decision, three expert consensus articles, four evidence summaries, and seven guidelines 91 evidence statements synthesized across seven dimensions: nutrition team formation, three-tier nutritional diagnosis, nutrition support therapy principles, intervention content, nutritional surveillance, health education, and nutritional follow-up Expert authority coefficient (Cr) 0.88 for both Delphi rounds, indicating acceptable expert credibility
No data on clinical outcomes (e.g., morbidity, mortality, quality of life) attributable to the recommended nutritional interventions are provided.
Clinicians and nutrition professionals can use this structured summary to inform whole-course nutritional management decisions for bladder cancer patients. The framework is most relevant for patients at nutritional risk and those undergoing radical cystectomy, but the underlying evidence is synthesized from guidance documents rather than direct outcome trials.
A structured synthesis of expert consensus, guidelines, and evidence summaries on nutritional management across the bladder cancer care pathway, designed to inform clinical practice.
As stated by the source record.
Quoted from the source exactly as published.
Clinicians and nutrition professionals can use this structured summary to inform whole-course nutritional management decisions for bladder cancer patients. The framework is most relevant for patients at nutritional risk and those undergoing radical cystectomy, but the underlying evidence is synthesized from guidance documents rather than direct outcome trials.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
Objectives To synthesize the best evidence for whole-course nutritional management of bladder cancer (BC) and to obtain a structured summary of evidence for clinical guidance. Methods A full search was conducted in multiple websites and databases (11 electronic databases, 10 guideline websites, and 14 major professional society websites) for expert consensus, expert recommendations, guidelines, evidence summaries, randomized controlled trials, and systematic reviews related to BC nutrition until December 2025, with a supplementary search in January 2026. The included studies underwent quality assessment, extraction and summary of evidence, and two-round Delphi expert consultation. A total of 17 experts were invited to participate in the first round, and 15 experts were invited in the second round. Results Sixteen studies were included: one expert recommendation, one clinical decision, three expert consensus articles, four evidence summaries, and seven guidelines. We summarized 91 evidence statements across seven dimensions: nutrition team formation and management processes, three-tier nutritional diagnosis, principles of nutrition support therapy, content of nutritional interventions, nutritional surveillance, health education, and nutritional follow-up. The expert authority coefficient (Cr) was 0.88 for both rounds of consultation, and Kendall’s coefficients of concordance were 0.250 and 0.313, respectively, indicating acceptable expert authority. Conclusion This study summarized the best evidence for whole-course nutritional management of BC across treatment methods and nutritional statuses. The findings lay an evidence-based basis for clinical practice, especially for patients with nutritional risk undergoing radical cystectomy. Systematic review registration https://nursing.fudan.edu.cn/38724/list.htm, identifier ES20258783.
Taken from the source record, never inferred. Follow any of these and new work involving them reaches your briefing.