Global Research Trends in Nutritional Management of Gastrointestinal Cancers: a 2004–2024 Bibliometric and knowledge-mapping Analysis
摘要
To clarify research trends and guide future work, we used bibliometrics to map global hotspots and emerging frontiers in the nutritional management of gastrointestinal (GI) cancers published between 2004 and 2024.
MethodsEnglish-language records on GI-cancer nutrition were retrieved from the Web of Science Core Collection (1 Jan 2004–31 Dec 2024). After eligibility screening, document-type filtering (Article/Review), and de-duplication, 4,313 records were retained. Annual output and citation metrics were calculated in Excel, while VOSviewer 1.6.20 and CiteSpace 6.4 R1 generated knowledge maps of countries/regions, institutions, authors, journals, co-cited literature, and keywords. Collaboration networks, co-occurrence/co-citation patterns, and burst-term detection were analysed.
ResultsPublications increased from 50 in 2004 to 481 in 2024; nearly half appeared in the past five years. The United States and China each contributed approximately 900 papers and topped global rankings in citations and h-index. Three main collaboration clusters—Europe, North America, and East Asia—formed a robust international network, although author-level links remained scattered. Core knowledge nodes were consensus papers on cancer cachexia, nutrition guidelines, and CT-based skeletal-muscle assessment. High-impact institutions (e.g., University of Alberta, Sun Yat-sen University) and journals (Clinical Nutrition, Annals of Surgery) drove progress. Keyword and burst analyses highlighted sustained interest in malnutrition/cachexia, sarcopenia, and peri-operative immunonutrition, with a recent shift toward objective body-composition metrics and standardized management pathways.
ConclusionsResearch on GI-cancer nutrition has grown rapidly and become increasingly collaborative. Priority areas are early identification and treatment of malnutrition/cachexia, body-composition-based prognostic stratification, and evidence-based peri-operative support—especially immunonutrition. The present knowledge map provides a foundation for targeted, high-quality research and clinical translation.