BPG is committed to discovery and dissemination of knowledge
Letter to the Editor
Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Clin Oncol. Mar 24, 2026; 17(3): 112886
Published online Mar 24, 2026. doi: 10.5306/wjco.v17.i3.112886
Nutritional and inflammatory factors in colorectal cancer: Considerations for practice
Nicholas Jennings, Anushka Narayan Deogaonkar, Marie L Borum
Nicholas Jennings, Anushka Narayan Deogaonkar, Marie L Borum, Department of Gastroenterology and Liver Diseases, George Washington University Medical Center, Washington, DC 20037, United States
Co-first authors: Nicholas Jennings and Anushka Narayan Deogaonkar.
Author contributions: Jennings N collected and analyzed data for the institutional review of online colorectal cancer resources, assisted with manuscript preparation and reference formatting; Deogaonkar AN conceptualized and drafted the letter, interpreted data and provided clinical insights; Jennings N and Deogaonkar AN contributed equally to this manuscript as co-first authors; Deogaonkar AN and Borum ML revised the manuscript for intellectual content; Borum ML conducted the literature review and analysis of cited studies, interpreted findings from the institutional analysis of online colorectal cancer resources. All authors have reviewed and approved the final version of the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Anushka Narayan Deogaonkar, Research Fellow, Department of Gastroenterology and Liver Diseases, George Washington University, 2600 Virginia Avenue, Washington, DC 20037, United States. anushkadeogaonkar1@gmail.com
Received: August 8, 2025
Revised: September 4, 2025
Accepted: January 16, 2026
Published online: March 24, 2026
Processing time: 227 Days and 16.3 Hours
Abstract

We respond to the article by Andreescu et al. While affirming the value of markers such as serum albumin, C-reactive protein, and neutrophil-to-lymphocyte ratio in predicting clinical outcomes, we underscore key limitations in the original study, including its retrospective design and absence of standardized malnutrition criteria or nutritional intervention data. Drawing on current literature and findings from our institutional analysis of 70 colorectal cancer-related nutrition websites, we emphasize the persistent gap between clinical research and patient education. Our analysis revealed that patient-facing materials are of borderline fair quality and often exceed recommended readability levels. We advocate for prospective studies, interventional trials, and multidisciplinary collaboration to improve the integration of nutritional care in colorectal cancer management and to enhance the accessibility and quality of patient education.

Keywords: Colorectal cancer; Nutritional markers; Inflammatory markers; Prognosis; Patient education; Malnutrition; Biomarkers; Clinical outcomes

Core Tip: This letter underscores the prognostic relevance of nutritional and inflammatory markers in colorectal cancer, while highlighting the gap between clinical evidence and patient education. Bridging this gap requires robust and prospective research along with the development of accessible, evidence-based resources for patients. Translating these insights into practical guidance is of utmost importance to improve outcomes and support informed patient care.