{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T13:02:08Z","timestamp":1790859728385,"version":"4.1.0"},"reference-count":6,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This commentary critically appraises the evidence\u2010mapping review by Su et\u00a0al. on clinical practice guideline recommendations for nutritional management in dementia. Although the review provides a valuable synthesis using AGREE II and RIGHT checklist methodology, several interpretive limitations warrant attention before its recommendations are translated into practice. First, the included guidelines represent structurally distinct sources: dementia\u2010specific guidelines incorporating nutritional advice and nutrition\u2010focused guidelines extrapolating recommendations to dementia populations. Presenting these together without stratification may obscure whether recommendations are supported by dementia\u2010specific evidence. Second, the low AGREE II scores for applicability and rigour of development suggest that many recommendations may lack sufficient implementation guidance, particularly in domains requiring staffing, food\u2010service flexibility and allied\u2010health support. Third, the education recommendations arise only from two iterations of the same guideline source and are graded as weak, making them less evidentially robust than multi\u2010guideline recommendations in other domains. Finally, limited reporting of conflicts of interest is relevant because several recommendations involve commercially sensitive interventions such as oral nutritional supplements and enteral nutrition. Stratifying guideline type, qualifying recommendations by implementability and distinguishing single\u2010source weak recommendations would improve the clinical usefulness of the evidence map.<\/jats:p>","DOI":"10.1111\/jocn.70439","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T09:59:35Z","timestamp":1783677575000},"page":"4507-4509","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comment on \u2018Evidence Mapping of Clinical Practice Guidelines Recommendations and Quality for Nutritional Management in Dementia\u2019"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0850-6478","authenticated-orcid":false,"given":"Pranav","family":"Subramanian","sequence":"first","affiliation":[{"name":"Department of General Medicine Vinayaka Mission's Kirupananda Variyar Medical College and Hospitals, Vinayaka Mission's Research Foundation (Deemed To Be University)  Salem Tamil Nadu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. Kharmega","family":"Sundararaj","sequence":"additional","affiliation":[{"name":"Department of Computer Science and Engineering Dr. T. Thimmaiah Institute of Technology  Oorgaum Karnataka India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,10]]},"reference":[{"key":"e_1_2_1_13_2_1","doi-asserted-by":"publisher","DOI":"10.1684\/pnv.2025.1237"},{"key":"e_1_2_1_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1747\u20100080.70048"},{"key":"e_1_2_1_13_4_1","doi-asserted-by":"crossref","unstructured":"Howard C. A.Fernandez\u2010Sanles N.Abukar et\u00a0al.2025.\u201cThe Effect of Psychosocial and Healthcare Interventions on Hospitalisation in People With Dementia: An Umbrella Review.\u201dhttps:\/\/doi.org\/10.1101\/2025.10.13.25337873.","DOI":"10.1002\/alz70858_100202"},{"key":"e_1_2_1_13_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102025\u2010105534"},{"key":"e_1_2_1_13_6_1","doi-asserted-by":"crossref","unstructured":"Kirk M. A. O.Canfell M.Pirbaglou et\u00a0al.2025.\u201cDietary Interventions and Cognitive Function Across the Dementia Continuum: A Systematic Review Meta\u2010Analysis Meta\u2010Regression and Call to Action for Research Reform.\u201dhttps:\/\/doi.org\/10.1101\/2025.10.09.25337399.","DOI":"10.1101\/2025.10.09.25337399"},{"key":"e_1_2_1_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.17844"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.70439","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocn.70439","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.70439","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T12:39:14Z","timestamp":1790858354000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.70439"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,10]]},"references-count":6,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1111\/jocn.70439"],"URL":"https:\/\/doi.org\/10.1111\/jocn.70439","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,10]]},"assertion":[{"value":"2026-03-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-31","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}