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. 2011 Sep 7;2011(9):CD002008. doi: 10.1002/14651858.CD002008.pub4

Kendell 1982.

Methods Randomised controlled trial. 
 Duration 6 weeks.
Participants Adults (n = 24, 5 men and 19 women, mean age (SD) 25 years (8.1)), awaiting elective orthognathic surgery.
12 of 24 patients had a weight below IBW at inclusion.
100% follow up.
Interventions Dietary instruction given verbally and in writing (n = 12) versus dietary instruction and an oral nutritional supplement (1.5 kcal/ml) to provide 50% of calculated energy requirements (n = 12).
Outcomes Survival*, body weight*, MAUC, MAMC*, TSF*, serum chemistry and creatinine height index, macro and micronutrient intake, length of hospital stay.
Notes Data not available from authors.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Described as randomised, method not stated.
Allocation concealment (selection bias) Unclear risk Method not stated.
Blinding (performance bias and detection bias) 
 Clinical outcomes Unclear risk Not stated.
Blinding (performance bias and detection bias) 
 Functional outcomes Unclear risk Not stated.
Blinding (performance bias and detection bias) 
 Nutritional outcomes Unclear risk Not stated.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 100% follow up.
Selective reporting (reporting bias) High risk All outcomes reported but using general statements e.g. 'at each time interval, there no statistically significant differences in body weight, MAC, TSF and creatinine height index between the experimental and control groups'. Data presented in table as % deficit and data not available from the authors, therefore risk of bias due to partial reporting.
Other bias High risk Baseline variables not given, no information available from authors, not sure if groups similar at baseline.