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. |
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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. |