Olejko 1984.
Methods | Randomised controlled trial. Duration 6 weeks. | |
Participants | Adults (n = 24, 12 women and 12 men, mean (SD) age 22.8 years (6.1) awaiting elective orthognathic surgery. 12 of 24 patients had a weight below IBW at study inclusion. 100% follow up. |
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Interventions | Dietary instruction given verbally and in writing versus dietary instruction and an oral nutritional supplement (1.5 kcal/ml) to provide 50% of energy requirements (n = 16 )versus dietary instruction, an oral nutritional supplement to provide 50% of energy requirements and a nutritional supplement to take preoperatively (n = 8). | |
Outcomes | Survival*, body weight*, MUAC*, MAMC*, TSF*, serum chemistry and creatinine height index, macro and micronutrient intake. | |
Notes | No additional data available for this study. | |
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 about change rather than numerical presentation e.g. 'the pre‐load group reported an average weight gain of 3.1% during the one month pre‐operative period, which was significantly greater (P < 0.05) than that of the other two groups'. No data are available from the authors therefore unclear risk of bias due to partial reporting. |
Other bias | High risk | Baseline variables not given, not sure if groups similar at baseline. |