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

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.
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.