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

Ravasco 2005a.

Methods Randomised controlled trial. 
 Duration 42 days intervention plus 3 months.
Participants Adults (n = 111, 66 men and 45 women, mean (SD) age 58 years (15)) with colorectal cancer undergoing radiotherapy.
At baseline 42/111 participants were 'malnourished' (identified by PG‐SGA); 15 in Group 1, 14 in Group 2, 13 in Group 3).
No participants lost to follow‐up.
Interventions Individualised dietary counselling to achieve calculated energy and protein requirements (n = 37) versus 2x 200 ml cans of nutritional supplement (n = 37) versus ad libitum food intake (n = 37).
Outcomes Survival*, weight*, BMI*, energy intake*, protein intake, symptom‐induced morbidity, QoL.
Notes Data will be used in 2 parts of the review dietary advice versus no advice and dietary advice versus nutritional supplements. Additional data and information obtained from authors.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated random numbers
Allocation concealment (selection bias) Low risk Sequentially numbered sealed opaque envelopes.
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 No participants lost to follow up.
Selective reporting (reporting bias) Low risk All specified outcomes reported but in text and figures but not in a format or sufficient detail to make them usable for meta‐analysis. Additional data on mean change (SD) for weight and energy intake obtained from author. Author confirmed that no deaths occurred in the 3‐month study.
Other bias High risk Baseline variables not given, not sure if groups similar at baseline.