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. 2017 May 19;2017(5):CD011598. doi: 10.1002/14651858.CD011598.pub2

Wei 2013.

Methods Randomised clinical trial, China
Participants 79 hospitalised adults admitted for the 1st time with gastro‐intestinal cancer and distant metastasis undergoing Capecitabine monotherapy regimen for 2 cycles. They were younger than 60, KPS score > 60; had normal liver and kidney function, ECG, without chemotherapy contraindication, at nutritional risk due to trialist indication
Male:Female = 42:37
Mean age = unknown
Exclusion criteria: none stated
Interventions Experimental group: Parenteral and enteral nutrition. The participants were given parenteral nutrition support according to gastro‐intestinal function. If the oral intake was less than 60% of normal intake, a 30% fat emulsion injection was used (Intralipid force in Huarui Pharmaceutical Co. Ltd), as well as amino acid injection (Novamin, SSPC), fat‐soluble vitamins (Zhi Weibao, North China Pharmaceutical Limited by Share Ltd), water‐soluble vitamins (Soluvit, Huarui Pharmaceutical Co. Ltd), insulin, potassium chloride and sodium chloride to give parenteral nutrition for 3 14 days. The amount of enteral nutrition was increased gradually according to gastro‐intestinal tolerability, and reaching complete enteral nutrition when nausea, vomiting and diarrhoea were absent and the body state allowed for it. The enteral nutrition was given as an emulsion (Supportan, Huarui Pharmaceutical Co. Ltd.), with an initial dosage of 20% to 50% of the required nutrients.
The calorie level was 80 kJ/(kg/day), protein was 1 g/(kg/day), and the ratio of non‐protein calorie versus nitrogen was 100:1. The treatment lasted for 2 cycles of chemotherapy. (n = 42)
Control group: no intervention (n = 37)
Co‐interventions: chemotherapy
Outcomes Nutritional statusKPS, toxic reaction and nosocomial infection rate
Study dates Not stated
Notes We contacted the authors on 21st January 2016 by phone. We received information on allocation sequence generation.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Random‐number table
Allocation concealment (selection bias) Unclear risk Not described
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Participants and personnel were not blinded.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not described
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk The number of participants with incomplete data was not reported.
Selective reporting (reporting bias) Unclear risk No protocol could be obtained and the trial did not report on all‐cause mortality or serious adverse events.
For‐profit bias Low risk The trial was funded by Special funds of the central government (2012QN050).
Other bias Low risk The trial appeared to be free of other components that could put it at risk of bias.