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. 2015 Sep 16;2015(9):CD010350. doi: 10.1002/14651858.CD010350.pub2

Li 2011c.

Methods
  • Study design: RCT

  • Duration of study: 8 weeks

Participants
  • Country: China

  • Setting: single centre

  • Diagnostic criteria: not reported

  • Number: treatment group (20); control group (20)

  • Mean age ± SD (years): treatment group (52.4 ± 4.9); control group (51.1 ± 5.8)

  • Sex (M/F): treatment group (10/10); control group (11/9)

  • Comorbidity: uncontrolled hyperphosphataemia

Interventions Treatment group
  • Restriction of dietary protein intake with keto‐acid supplementation (0.8 g/kg ideal body weight/day with keto‐acids x 12 tablets/d)


Control group
  • Normal dietary protein intake(normal dietary protein intake: 1.0 to 1.2 g/kg ideal body weight/day according to the patient's routine diet)

Outcomes
  • Serum phosphorus (mmol/L)

  • Serum calcium (mmol/L)

Notes
  • Phosphorus and calcium control group data not provided in detail at 8 weeks ‐ not included in the meta‐analyses

  • Funding: "supported by a grant from New Century Grant for the Talented People by National Education Committee of China, and Ketosteril Research Award by Fresenius Kabi Deutschland GmbH"

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Open‐label study
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not reported
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Phosphorus and calcium data from control group participants were not provided in detail at the end of 8 weeks
Selective reporting (reporting bias) Low risk Published reports included all prespecified outcomes
Other bias Unclear risk Insufficient information to permit judgement