Table 2 Univariate and multivariate analyses for occurrence of grade ≥ 2 radiation pneumonitis.

From: Risk factors for radiation pneumonitis after rotating gantry intensity-modulated radiation therapy for lung cancer

Factors

n = 52

(%)

Univariate analysis

Multivariate analysis

Hazard ratio (95% CI)

P-value

Hazard ratio (95% CI)

P-value

Age (years)

 < 65

7

14%

1

0.62

  

 ≥ 65

45

87%

0.73 (0.24–3.12)

   

Gender

Male

38

73%

1

0.39

  

Female

14

27%

1.52 (0.57–3.71)

   

ECOG-PS

0

28

54%

1

0.87

  

 ≥ 1

24

46%

0.93 (0.37–2.24)

   

Brinkman index

 < 500

11

21%

1

0.39

  

 ≥ 500

41

79%

1.66 (0.56–7.11)

   

Laterality of the primary tumor

Left

28

54%

1

0.07

  

Right

24

46%

2.29 (0.95–5.85)

   

Location of the treated tumor

Other lobe

35

67%

1

0.08

  

Lower lobe

17

33%

2.24 (0.90–5.43)

   

Previous pneumonectomy

No

41

79%

1

0.64

  

Yes

11

21%

1.28 (0.42–3.31)

   

Concurrent chemotherapy

Yes

49

94%

1

0.08

  

No

3

6%

not applicable

   

Maintenance ICI

Yes

40

77%

1

0.92

  

No

12

23%

0.95 (0.37–2.93)

   

PTV

 < 270 cc

17

33%

1

 < 0.01

1

0.60

 ≥ 270 cc

35

67%

5.69 (1.64–35.84)

 

0.49 (0.02–7.54)

 

Total lung volume

 > 3260 cc

22

42%

1

0.06

  

 ≤ 3260 cc

30

58%

2.47 (0.96–7.61)

   

V20 (total lung)

 < 17%

20

39%

1

 < 0.01

1

0.33

 ≥ 17%

32

62%

16.85 (3.48–303.28)

 

4.37 (0.17–115.69)

 

V5 (total lung)

 < 40%

22

42%

1

 < 0.01

1

0.02

 ≥ 40%

30

58%

21.74 (4.49–391.07)

 

9.80 (1.48–200.94)

 

Dmean (total lung)

 < 11 Gy

25

48%

1

 < 0.01

1

0.61

 ≥ 11 Gy

27

52%

12.84 (3.67–81.10)

 

2.15 (0.11–92.67)

 

IMRT

VMAT

31

60%

1

0.02

1

0.25

HT

21

40%

0.31 (0.09–0.86)

 

0.53 (0.14–1.52)

 
  1. CI confidence interval, ECOG-PS Eastern Cooperative Oncology Group performance status, ICI immune checkpoint inhibitor, PTV planning target volume, V20 lung volume receiving a dose of ≥ 20 Gy, V5 lung volume receiving a dose of ≥ 5 Gy, Dmean mean dose, IMRT intensity-modulated arc therapy, VMAT volumetric modulated arc therapy, HT helical tomotherapy.