Table 5 Association between medium-term grade ≥1 cutaneous toxicity and clinical and dosimetric characteristics.

From: Intensity-modulated radiation therapy with simultaneous integrated boost for locally advanced breast cancer: a prospective study on toxicity and quality of life

 

Medium-term grade ≥1 cutaneous toxicity

Univariate analysis*

Multivariate analysis**

 

N

n

%

p-value

HR (95%CI)

p-value

Age (years)

0.51

NA

 

BMI (kg/m²)

0.43

NA

 

Bra cup size (n = 113)

   

0.67

NA

 

A-B

53

12

22.6%

   

≥C

60

16

26.7%

   

Smoking

   

0.81

NA

 

No

86

21

24.4%

   

Yes

35

10

28.6%

   

Diabetes (n = 119)

   

0.20

NA

 

No

108

30

27.8%

   

Yes

11

1

9.1%

   

Chemotherapy

   

0.11

NA

 

No

28

4

14.3%

   

Yes

93

27

29.0%

   

Aesthetic aspect before RT (n = 66)

   

0.36

NA

 

Moderate

14

1

7.1%

   

Good

33

9

27.3%

   

Excellent

19

5

26.3%

   

Dosimetric parameters

Volume of subclavian skin (cc)

0.052

1.02 (1.001–1.05)

0.049

D2% for subclavian PTV (Gy)

0.084

1.13 (0.67–1.89)***

0.65

D2% for susclavian PTV (Gy)

0.019

0.78 (0.58–1.04)***

0.10

D50% for breast CTV (Gy)

0.047

0.96 (0.64–1.46)***

0.86

  1. CTV: clinical target volume; PTV: planning target volume; RT: radiotherapy.
  2. Dx%: dose (Gy) received by x% of the volume; Vx%: volume (cc) of the breast target volume that received x% of the dose.
  3. HR: hazard ratio; CI: confidence interval.
  4. *Univariate analysis: Logrank test or univariate Cox model.
  5. **Multivariate analysis: Cox model.
  6. NA: not applicable because not included in multivariate regression model (p > 0.10 in univariate analysis).
  7. ***Variable included in multivariate analysis but removed from the model because of the stepwise procedure.