Table 4.
Study | Reported SPC Dose Relationship | Swallowing Outcome Measured | Time Point |
---|---|---|---|
Levendag et al. (2008) [17] | Mean dose < 51 Gy* | Severe dysphagia as characterized by at least 1 of: RTOG Score Dysphagia ≥ 3, PSS≤50, MDADI≤50 and H&N35 q35–q38 | Longitudinal |
Feng et al. (2007) [18] | V40 < 95, V50 < 90, V60 < 80* | Videofluoroscopy summary score & aspiration | 3 months post-RT |
Teguh et al. (2008) [19] | Mean dose | Fiberoptic endoscopic evaluation of swallowing score | ≥ 1 year post RT |
Caudell et al. (2010) [20] | V65 < 33* | Pharyngeal stricture requiring dilation | ≥ 1 year post RT |
Schwartz et al. (2010) [4] | V55 < 80%* | Oropharyngeal swallowing efficiency (OPSE) | 6, 12 and 24 months post- RT |
Abbreviations: RTOG, Radiation Therapy Oncology Group, PSS, Performance Status Scale-Head Neck, MDADI, MD Anderson Dysphagia Inventory
Volumetric doses associated with favorable swallowing outcomes