Table 5.
Pattern of toxicity and treatment compliance reported by the studies on HIV-positive patients with cervical cancer
Toxicity (%) | ||||||||
---|---|---|---|---|---|---|---|---|
Study | Treatment | Toxicity scale | GIT | GUS | Hem | Skin | Treatment completionon schedule (%) | |
Gichangi et al. 43 | EBRT NS | G1 | NS | NS | NS | NS | NS | NS |
Brachy NS | G2 | NS | NS | NS | NS | NS | ||
CTH NS | G3 | NS | NS | NS | NS | NS | ||
HAART NS | G4 | NS | NS | NS | NS | NS | ||
Moodley and Mould 44 | EBRT Yes (dose NS) | G1 | NS | NS | NS | NS | NS | 53% |
Brachy NS | G2 | NS | NS | NS | NS | NS | ||
CTH NS | G3 | NS | NS | NS | NS | NS | ||
HAART NS | G4 | NS | NS | NS | NS | NS | ||
Shrivastava et al. 45 | EBRT (45–50 Gy) | G1 | 45 | 46 | NS | NS | RTOG | 52% |
Brachy (25–30 Gy –54% of patients) | G2 | 41 | 18 | NS | NS | |||
CTH-Nil | G3 | 9 | – | NS | NS | |||
HAART NS | G4 | 5 | – | NS | NS | |||
Gichangi et al. 15 | EBRT (40–50 Gy) | G1 | NS | NS | NS | NS | NS | |
Brachy Nil | G2 | NS | NS | NS | NS | |||
CTH Nil | G3 | } 34 | 20 | – | 39 | 67% | ||
HAART Nil | G4 | NS | NS | NS | NS | |||
Msadabwe 26 | EBRT 45 Gy (Mean) | G1 | 5 | 8 | 15 | NS | RTOG/WHO | 72% |
Brachy 24 Gy in 3# | G2 | 7 | 1 | 7 | NS | |||
CTH Cisp 30 mg/m2 weekly | G3 | 2 | – | 4 | NS | |||
HAART Yes | G4 | – | – | – | NS | |||
Simonds et al. 29 | EBRT 46–50 Gy | G1 | NS | NS | NS | NS | NS | 45% |
Brachy 20–26 Gy | G2 | NS | NS | NS | NS | |||
CTH Cisp 40 mg/m2 | G3 | NS | NS | NS | NS | |||
HAART Yes | G4 | NS | NS | NS | NS | |||
Munkukpa 23 | EBRT 46–50 Gy | G1 | 63 | 58 | 34 | 49 | NCI-CTC | 75% |
Brachy 20-26 Gy | G2 | 33 | 35 | 17 | 47 | |||
CTH Cisp 80 mg/m2 3 weekly | G3 | – | – | 5 | 5.5 | |||
HAART Yes | G4 | – | – | 5 | – | |||
Al-Noseery 27 | EBRT 46–50 Gy | G1 | 84 | 79.6 | 84 | NS | NCI-CTC | 77% |
Brachy 26 Gy | G2 | |||||||
CTH Cisp 80 mg/m2 3 weekly | G3 | 6.8 | 6.1 | 12.2 | NS | |||
HAART Yes | G4 |
EBRT, external beam radiotherapy; Brachy, brachytherapy; CTH, chemotherapy; NS, not stated; GUS, genitourinary system; GIT, gastro intestinal system; Hem, hematopoietic system; G, grade, #, fractions of brachytherapy; RTOG, Radiation Therapy Oncology Group; NCI-CTC, National Institute-Common Toxicity Criteria.