Table 1.
Patient characteristics and association between Patient‐, Tumor‐, and Therapy‐Related Characteristics and Grade ≥ 3 Radiation Pneumonitis (n = 261)
Parameter | No. of patients | Univariate analysis | Multivariate analysis | ||||
---|---|---|---|---|---|---|---|
HR | 95% CI | P | HR | 95% CI | P | ||
Gender | |||||||
Male | 198 | 1 | 1 | ||||
Female | 63 | 0.581 | 0.243–1.394 | 0.224 | 0.679 | 0.217–2.126 | 0.507 |
Age, years | |||||||
<58 | 121 | 1 | 1 | ||||
≥58 | 140 | 2.121 | 1.048–4.292 | 0.037 | 2.185 | 1.021–4.678 | 0.044 |
Histology | |||||||
SCLC | 87 | 1 | 1 | ||||
NSCLC | 174 | 1.062 | 0.534–2.114 | 0.864 | 2.107 | 0.922–4.816 | 0.077 |
Squamous cell | 77 | 0.857 | 0.361–2.033 | 0.726 | 1.057 | 0.407–2.735 | 0.911 |
Adenocarcinoma | 79 | 1.132 | 0.509–2.521 | 0.761 | 2.406 | 0.939–6.163 | 0.067 |
Others | 18 | 1.641 | 0.529–5.090 | 0.391 | 1.946 | 0.562–6.739 | 0.294 |
Stage | |||||||
I–II | 26 | 1 | 1 | ||||
III–IV | 235 | 0.700 | 0.273–1.797 | 0.459 | 0.703 | 0.250–1.981 | 0.505 |
KPS | |||||||
80–100 | 197 | 1 | 1 | ||||
<80 | 64 | 1.158 | 0.561–2.393 | 0.691 | 1.119 | 0.518–2.418 | 0.775 |
Smoking | |||||||
Nonsmoker | 159 | 1 | 1 | ||||
Smoker | 102 | 1.586 | 0.784–3.210 | 0.200 | 1.116 | 0.429–2.903 | 0.822 |
Surgery | |||||||
No | 136 | 1 | 1 | ||||
Yes | 125 | 0.600 | 0.311–1.156 | 0.127 | 0.611 | 0.268–1.394 | 0.242 |
Induction chemotherapy | |||||||
No | 10 | 1 | 1 | 1 | |||
Yes | 251 | 0.635 | 0.153–2.642 | 0.533 | 0.689 | 0.151–3.149 | 0.631 |
CRT | |||||||
No | 192 | 1 | 1 | ||||
Yes | 69 | 1.560 | 0.794–3.064 | 0.197 | 1.849 | 0.882–3.874 | 0.104 |
IMRT | |||||||
No | 162 | 1 | 1 | ||||
Yes | 99 | 0.560 | 0.294–1.067 | 0.078 | 0.456 | 0.226–0.920 | 0.028 |
Radiation dose, cGy | |||||||
<5400 | 115 | 1 | 1 | ||||
≥5400 | 146 | 1.940 | 0.958–3.925 | 0.066 | 1.381 | 0.641–2.978 | 0.410 |
aMLD, cGy | |||||||
<1500 | 190 | 1 | 1 | ||||
≥1500 | 71 | 2.783 | 1.460–5.304 | 0.002 | 2.929 | 1.397–6.140 | 0.004 |
aV20 | |||||||
<24% | 120 | 1 | 1 | ||||
≥24% | 141 | 2.393 | 1.158–4.945 | 0.018 | 2.823 | 1.271–6.267 | 0.011 |
COPD | |||||||
No | 23 | 1 | 1 | ||||
Yes | 238 | 1.274 | 0.451–3.597 | 0.647 | 1.141 | 0.379–3.437 | 0.822 |
Multivariate analyses were adjusted for all of the factors in this table. KPS, Kamofsky performance status; CRT, concurrent chemoradiation; IMRT, intensity‐modulated radiation therapy; MLD, mean lung dose; V20, volume of normal lung receiving 20 Gy or more radiation; COPD, chronic obstructive pulmonary disease.
Either MLD or V20 was used in the multivariate analyses, but not both.