Table 3.
Univariate analysis of treatment-related parameters predicting late bowel toxicity
| Variables | Strata (n) | Grade ≥II, absent | Grade ≥II, present | p-value | Grade ≥III, absent | Grade ≥III, present | p-value |
|---|---|---|---|---|---|---|---|
| Age (years) | <48 | 36 | 9 | 0.45 | 42 | 3 | 1.0 |
| ≥48 | 36 | 6 | 39 | 3 | |||
| Type of hysterectomy | Wertheim's | 33 | 6 | 0.60 | 60 | 4 | 1.0 |
| Simple | 51 | 13 | 36 | 3 | |||
| Type of RT | IMRT | 44 | 5 | 0.02 | 49 | 0 | 0.002 |
| 3D CRT | 23 | 10 | 27 | 6 | |||
| Concurrent chemotherapy | Yes | 72 | 15 | 0.48 | 81 | 6 | 1.0 |
| No | 12 | 4 | 15 | 1 | |||
| Body mass index (kg m−2) | <25 | 37 | 11 | 0.07 | 45 | 3 | 1.0 |
| ≥25 | 35 | 4 | 36 | 3 | |||
| Abdominal surgery | Single | 59 | 13 | 0.25 | 66 | 6 | 0.72 |
| Multiple | 3 | 2 | 5 | 0 | |||
| Co-morbidities | Yes | 9 | 3 | 0.69 | 10 | 2 | 0.18 |
| No | 75 | 16 | 86 | 5 | |||
| Tobacco use | Yes | 14 | 1 | 0.29 | 14 | 1 | 0.98 |
| No | 70 | 18 | 82 | 6 | |||
| Acute grade II | Yes | 48 | 15 | 0.11 | 56 | 7 | 0.04 |
| No | 36 | 4 | 40 | 0 | |||
| Acute grade III | Yes | 12 | 8 | 0.01 | 14 | 6 | 0.0001 |
| No | 72 | 11 | 82 | 1 | |||
| V15 SB (cm3) | ≥275 | 15 | 6 | 0.21 | 18 | 3 | 0.14 |
| <275 | 69 | 13 | 78 | 4 | |||
| V30 SB (cm3) | ≥190 | 16 | 9 | 0.01 | 21 | 4 | 0.05 |
| <190 | 68 | 10 | 75 | 3 | |||
| V40 SB (cm3) | ≥150 | 16 | 8 | 0.06 | 19 | 5 | 0.07 |
| <150 | 68 | 11 | 77 | 2 | |||
| V15 LB (cm3) | ≥250 | 8 | 5 | 0.06 | 9 | 4 | 0.005 |
| <250 | 76 | 14 | 87 | 3 | |||
| V30 LB (cm3) | ≥100 | 25 | 9 | 0.17 | 30 | 4 | 0.21 |
| <100 | 59 | 10 | 66 | 3 | |||
| V40 LB (cm3) | ≥90 | 20 | 8 | 0.15 | 24 | 4 | 0.08 |
| <90 | 64 | 11 | 72 | 3 | |||
| V15 TB (cm3) | ≥450 | 18 | 7 | 0.23 | 22 | 3 | 0.35 |
| <450 | 66 | 12 | 74 | 4 | |||
| V30 TB (cm3) | ≥330 | 13 | 6 | 0.11 | 16 | 3 | 0.11 |
| <330 | 71 | 13 | 80 | 4 | |||
| V40 TB (cm3) | ≥280 | 12 | 6 | 0.09 | 14 | 4 | 0.01 |
| <280 | 72 | 13 | 82 | 3 | |||
| V15 PC (cm3) | ≥1200 | 33 | 9 | 0.60 | 40 | 2 | 0.69 |
| <1200 | 51 | 10 | 56 | 5 | |||
| V30 PC (cm3) | ≥900 | 21 | 9 | 0.05 | 25 | 5 | 0.02 |
| <900 | 63 | 10 | 71 | 2 | |||
| V40 PC (cm3) | ≥750 | 12 | 9 | 0.003 | 16 | 5 | 0.004 |
| <750 | 72 | 10 | 80 | 2 |
3D CRT, three-dimensional conformal radiation; IMRT, intensity-modulated radiotherapy; LB, large bowel; PC, peritoneal cavity; RT, radiotherapy; SB, small bowel; TB, total bowel; V15–V40, volume of bowel getting the specified dose in gray.