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. Author manuscript; available in PMC: 2022 May 1.
Published in final edited form as: Int J Radiat Oncol Biol Phys. 2020 Dec 22:S0360-3016(20)34356-X. doi: 10.1016/j.ijrobp.2020.09.054

Table 2.

Selected studies analyzing factors associated with late bowel side effects

Study n Treatment details Med. f/u (yrs) Bowel endpoint Dosimetric factors associated* with worse bowel outcomes Non-dosimetric factors associated* with worse bowel outcomes
King 201220 (Stanford) 67 36.25 Gy (5 fx), QD/QOD 2.7 RTOG
G2: 2.0%
  • QD (vs. QOD) treatment schedule

Kim 201433 (Multicenter) 91 16%:45 Gy (5 fx), QOD
16%: 47.5 Gy (5 fx), QOD
67%: 50 Gy (5 fx), QOD
2.0 CTCAE v3 G2:23.1%
G3:3.3%
G4: 2.2%
  • Rectum V50Gy > 3 cc

  • Rectum Circumference V39Gy > 35%

Elias 201422 (Sunnybrook) 84 35 Gy (5 fx), QW 4.2 EPIC QOL MID: 26.2%
  • Rectum V31.8Gy > 10%

  • Rectum D1cc > 35 Gy

Gomez 201526 (UCLA) 75 40 Gy (5 fx), QOD 1.0 EPIC QOL
  • Rectum V40Gy > 1.5 cc

  • Rectum V36Gy > 4.2 cc

Musunuru 201634 (Sunnybrook) 258 33%: 35 Gy (5 fx), QW 67%: 40 Gy (5 fx), QW or QOD 2.5 CTCAE v3 G2 bleed: 16.2% G3 bleed: 1.6% G4 bleed: 1.6%
  • Rectum V38Gy > 2 cc

  • Prescription dose 40 Gy (vs. 35 Gy)

  • SV treatment (vs. prostate only)

  • PTV margin 5mm (vs. 4mm)

  • Hemorrhoids

  • Anticoagulant use

Miszczyk 201735 (Gliwice) 400 36.25 Gy (5 fx), QOD 1.3 RTOG
G1:4.7%
G2: 0.6%
G3: 0.3%
  • Diabetes

Abbreviations: QW; every week, QOD; every other day, QD; every day, MID; minimally important difference, SV; seminal vesicle.

*

Included if reported as trend or significant on univariate or multivariate analysis