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Predicting toxicity caused by high-dose-rate brachytherapy single boost for prostate cancer
PURPOSE: Treating localized prostate cancer (PC) with combination radiotherapy consisting of external beam radiotherapy (EBRT) and high-dose-rate brachytherapy (HDR-BT) has been proven to result in better disease outcome than EBRT only. We aimed to evaluate the incidence of toxicities due to combina...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8867235/ https://www.ncbi.nlm.nih.gov/pubmed/35233229 http://dx.doi.org/10.5114/jcb.2022.113545 |
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author | Olsén, Johan Staby Estefan, Dalia Valachis, Antonios Jakobsson, Frida Karlsson, Leif Johansson, Bengt |
author_facet | Olsén, Johan Staby Estefan, Dalia Valachis, Antonios Jakobsson, Frida Karlsson, Leif Johansson, Bengt |
author_sort | Olsén, Johan Staby |
collection | PubMed |
description | PURPOSE: Treating localized prostate cancer (PC) with combination radiotherapy consisting of external beam radiotherapy (EBRT) and high-dose-rate brachytherapy (HDR-BT) has been proven to result in better disease outcome than EBRT only. We aimed to evaluate the incidence of toxicities due to combination therapy and identify parameters correlated to acute or late urinary, rectal, and erectile toxicities. MATERIAL AND METHODS: Data on symptoms and tumor/treatment parameters were collected from 359 patients treated between 2008 and 2018 with EBRT (42 Gy in 14 fractions) and HDR-BT (14.5 Gy in one fraction) for localized PC, at the Örebro University Hospital. Urinary, rectal, and erectile symptoms were presented descriptively, and bivariate analyses for correlation between grade ≥ 2 toxicity and potential predictors were performed. To evaluate prognostic models, multivariable analyses were applied. RESULTS: Urinary toxicity grade ≥ 2 was observed in 154 patients (47% of patients without pre-existing symptoms grade ≥ 2), of which 15 were grade 3. Rectal toxicity grade 2 was observed in 22 (6%) patients. Any grade erectile dysfunction was evident in all patients without pre-existing dysfunction (n = 103), whereas only 7 recovered completely. In bivariate analyses age was correlated with higher risk of acute urinary toxicity, and irradiated volume was associated with both urinary and rectal toxicities. However, we found no multivariable model of clinical and statistical significance to predict the risk of urinary or rectal toxicities. CONCLUSIONS: In our study cohort, the severity of toxicities was in general mild or moderate and temporary, whereas the incidence of severe toxicity was considerably low. Although we found no predictive models for toxicities, our findings are reassuring that this treatment approach as curative therapy for localized PC is well-tolerated. |
format | Online Article Text |
id | pubmed-8867235 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-88672352022-02-28 Predicting toxicity caused by high-dose-rate brachytherapy single boost for prostate cancer Olsén, Johan Staby Estefan, Dalia Valachis, Antonios Jakobsson, Frida Karlsson, Leif Johansson, Bengt J Contemp Brachytherapy Original Paper PURPOSE: Treating localized prostate cancer (PC) with combination radiotherapy consisting of external beam radiotherapy (EBRT) and high-dose-rate brachytherapy (HDR-BT) has been proven to result in better disease outcome than EBRT only. We aimed to evaluate the incidence of toxicities due to combination therapy and identify parameters correlated to acute or late urinary, rectal, and erectile toxicities. MATERIAL AND METHODS: Data on symptoms and tumor/treatment parameters were collected from 359 patients treated between 2008 and 2018 with EBRT (42 Gy in 14 fractions) and HDR-BT (14.5 Gy in one fraction) for localized PC, at the Örebro University Hospital. Urinary, rectal, and erectile symptoms were presented descriptively, and bivariate analyses for correlation between grade ≥ 2 toxicity and potential predictors were performed. To evaluate prognostic models, multivariable analyses were applied. RESULTS: Urinary toxicity grade ≥ 2 was observed in 154 patients (47% of patients without pre-existing symptoms grade ≥ 2), of which 15 were grade 3. Rectal toxicity grade 2 was observed in 22 (6%) patients. Any grade erectile dysfunction was evident in all patients without pre-existing dysfunction (n = 103), whereas only 7 recovered completely. In bivariate analyses age was correlated with higher risk of acute urinary toxicity, and irradiated volume was associated with both urinary and rectal toxicities. However, we found no multivariable model of clinical and statistical significance to predict the risk of urinary or rectal toxicities. CONCLUSIONS: In our study cohort, the severity of toxicities was in general mild or moderate and temporary, whereas the incidence of severe toxicity was considerably low. Although we found no predictive models for toxicities, our findings are reassuring that this treatment approach as curative therapy for localized PC is well-tolerated. Termedia Publishing House 2022-02-18 2022-02 /pmc/articles/PMC8867235/ /pubmed/35233229 http://dx.doi.org/10.5114/jcb.2022.113545 Text en Copyright © 2022 Termedia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). License (http://creativecommons.org/licenses/by-nc-sa/4.0/ (https://creativecommons.org/licenses/by-nc-sa/4.0/) ) |
spellingShingle | Original Paper Olsén, Johan Staby Estefan, Dalia Valachis, Antonios Jakobsson, Frida Karlsson, Leif Johansson, Bengt Predicting toxicity caused by high-dose-rate brachytherapy single boost for prostate cancer |
title | Predicting toxicity caused by high-dose-rate brachytherapy single boost for prostate cancer |
title_full | Predicting toxicity caused by high-dose-rate brachytherapy single boost for prostate cancer |
title_fullStr | Predicting toxicity caused by high-dose-rate brachytherapy single boost for prostate cancer |
title_full_unstemmed | Predicting toxicity caused by high-dose-rate brachytherapy single boost for prostate cancer |
title_short | Predicting toxicity caused by high-dose-rate brachytherapy single boost for prostate cancer |
title_sort | predicting toxicity caused by high-dose-rate brachytherapy single boost for prostate cancer |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8867235/ https://www.ncbi.nlm.nih.gov/pubmed/35233229 http://dx.doi.org/10.5114/jcb.2022.113545 |
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