Table 5

Relationship between rectal and bladder dose and late GI, vaginal and GU toxicity

Late GI toxicity ≥ G1Late GI toxicity ≥ G2Late GI toxicity ≥ G3
Yes (n = 130)No (n = 339)P-valueYes (n = 48)No (n = 421)P-valueYes (n = 17)No (n = 452)P-value
Mean total rectum D2cc (EQD2, α/β = 3, Gy)58.853.2<0.001*59.654.20.001*61.954.50.007*
Late Vaginal toxicity ≥ G1Late Vaginal toxicity ≥ G2Late Vaginal toxicity ≥ G3
Mean total rectum D2cc (EQD2, α/β = 3, Gy)Yes (n = 53)No (n = 416)P-valueYes (n = 15)No (n = 454)P-valueYes (n = 8)No (n = 461)P-value
59.654.2<0.001*59.354.70.11159.154.70.266
Late GU toxicity ≥ G1Late GU toxicity ≥ G2Late GU toxicity ≥ G3
Mean total bladder D2cc (EQD2, α/β = 3, Gy)Yes (n = 77)No (n = 392)P-valueYes (n = 36)No (n = 433)P-valueYes (n = 9)No (n = 460)P-value
71.264.1<0.001*73.464.60.001*72.365.10.155
Late GI toxicity ≥ G1Late GI toxicity ≥ G2Late GI toxicity ≥ G3
Yes (n = 130)No (n = 339)P-valueYes (n = 48)No (n = 421)P-valueYes (n = 17)No (n = 452)P-value
Mean total rectum D2cc (EQD2, α/β = 3, Gy)58.853.2<0.001*59.654.20.001*61.954.50.007*
Late Vaginal toxicity ≥ G1Late Vaginal toxicity ≥ G2Late Vaginal toxicity ≥ G3
Mean total rectum D2cc (EQD2, α/β = 3, Gy)Yes (n = 53)No (n = 416)P-valueYes (n = 15)No (n = 454)P-valueYes (n = 8)No (n = 461)P-value
59.654.2<0.001*59.354.70.11159.154.70.266
Late GU toxicity ≥ G1Late GU toxicity ≥ G2Late GU toxicity ≥ G3
Mean total bladder D2cc (EQD2, α/β = 3, Gy)Yes (n = 77)No (n = 392)P-valueYes (n = 36)No (n = 433)P-valueYes (n = 9)No (n = 460)P-value
71.264.1<0.001*73.464.60.001*72.365.10.155

EQD2: equivalent doses delivered in 2 Gy fractions

GI toxicity: gastrointestinal toxicity

GU toxicity: genitourinary toxicity

*Statistical significance was defined as a P-value of <0.05.

Table 5

Relationship between rectal and bladder dose and late GI, vaginal and GU toxicity

Late GI toxicity ≥ G1Late GI toxicity ≥ G2Late GI toxicity ≥ G3
Yes (n = 130)No (n = 339)P-valueYes (n = 48)No (n = 421)P-valueYes (n = 17)No (n = 452)P-value
Mean total rectum D2cc (EQD2, α/β = 3, Gy)58.853.2<0.001*59.654.20.001*61.954.50.007*
Late Vaginal toxicity ≥ G1Late Vaginal toxicity ≥ G2Late Vaginal toxicity ≥ G3
Mean total rectum D2cc (EQD2, α/β = 3, Gy)Yes (n = 53)No (n = 416)P-valueYes (n = 15)No (n = 454)P-valueYes (n = 8)No (n = 461)P-value
59.654.2<0.001*59.354.70.11159.154.70.266
Late GU toxicity ≥ G1Late GU toxicity ≥ G2Late GU toxicity ≥ G3
Mean total bladder D2cc (EQD2, α/β = 3, Gy)Yes (n = 77)No (n = 392)P-valueYes (n = 36)No (n = 433)P-valueYes (n = 9)No (n = 460)P-value
71.264.1<0.001*73.464.60.001*72.365.10.155
Late GI toxicity ≥ G1Late GI toxicity ≥ G2Late GI toxicity ≥ G3
Yes (n = 130)No (n = 339)P-valueYes (n = 48)No (n = 421)P-valueYes (n = 17)No (n = 452)P-value
Mean total rectum D2cc (EQD2, α/β = 3, Gy)58.853.2<0.001*59.654.20.001*61.954.50.007*
Late Vaginal toxicity ≥ G1Late Vaginal toxicity ≥ G2Late Vaginal toxicity ≥ G3
Mean total rectum D2cc (EQD2, α/β = 3, Gy)Yes (n = 53)No (n = 416)P-valueYes (n = 15)No (n = 454)P-valueYes (n = 8)No (n = 461)P-value
59.654.2<0.001*59.354.70.11159.154.70.266
Late GU toxicity ≥ G1Late GU toxicity ≥ G2Late GU toxicity ≥ G3
Mean total bladder D2cc (EQD2, α/β = 3, Gy)Yes (n = 77)No (n = 392)P-valueYes (n = 36)No (n = 433)P-valueYes (n = 9)No (n = 460)P-value
71.264.1<0.001*73.464.60.001*72.365.10.155

EQD2: equivalent doses delivered in 2 Gy fractions

GI toxicity: gastrointestinal toxicity

GU toxicity: genitourinary toxicity

*Statistical significance was defined as a P-value of <0.05.

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