Table 3.

Estimated HF rates by radiotherapy dose and anthracycline treatment

Treated without anthracyclinesTreated with anthracyclines
No. of casesNo. of controlsRR95% CINo. of casesNo. of controlsRR95% CI
MHD (EQD2)         
 0-25 Gy 28 153 1.00 0.67-1.48 20 48 2.92 1.35-6.30 
 26-30 Gy 22 49 2.43 1.51-3.91 7.09 2.56-19.67 
 ≥31 Gy 10 17 3.67 1.86-7.25 10.71 3.51-32.67 
MLVD (EQD2)         
 0-15 Gy 26 133 1.00 0.68-1.47 17 40 2.60 1.21-5.58 
 16-20 Gy 17 60 1.43 0.85-2.44 3.74 1.31-10.73 
 ≥21 Gy 17 26 3.10 1.87-5.14 11 11 8.06 3.05-21.32 
V30 left ventricle, %         
 0-24 51 1.00  16 3.36 1.57-7.22 
 25-100 51 168 2.57 1.25-5.29 27 43 8.65 2.83-26.41 
V20 left ventricle, %         
 0-49 26 118 1.00  14 34 2.84 1.36-5.97 
 50-100 34 101 1.58 0.94-2.67 17 25 4.50 1.85-10.98 
Treated without anthracyclinesTreated with anthracyclines
No. of casesNo. of controlsRR95% CINo. of casesNo. of controlsRR95% CI
MHD (EQD2)         
 0-25 Gy 28 153 1.00 0.67-1.48 20 48 2.92 1.35-6.30 
 26-30 Gy 22 49 2.43 1.51-3.91 7.09 2.56-19.67 
 ≥31 Gy 10 17 3.67 1.86-7.25 10.71 3.51-32.67 
MLVD (EQD2)         
 0-15 Gy 26 133 1.00 0.68-1.47 17 40 2.60 1.21-5.58 
 16-20 Gy 17 60 1.43 0.85-2.44 3.74 1.31-10.73 
 ≥21 Gy 17 26 3.10 1.87-5.14 11 11 8.06 3.05-21.32 
V30 left ventricle, %         
 0-24 51 1.00  16 3.36 1.57-7.22 
 25-100 51 168 2.57 1.25-5.29 27 43 8.65 2.83-26.41 
V20 left ventricle, %         
 0-49 26 118 1.00  14 34 2.84 1.36-5.97 
 50-100 34 101 1.58 0.94-2.67 17 25 4.50 1.85-10.98 

There was no significant interaction on a multiplicative scale between anthracycline treatment and either MHD or MLVD (see supplemental Table 5A-B). Therefore, estimates of HF rates by radiotherapy dose and anthracycline treatment were calculated under the assumption that there was no multiplicative interaction between the 2. Estimates allowing for an interaction between radiotherapy dose and anthracycline treatment are given in supplemental Table 6.

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