Volume 13, Issue 1, Pages (January 2012)

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Volume 13, Issue 1, Pages 43-54 (January 2012) Conventional versus hypofractionated high-dose intensity-modulated radiotherapy for prostate cancer: preliminary safety results from the CHHiP randomised controlled trial  Prof David Dearnaley, FRCR, Isabel Syndikus, FRCR, Georges Sumo, MSc, Margaret Bidmead, MSc, David Bloomfield, FRCR, Catharine Clark, PhD, Annie Gao, MSc, Shama Hassan, MSc, Prof Alan Horwich, FRCR, Robert Huddart, FRCR, Vincent Khoo, MD, Peter Kirkbride, FRCR, Helen Mayles, MSc, Philip Mayles, PhD, Olivia Naismith, MSc, Chris Parker, FRCR, Helen Patterson, FRCR, Martin Russell, FRCP, Christopher Scrase, FRCR, Chris South, MSc, John Staffurth, MD, Emma Hall, PhD  The Lancet Oncology  Volume 13, Issue 1, Pages 43-54 (January 2012) DOI: 10.1016/S1470-2045(11)70293-5 Copyright © 2012 Elsevier Ltd Terms and Conditions

Figure 1 Trial profile for CHHiP stages 1 and 2 A complete set of follow-up forms means that the patient completed 6, 12, 18, and 24 month follow-up forms; follow-up forms completed after 2 years not included. RTOG=Radiation Therapy Oncology Group. RT=radiotherapy. The Lancet Oncology 2012 13, 43-54DOI: (10.1016/S1470-2045(11)70293-5) Copyright © 2012 Elsevier Ltd Terms and Conditions

Figure 2 Acute RTOG toxicity by timepoint and treatment group Prevalence of bowel toxicity (A) and distribution of grades (B). Prevalence of bladder toxicity (C) and distribution of grades (D). RTOG=Radiation Therapy Oncology Group scale. G1+=score of grade 1 or worse. G2+=score of grade 2 or worse. G3+=score of grade 3 or worse. The Lancet Oncology 2012 13, 43-54DOI: (10.1016/S1470-2045(11)70293-5) Copyright © 2012 Elsevier Ltd Terms and Conditions

Figure 3 Bowel toxicity of the three treatment groups by assessment timepoint Cumulative proportion measured with RTOG (A), RMH (D), and LENT/SOM (G). Prevalence measured with RTOG (B), RMH (E), and LENT/SOM (H). Distribution of grade scores with RTOG (C), RMH (F), and LENT/SOM (I). RTOG=Radiation Therapy Oncology Group scale. RMH=Royal Marsden Hospital scale. LENT/SOM=Late Effects on Normal Tissue: Subjective/Objective/Management scale. G1+=score of grade 1 or worse. G2+=score of grade 2 or worse. G3+=score of grade 3 or worse. G0=score of grade 0. G1=score of grade 1. G2=score of grade 2. PH=before hormone treatment. PR=before radiotherapy. The Lancet Oncology 2012 13, 43-54DOI: (10.1016/S1470-2045(11)70293-5) Copyright © 2012 Elsevier Ltd Terms and Conditions

Figure 4 Bladder toxicity of the three treatment groups by assessment timepoint Cumulative proportion measured with RTOG (A), RMH (D), and LENT/SOM (G). Prevalence measured with RTOG (B), RMH (E), and LENT/SOM (H). Distribution of grade scores with RTOG (C), RMH (F), and LENT/SOM (I). RTOG=Radiation Therapy Oncology Group scale. RMH=Royal Marsden Hospital scale. LENT/SOM=Late Effects on Normal Tissue: Subjective/Objective/Management scale. PH=before hormone treatment. PR=before radiotherapy. G1+=score of grade 1 or worse. G2+=score of grade 2 or worse. G3+=score of grade 3 or worse. G0=score of grade 0. G1=score of grade 1. G2=score of grade2. PH=before hormone treatment. PR=before radiotherapy. The Lancet Oncology 2012 13, 43-54DOI: (10.1016/S1470-2045(11)70293-5) Copyright © 2012 Elsevier Ltd Terms and Conditions

Figure 5 LENT/SOM sexual dysfunction toxicity of the three treatment groups by assessment timepoint (A) Cumulative proportion. (B) Prevalence. (C) Distribution of grades. LENT/SOM=Late Effects on Normal Tissue: Subjective/Objective/Management scale. G1+=score of grade 1 or worse. G2+=score of grade 2 or worse. G3+=score of grade 3 or worse. G0=score of grade 0. G1=score of grade 1. G2=score of grade 2. G3=score of grade 3. G4=score of grade 4. PH=before hormone treatment. PR=before radiotherapy. The Lancet Oncology 2012 13, 43-54DOI: (10.1016/S1470-2045(11)70293-5) Copyright © 2012 Elsevier Ltd Terms and Conditions