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Table 1 Patient and disease characteristics

From: Radiation pneumonitis in patients with non-small-cell lung cancer receiving chemoradiotherapy and an immune checkpoint inhibitor: a retrospective study

Characteristics

Total (n = 106)

ICI (n = 51)

Non-ICI (n = 55)

p

Median age (median, [range])

64 (38–82)

62 (36–76)

66 (38–82)

0.004

Sex (n [%])

   

0.051

 Male

89 (84.0)

40 (78.4)

49 (89.1)

 

 Female

17 (16.0)

11 (21.6)

6 (10.9)

 

ECOG PS before CCRT (n [%])

   

0.570

 0–1

97 (91.5)

45 (88.2)

52 (94.5)

 

 2

7 (6.6)

5 (9.8)

2 (3.6)

 

 3

2 (1.9)

1 (2.0)

1 (1.8)

 

ECOG PS before ICI (n [%])

 0–1

 

45 (88.2)

  

 2

 

3 (5.9)

  

 Unavailable

 

3 (5.9)

  

Underlying lung disease (n [%])

21 (19.8)

9 (17.6)

12 (21.8)

0.087

 ILD

1 (0.9)

1 (2.0)

0 (0.0)

 

 COPD

13 (12.3)

4 (7.8)

9 (16.4)

 

 Asthma

4 (3.8)

0 (0.0)

4 (7.3)

 

 TB

8 (7.5)

4 (7.8)

4 (7.3)

 

Smoking status (n [%])

   

0.255

 (Ex-) smoker

82 (77.4)

37 (72.5)

45 (81.8)

 

 Never-smoker

24 (22.6)

14 (27.5)

10 (18.2)

 

PFT (mean, [range])

 FVC, %

83.0 (54.0–118.0)

85.0 (57.0–118.0)

82.0 (54.0–110.0)

0.202

 FEV1, L

2.00 (0.89–3.61)

3.00 (0.89–3.57)

2.00 (1.05–3.61)

0.076

 FEV1, %

76.0 (24.0–118.0)

78.0 (24.0–118.0)

74.0 (33.0–114.0)

0.221

 DLCO, %

75.0 (36.0–124.0)

81.0 (48.0–132.0)

71.0 (36.0–124.0)

0.013

Tumor histology (n [%])

   

0.710

 SqCC

52 (49.1)

22 (43.1)

30 (54.5)

 

 Adenocarcinoma

50 (47.2)

29 (56.9)

21 (38.2)

 

 Others

4 (3.8)

0 (0.0)

4 (7.3)

 

Tumor location (n [%])

 Right upper lobe

43 (40.6)

26 (51.0)

17 (30.9)

0.018

 Right middle lobe

4 (3.8)

3 (5.9)

1 (1.8)

 

 Right lower lobe

15 (14.2)

5 (9.8)

10 (18.2)

 

 Left upper lobe

32 (30.2)

14 (27.5)

18 (32.7)

 

 Left lower lobe

12 (11.3)

3 (5.9)

9 (16.4)

 

Stage (n [%])

   

0.657

 IIA

10 (9.4)

5 (9.8)

5 (9.1)

 

 IIIA

27 (25.5)

10 (19.6)

17 (30.9)

 

 IIIB

53 (50.0)

29 (56.9)

24 (43.6)

 

 IIIC

16 (15.1)

7 (13.7)

9 (16.4)

 

EGFR mutation (n [%])

 Positive

11 (10.4)

5 (9.8)

6 (10.9)

0.334

 Negative

36 (34.0)

20 (39.2)

16 (29.1)

 

 Not checkable

59 (55.7)

26 (51.0)

33 (60.0)

 

PD-L1 test (n [%])

 Positive

 

36 (70.6)

  

 Negative

 

8 (15.7)

  

 Not checkable

 

7 (13.7)

  

Chemotherapy agent during CCRT (n [%])

 Paclitaxel/ Cisplatin

71 (67.0)

42 (82.4)

29 (52.7)

0.022

 Paclitaxel/ Carboplatin

15 (14.2)

3 (5.9)

12 (21.8)

 

 Etoposide/ Cisplatin

14 (13.2)

4 (7.8)

10 (18.2)

 

 Etoposide/ Carboplatin

5 (4.7)

2 (3.9)

3 (5.5)

 

 Cisplatin/ Pemetrexed

1 (0.9)

0 (0.0)

1 (1.8)

 

 No. of cycles of chemotherapy (median, [range])

6 (2–8)

6 (2–7)

6 (2–8)

0.233

Dosimetric parameters

 Total dose (median, [range])

66.0 (46.0–73.0)

66.0 (46.0–69.0)

66.0 (54.0–73.0)

0.441

 PTV size, cm3 (median, [range])

317.6 (104.8–1250.6)

329.9 (136.8–1250.6)

296.6 (104.8–847.2)

0.216

 MLD, Gy (median, [range])

13.1 (2.7–21.6)

13.3 (2.7–21.3)

12.1 (3.9–21.6)

0.919

 V5, %, (median, [range])

45.8 (7.5–83.5)

46.8 (7.5–83.4)

45.3 (12.7–83.5)

0.557

 V10, %, (median, [range])

33.2 (5.8–61.4)

33.2 (5.8–59.9)

32.8 (9.5–61.4)

0.611

 V20, %, (median, [range])

22.3 (3.2–45.5)

22.6 (3.2–45.5)

20.9 (7.1–41.4)

0.982

 V30, %, (median, [range])

16.3 (1.1–36.5)

17.5 (1.1–29.3)

15.8 (3.6–36.5)

0.705

 V40, % (median, [range])

12.3 (0.3–25.1)

13.2 (0.3–25.1)

11.2 (2.0–24.0)

0.399

  1. Values are number (percentage) or median (range). Because of rounding, not all percentages total 100
  2. ECOG PS Eastern Cooperative Oncology Group performance status, CCRT Concurrent chemoradiotherapy, ICI Immune checkpoint inhibitor, ILD Interstitial lung disease, COPD Chronic obstructive pulmonary disease, TB Tuberculosis, PFT Pulmonary function test, FVC Forced vital capacity, FEV1 Forced expiratory volume in 1 s, DLCO Diffusing capacity of the lung for CO, SqCC Squamous cell carcinoma, EGRF Epidermal growth factor receptor, PD-L1 Programmed death-ligand 1, PTV Planning target volume, MLD Mean lung dose, VD (V5, V10, V20, V30, V40) The percentage of lung volume receiving more than a threshold radiation dose (5, 10, 20, 30, 40 Gy)
  3. Significance value for the difference in the distribution of the ICI and non-ICI groups