Research Article

Accelerated Hyperfractionated Radiotherapy versus Conventional Fractionation Radiotherapy for Head and Neck Cancer: A Meta-Analysis of Randomized Controlled Trials

Table 1

Study characteristics of the included studies.

NoReferenceCountryN patientsGender (M/F)AgeKPSTumor siteStageFollow-up (median or mean)ArmDose/fraction (Gy)Total dose (Gy)

1Pan et al. [15]China200150/5049 (18–70)≥70NasopharynxI–IV6.9 yearsHART1.2–1.578
CFRT270
2Wang et al. [16]China9863/3565 (55–74)≥70Esophageal45 (36–58) monthsHART1.564 (61–67)
CFRT264 (60–68)
3Dobrowsky and Naude [9]Ireland159139/2234–7790–100Oral cavity
Oropharynx
Hypopharynx
Larynx
T1–T4
N0–N3
48 monthsHART1.65–2.555.3
CFRT270
4Teo et al. [17]China159122/37NasopharynxII–IV59.2 monthsHART1.522.4
CFRT2.520
5Shi et al. [18]China8550/3555.6>70Esophagus5 yearsHART1.5–1.868.4
CFRT1.868.4
6Fallai et al. [11]Italy128112/16≥70OropharynxIII-IV8.35 (4.8–10.2) yearsHART1.664–67.2
CFRT66–70
7Saunders et al. [19]United Kingdom918T2–T4
N0-N1
M0
≤6 yearsHART1.554
CFRT266
8El-Weshi et al. [20]Egypt5040/1039.9 (18–63)NasopharynxIII-IV55 (4–120) monthsHART1.672
CFRT272
9Miszczyk et al. [21]Poland10178/2357 (42–73)Excluding nasopharynxT2N3
T3N03
T4N0-N3
HART1.664
CFRT250
10Awwad et al. [12]Egypt7056/1450 (25–65)Oral cavity
Hypopharynx
Larynx
T2–T4HART1.446.2
CFRT260
11Dische et al. [7]United Kingdom918687/231Nasal sinus
Nasopharynx
Oral cavity
Oropharynx
Hypopharynx
Larynx
T1–T4N0–N3HART1.554
CFRT266
12Bartelink et al. [10]Netherlands4938/11Oral cavity
Oropharynx
Larynx
Hypopharynx
T2–T4HART1.672
CFRT270

Notes: “–,” not mentioned. CFRT, conventional fractionation radiotherapy; HART, accelerated hyperfractionated radiotherapy.