Research Article

Comparison between Intensity-Modulated Radiotherapy and Three-Dimensional Conformal Radiotherapy for Their Effectiveness in Esophageal Cancer Treatment: A Retrospective Single Institution Study

Table 1

Characteristics of the EC patients grouped by the radiotherapy technique.

CharacteristicIMRT (n = 138)3D-CRT (n = 293) value

Gender0.094
 Male128 (92.8%)256 (87.4%)
 Female10 (7.2%)37 (12.6%)

Age (years)0.209
 <5536 (26.1%)63 (21.5%)
 55∼6556 (40.6%)107 (36.5%)
 65∼7534 (24.6%)76 (26.0%)
 ≥7512 (8.7%)47 (16.0%)

Type of medical insurance0.307
 None30 (21.7%)83 (28.3%)
 New rural cooperative medical insurance27 (19.6%)58 (19.8%)
 Urban employee or resident insurance81 (58.7%)152 (51.9%)

Smoking status0.078
 No26 (18.9%)78 (26.6%)
 Yes112 (81.1%)215 (73.4%)

Smoking intensity (cig/d)0.331
 1∼105 (4.5%)22 (10.2%)
 11∼2025 (22.3%)41 (19.1%)
 21∼4069 (61.6%)128 (59.4%)
 >4013 (11.6%)24 (11.3%)

Smoking duration (years)0.331
 <203 (2.7%)13 (6.0%)
 20∼4072 (64.3%)126 (58.6%)
 ≧4037 (33.0%)76 (35.4%)

Quit smoking0.013
 No100 (89.3%)168 (78.1%)
 Yes12 (10.7%)47 (21.9%)

Drinking status0.793
 No50 (36.2%)110 (37.5%)
 Yes88 (63.8%)183 (62.5%)

Alcohol consumption0.314
 Low risk22 (25.0%)48 (26.2%)
 Medium risk11 (12.5%)23 (12.6%)
 High risk33 (37.5%)50 (27.3%)
 Very high risk22 (25.0%)62 (33.9%)

Drinking duration (years)0.094
 <2016 (18.2%)30 (16.4%)
 20∼4049 (55.7%)100 (54.6%)
 >4023 (26.1%)53 (29.0%)

Quit drinking0.326
 No75 (85.2%)147 (80.3%)
 Yes13 (14.8%)36 (19.7%)

Weight loss (kg)0.183
 No10 (7.2%)29 (9.9%)
 <576 (55.1%)184 (62.8%)
 ≧5, <1029 (21.0%)40 (13.6%)
 ≧10, <1513 (9.5%)27 (9.2%)
 ≧1510 (7.2%)13 (4.5%)

Pathology0.121
 Squamous cell carcinoma120 (87.0%)229 (78.1%)
 Adenocarcinoma2 (1.4%)16 (5.5%)
 Adenosquamous carcinoma1 (0.7%)4 (1.4%)
 Small-cell carcinoma0 (0.0%)4 (1.4%)
 Unknown15 (10.9%)40 (13.6%)

Chemotherapy0.0001
 No59 (42.8%)183 (62.5%)
 Yes79 (57.2%)110 (37.5%)

Concurrent chemotherapy0.286
 5-Fu + Platinum-based drugs55 (70.5%)68 (63.6%)
 Cisplatin8 (10.3%)20 (18.7%)
 Others15 (19.2%)19 (17.7%)

Radiation dose (Gy)0.171
 <6055 (39.9%)97 (33.1%)
 ≧6083 (60.1%)196 (66.9%)

Previous treatment0.004
 No75 (54.3%)201 (68.6%)
 Yes63 (45.7%)92 (31.4%)

Previous treatment methods0.001
 Surgery36 (57.1%)67 (72.8%)
 Chemotherapy5 (7.9%)16 (17.4%)
 Radiation therapy16 (25.5%)8 (8.7%)
 Chemoradiotherapy6 (9.5%)1 (1.1%)

EC, esophageal cancer; IMRT, intensity-modulated radiation therapy; 3D-CRT, three-dimensional conformal radiation therapy; kg, kilogram; Gy, gray unit.