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Durable therapeutic gain despite competing mortality in long-term follow-up of a randomized hyperfractionated radiotherapy trial for locally advanced head and neck cancer

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Highlights • Hyperfractionated RT with augmented dose provides durable enhanced disease control.• Late toxicity is unchanged with higher optimal doses using smaller fraction sizes.• Hyperfractionation improves overall survival but mortality… Click to show full abstract

Highlights • Hyperfractionated RT with augmented dose provides durable enhanced disease control.• Late toxicity is unchanged with higher optimal doses using smaller fraction sizes.• Hyperfractionation improves overall survival but mortality profile evolves over time.• Altered fractionation should avoid unnecessary RT protraction to maximize control.• Excessive acceleration should be avoided to minimize severe normal tissue sequelae.

Keywords: competing mortality; durable therapeutic; mortality; despite competing; therapeutic gain; gain despite

Journal Title: Clinical and Translational Radiation Oncology
Year Published: 2020

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