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Cited by 1,878

The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.

Long-Term Results of Hypofractionated Radiation Therapy for Breast Cancer

Open access
Whelan, Timothy J., Pignol, Jean-Philippe, Levine, Mark N., Julian, Jim A., MacKenzie, Robert, Parpia, Sameer, Shelley, Wendy, Grimard, Laval, Bowen, Julie, Lukka, Himu, Perera, Francisco, Fyles, Anthony, Schneider, Ken, Gulavita, Sunil, Freeman, Carolyn·2010·New England Journal of Medicine

Abstract

BACKGROUND: The optimal fractionation schedule for whole-breast irradiation after breast-conserving surgery is unknown. METHODS: We conducted a study to determine whether a hypofractionated 3-week schedule of whole-breast irradiation is as effective as a 5-week schedule. Women with invasive breast cancer who had undergone breast-conserving surgery and in whom resection margins were clear and axillary lymph nodes were negative were randomly assigned to receive whole-breast irradiation either at a standard dose of 50.0 Gy in 25 fractions over a period of 35 days (the control group) or at a dose of 42.5 Gy in 16 fractions over a period of 22 days (the hypofractionated-radiation group). RESULTS: The risk of local recurrence at 10 years was 6.7% among the 612 women assigned to standard irradiation as compared with 6.2% among the 622 women assigned to the hypofractionated regimen (absolute difference, 0.5 percentage points; 95% confidence interval [CI], -2.5 to 3.5). At 10 years, 71.3% of women in the control group as compared with 69.8% of the women in the hypofractionated-radiation group had a good or excellent cosmetic outcome (absolute difference, 1.5 percentage points; 95% CI, -6.9 to 9.8). CONCLUSIONS: Ten years after treatment, accelerated, hypofractionated whole-breast irradiation was not inferior to standard radiation treatment in women who had undergone breast-conserving surgery for invasive breast cancer with clear surgical margins and negative axillary nodes. (ClinicalTrials.gov number, NCT00156052.)

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Crossref · 10.1056/nejmoa0906260

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Metadata

Authors
Whelan, T. J., Pignol, J.-P., Levine, M. N., Julian, J. A., MacKenzie, R., Parpia, S., Shelley, W., Grimard, L., Bowen, J., Lukka, H., Perera, F., Fyles, A., Schneider, K., Gulavita, S., & Freeman, C.
Venue
New England Journal of Medicine
Published
2010-02-11
Volume
362
Issue
6
Pages
513-520
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2103608035
Cited by
1,878
References
2
FWCI
28.18
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: Long-Term Results of Hypofractionated Radiation Therapy for Breast Cancer. https://app.cochat.ai/papers/10.1056/nejmoa0906260
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Whelan, T. J., Pignol, J.-P., Levine, M. N., Julian, J. A., MacKenzie, R., Parpia, S., Shelley, W., Grimard, L., Bowen, J., Lukka, H., Perera, F., Fyles, A., Schneider, K., Gulavita, S., & Freeman, C. (2010). Long-Term Results of Hypofractionated Radiation Therapy for Breast Cancer. New England Journal of Medicine. https://doi.org/10.1056/nejmoa0906260

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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