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Table 2 The relationship between post concurrent chemoradiotherapy tooth extraction, mandibular dose, post concurrent chemoradiotherapy osteoradionecrosis, concurrent chemotherapy cycles and two hemoglobin-to-platelet ratio groups

From: The predictive value of pretreatment hemoglobin-to-platelet ratio on osteoradionecrosis incidence rates of locally advanced nasopharyngeal cancer patients managed with concurrent chemoradiotherapy

Characteristics

All patients

(N = 193)

HPR ≤ 0.48

(N = 60)

HPR > 0.48

(N = 133)

P-value

Median MMPD; Gy (range)

62.6 (52.7–71.8)

63.7 (53.8–70.7)

61.1 (52.7–71.8)

0.89

MMD, Gy (range)

48.6 (17.4–64.1)

47.3 (17.4–64.1)

49.9 (19.2–63.4)

0.37

MMD group, N (%)

< 50.6 Gy

≥ 50.6 Gy

132 (68.4)

61 (31.6)

42 (70.0)

18 (30.0)

90 (67.7)

43 (32.3)

0.78

V64 Gy group, N (%)

< 27%

≥ 27%

158 (81.9)

35 (18.1)

50 (83.3)

10 (16.7)

108 (81.2)

25 (18.8)

0.86

Continued smoking, N (%)

Yes

No

64 (33.2)

129 (66.8)

21 (35.0)

39 (65.0)

43 (32.3)

90 (67.7%)

0.67

Continued alcohol consumption, N (%)

Yes

No

56 (29.0)

137 (71.0)

17 (28.3)

43 (71.7)

39 (29.3)

94 (70.7)

0.90

Median post-C-CRT extracted teeth, N (range)

1 (0–5)

2 (0–5)

1 (0–4)

0.38

Post-C-CRT tooth extraction, N (%)

Absent

Present

31 (16.1)

162 (83.9)

11 (18.3)

49 (81.7)

20 (15.0)

113 (85.0)

0.87

Median time from C-CRT to tooth extraction, mo. (range)

7 (1–13)

6 (1–11)

8 (1–13)

0.71

Time of post-C-CRT tooth extraction, mo. N (%)

> 5.5

≤ 5.5

61 (31.6)

132 (68.4)

18 (30.0)

42 (70.0)

43 (32.3)

90 (67.7)

0.82

ORN, N (%)

Absent

Present

172 (89.1)

21 (10.9)

42 (70.0)

18 (30.0)

130 (97.7)

3 (2.3)

< 0.001

ORN stage

*0

1

2

172 (89.1)

16 (8.3)

5 (2.6)

42 (70.0)

13 (21.7)

5 (8.3)

130 (97.7)

3 (2.3)

0 (0.0)

< 0.001

Median C-CRT to ORN interval, mo. (range)

20.8 (12.4–27.6)

22.4 (12.4–27.6)

19.1 (11.8–26.4)

0.49

Concurrent chemotherapy cycles, N (%)

1

2–3

32 (16.6)

161 (83.4)

10 (16.7)

50 (83.3)

22 (16.5)

111 (83.5)

0.92

  1. * Stage 0 denotes for absence of ORN
  2. Abbreviations: C-CRT concurrent chemoradiotherapy, HPR hemoglobin-to-platelet ratio, Gy Gray, MMD mean mandibular dose, MMPD maximum mandibular point dose, mo months, ORN osteoradionecrosis, V64 volume receiving ≥ 64 Gy