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Taylor et al on behalf of EBCTCG, JCO 2017; 35:1641

Number of events

Rate ratio

(95% CI)

P value

RT

No RT

Excess with

RT

Death without breast cancer recurrence

Heart disease

705

548

143

1.30 (1.15—1.46)

<0.0001

Non-breast cancer

475

375

67

1.19 (1.03—1.37)

0.02

Other specified causes

638

629

6

1.01 (0.90—1.14)

0.83

Second cancer incidence without prior breast cancer recurrence

Leukaemia

43

23

17

1.71 (1.05—2.79)

0.03

Lung, years 0-9

71

60

5

1.08 (0.76—1.53)

0.66

Lung, years 10+

94

40

47

2.10 (1.48—2.98)

<0.0001

Oesophagus

23

10

13

2.42 (1.19—4.92)

0.01

Contralateral breast

881 673

130

1.20 (1.08—1.33)

0.0006

Effect of Radiotherapy on

Non-breast-cancer Mortality

and on

Incidence of Second Cancers

before any Recurrence of Breast Cancer

(40,781 women in 75 trials of radiotherapy versus no radiotherapy)