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Model

Validation cohort (n=354)

Model

extension

(n=813)

Original model Recalibration

in-the-large

Recalibrated

intercept and

slope

Revision

Model parameters

Intercept

-6.089

-5.727

-4.556

-3.714

-3.303

Overall slope *

0.772

D

mean

superior PCM

0.057

0.057

0.044

0.061

0.024

D

mean

supraglottic area

0.037

0.037

0.028

-0.003

D

mean

oral cavity

0.024

Baseline dysphagia (grade 2-3

versus grade 0-1)

0.967

Model performance

C-statistic

0.74

0.74

0.74

0.77

0.81

Expected NTCP

24.7% 30.8% 30.8% 30.8% 29.8%

Observed NTCP

30.8% 30.8% 30.8% 30.8% 29.8%

Hosmer-Lemeshow test

P<0.001

P=0.019

P=0.118

P=0.368

P=0.042

Intercept

0.146

-0.134

0.000

0.000

0.120

Slope

0.772

0.772

1.000

1.000

1.090

Closed testing procedure

Indicated: Model-revision