Protons more toxic ?
•
Population-based study using SEER data 2000-2009
•
Compared IMRT patients treated 2002-2007 (multiple
institutions, multiple states) to PBT patients treated same era at
a single institution.
•
Concluded no difference in outcome in terms of DFS but slight
advantage to IMRT in risk of “GI morbidity” (12.2 vs. 17.8 per
100 pts-years)
The “JAMA paper”