Table 3Summary clinical evidence profile: Comparison 1. Deep inspiration breathhold versus free breathing

OutcomesIllustrative comparative risks* (95% CI)Relative effect (95% CI)No of Participants (studies)Quality of the evidence (GRADE)
Assumed riskCorresponding risk
Free BreathingDeep Inspiration Breath-Hold
Mean Heart Dose at RT (Gy)

The mean heart dose at RT in the control groups was

2.4 Gy

The mean mean heart dose at RT in the intervention groups was

1.29 lower

(1.81 to 0.77 lower)

-

236

(4 studies1,2,3,4)

Very low5,6,7

Target Coverage at RT

Scale from: 0 to 100.

The mean target coverage at RT in the control groups was

86.3 %

The mean target coverage at RT in the intervention groups was

0.5 higher

(4.6 lower to 5.6 higher)

-

81

(1 study1)

Very low7

CI: confidence interval; Gy: gray: RT: radiotherapy

1
2
3
4
5

Downgraded by 2 levels for very serious inconsistency as I square=89%

6

Downgraded by 1 level for indirectness due to inclusion of women with only larger breast volumes (estimated volume>750cm3)

7

Downgraded by 1 level for serious imprecision, as number of events <400

From: Evidence reviews for breast radiotherapy

Cover of Evidence reviews for breast radiotherapy
Evidence reviews for breast radiotherapy: Early and locally advanced breast cancer: diagnosis and management: Evidence review H.
NICE Guideline, No. 101.
National Guideline Alliance (UK).
Copyright © NICE 2018.

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