Efficacy and safety of hypofractionated versus conventional radiotherapy in breast cancer: a systematic review and meta-analysis - Takeaways - MDSpire

Efficacy and safety of hypofractionated versus conventional radiotherapy in breast cancer: a systematic review and meta-analysis

  • By

  • Malek Talal

  • Marafi Jammaa Ahmed

  • Muhammad M. Elsharkawy

  • Alaa R. AL-Ihribat

  • Mohamed F. Srour

  • Youssef Z. Farhat

  • Muhammad Youssef

  • Rabeia Babiker Mustafa

  • Mohamed Wafa

  • Ahmed Werdany Hassan

  • Aya Ahmed Shimal

  • Omran Shrebaty

  • Ibrahim Moqbel

  • May 13, 2026

  • 0 min

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  • 1

    Hypofractionated whole-breast irradiation (HFRT) offers similar oncological outcomes to conventional fractionated radiotherapy (CFRT) in early-stage breast cancer.

  • 2

    The meta-analysis included eight studies with 5,495 patients, showing no significant difference in disease-free survival between HFRT and CFRT.

  • 3

    HFRT demonstrated a trend toward reduced acute radiation dermatitis compared to CFRT, although results showed substantial heterogeneity across studies.

  • 4

    No significant difference in lymphedema incidence was found between HFRT and CFRT, indicating comparable safety profiles.

  • 5

    Future research should focus on standardizing radiation treatments and evaluating long-term toxicity and patient-reported outcomes.

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