Supplementary Table 1. Univariate Competing Risk Analysis of Out-of-Field Failures Variable SHR (95% CI) P Value Sex Male Female 1.44 (0.51-4.08) 0.491 0.95 (0.91-0.99) 0.007 Ethnicity Non-Caucasian Caucasian 2.18 (0.99-4.81) 0.053 History of alcohol consumption Frequenta Occasional None 2.01 (0.85-4.75) 1.18 (0.39-3.58) 0.112 0.771 Smoking status Current Everb Never 1.21 (0.47-3.13) 0.80 (0.35-1.82) 0.691 0.599 Baseline body mass index >30 ≤30 1.37 (0.69-2.72) 0.368 Tumor status T3/T4 T1/T2 3.58 (0.89-14.4) 0.072 Nodal status N1 N0 6.85 (2.15-21.9) 0.001 Metastatic status M1 M0 1.90 (0.96-3.76) 0.067 Tumor site Middle Lower Cervical/upper 7.41 (0.87-63.3) 5.28 (0.67-41.8) 0.067 0.115 Age (continuous variable) Table 2, continued Tumor grade G3 (poorly diff.) G2 (moderately diff.) 2.80 (1.37-5.76) 0.005 Tumor histology Squamous Adenocarcinoma 0.67 (0.30-1.51) 0.338 Induction Chemotherapy Yes No 1.82 (0.97-3.43) 0.063 Radiation Dose >50.4 Gy ≤50.4 Gy 2.23 (1.06-4.69) 0.035 1.97 (0.97-4.03) 0.062 1.01 (0.98-1.14) 0.186 2.17 (1.05-4.47) 0.035 1.17 (1.06-1.29) 0.001 0.84 (0.42-1.67) 0.615 1.01 (0.97-1.05) 0.640 Tumor length ≥5 cm <5 cm 2.11 (1.08-4.12) 0.029 In-field failures Yes No 0.41 (0.16-1.09) 0.074 Pre-treatment SUV >10 ≤10 (continuous variable) Post-treatment SUV >3.5 ≤3.5 (continuous variable) SUV Change ≥6.3 <6.3 (continuous variable) Abbreviations: CI, confidence interval, diff., differentiated; SUV, standardized uptake value a Alcohol status: frequent (≥1 drink/day), occasional (<7 drinks/week) b Smoking status: ever (quit >1 year) Supplementary Table 2. Multivariate Competing Risk Analysis for Out-of-Field Failures Variable Sex Male Female In-Field Failures SHR (95% CI) P Value 2.48 (0.26-23.66) 0.429 0.95 (0.89-1.00) 0.072 Ethnicity Non-Caucasian Caucasian 1.67 (0.53-5.25) 0.384 Tumor status T3/T4 T1/T2 3.16 (0.75-13.40) 0.119 Nodal status N1 N0 5.89 (1.30-26.66) 0.021 Metastatic status M1 M0 0.80 (0.27-2.40) 0.694 Tumor grade G3 (poorly diff.) G2 (moderately diff.) 2.38 (0.77-7.30) 0.130 Tumor histology Squamous Adenocarcinoma 0.17 (0.03-1.05) 0.056 Induction Chemotherapy Yes No 1.62 (0.52-5.03) 0.407 Radiation Dose >50.4 Gy ≤50.4 Gy 4.01 (0.60-26.89) 0.152 Age (continuous variable) Pre-treatment SUV >10 ≤10 1.51 (0.54-4.22) 0.436 Post-treatment SUV >3.5 ≤3.5 1.32 (0.52-3.36) 0.565 Tumor length ≥5 cm <5 cm 1.08 (0.36-3.24) 0.892 Abbreviations: CI, confidence interval, diff., differentiated; SUV, standardized uptake value Supplementary Table 3. Univariate Competing Risk analysis for All Failures Variable SHR (95% CI) P Value Sex Male Female 1.67 (0.73-3.83) 0.227 0.96 (0.94-0.99) 0.003 Ethnicity Non-caucasion Caucasian 2.53 (1.62-3.93) <0.001 History of alcohol consumption Frequenta Occasional None 2.82 (1.35-5.91) 1.62 (0.64-4.10) 0.006 0.308 Smoking status Current Ever Never 0.95 (0.48-1.90) 0.77 (0.45-1.33) 0.890 0.353 Baseline body mass index >30 ≤30 0.64 (0.37-1.13) 0.123 Tumor status T3/T4 T1/T2 4.37 (1.71-11.16) 0.002 Nodal status N1 N0 2.11 (1.27-3.50) 0.004 Metastatic status M1 M0 1.53 (0.94-2.47) 0.085 Tumor site Middle Lower Cervical/upper 1.43 (0.60-3.44) 1.22 (0.55-2.70) 0.420 0.632 Age (continuous variable) Table 2, continued Tumor grade G3 (poorly diff.) G2 (moderately diff.) 1.95 (1.23-3.09) 0.005 Tumor histology Squamous Adenocarcinoma 0.76 (0.43-1.32) 0.326 Induction Chemotherapy Yes No 1.52 (0.98-2.36) 0.062 Radiation Dose >50.4 Gy ≤50.4 Gy 1.59 (0.91-2.79) 0.105 1.87 (1.16-3.01) 0.011 1.02 (0.99-1.04) 0.140 1.95 (1.22-3.12) 0.006 1.11 (1.05-1.18) 0.001 0.70 (0.43-1.11) 0.131 1.00 (0.97-1.02) 0.694 1.85 (1.17-2.92) 0.009 Pre-treatment SUV >10 ≤10 (continuous variable) Post-treatment SUV >3.5 ≤3.5 (continuous variable) SUV Change ≥6.3 <6.3 (continuous variable) Tumor length ≥5 cm <5 cm Abbreviations: CI, confidence interval, diff., differentiated; SUV, standardized uptake value a Alcohol status: frequent (≥1 drink/day), occasional (<7 drinks/week) Supplementary Table 4. Multivariate Competing Risk Analysis for All Failures Variable Sex Male Female All Failures SHR (95% CI) P Value 1.39 (0.48-4.02) 0.538 0.96 (0.93-0.99) 0.008 Ethnicity Non-Caucasian Caucasian 2.55 (1.50-4.32) 0.001 Tumor status T3/T4 T1/T2 3.56 (1.34-9.47) 0.011 Nodal status N1 N0 2.05 (1.06-3.99) 0.034 Metastatic status M1 M0 0.78 (0.38-1.59) 0.494 Tumor grade G3 (poorly diff.) G2 (moderately diff.) 1.32 (0.71-2.44) 0.381 Tumor histology Squamous Adenocarcinoma 0.42 (0.19-0.94) 0.035 Induction Chemotherapy Yes No 0.96 (0.48-1.88) 0.895 Radiation Dose >50.4 Gy ≤50.4 Gy 2.10 (0.92-4.81) 0.078 Pre-treatment SUV >10 ≤10 1.21 (0.67-2.18) 0.519 Age (continuous variable) Post-treatment SUV >3.5 ≤3.5 1.41 (0.85-2.34) 0.189 Tumor length ≥5 cm <5 cm 1.00 (0.54-1.87) 0.995 Abbreviations: CI, confidence interval, diff., differentiated; SUV, standardized uptake value