Background: The acute radiation morbidity is associated with the radia
tion therapy outcome. Methods: To give a summary of the impact of acut
e radiation morbidity on therapeutic outcome. Results: Excessive acute
side effects, most often seen in accelerated or hyperfractionated pro
tocols or in combined radiochemotherapy may lead to interruptions of t
he radiation cycle and consecutively decreased tumor control rates. Th
ey may also result in an increase of consequential late damages. Furth
eron, the patient may feel serious discomfort by subjective or objecti
ve complaints. Conclusions: Further national and international efforts
have to be performed to lower the acute radiation related morbidity a
nd to increase the effectiveness of radiation treatment.