Do you offer ADT in patients with intermediate risk prostate cancer who receive hypofractionated EBRT?
Answer from: Radiation Oncologist at Community Practice
There is no good evidence that with different radiotherapy dose/fx or other RT modalities that the relative benefit of ADT is any different. This applies also to SBRT, brachy, and combo-brachy. The basic evidence and logic is as follows:1. ADT improves MFS and OS in multiple RCTs us...
Answer from: Radiation Oncologist at Academic Institution
I use the same criteria for the use of ADT for intermediate risk patients regardless of radiation duration (I.e. 2 Gy per fraction vs > 2 Gy per fraction). I offer ADT for unfavorable intermediate risk patients. I think that based on CHIIP there is no difference in ADT use based on dose per fract...