Questioning Routine Hormone Therapy: No Survival Benefit for Low-PSA Recurrent Prostate Cancer Undergoing Postoperative Radiotherapy

Highlights

An individual patient data (IPD) meta-analysis of six randomized phase 3 trials, encompassing 6,057 patients, found that adding hormone therapy to postoperative radiotherapy (PORT) did not significantly improve overall survival (HR 0.87, p=0.06).

Pre-radiotherapy PSA levels were identified as a critical predictive biomarker; patients with a PSA of 0.5 ng/mL or less derived no meaningful survival benefit from either short-term or long-term hormone therapy.

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