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10.1186/s12885-025-15018-7

http://scihub22266oqcxt.onion/10.1186/s12885-025-15018-7
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suck abstract from ncbi


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pmid41131510
      BMC+Cancer 2025 ; 25 (1 ): 1634
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  • Comparison of the safety and efficacy of moderately hypofractionated and conventionally fractionated radiotherapy for localized prostate cancer: evidence from 9074 men in 13 randomized clinical trials #MMPMID41131510
  • Chen H ; Chen J ; Lyu F ; Ma M ; Qi X ; Ren X ; Qin S ; Li X ; Li X ; Gu X ; Li X ; Li H ; Gao X
  • BMC Cancer 2025[Oct]; 25 (1 ): 1634 PMID41131510 show ga
  • OBJECTIVES: While moderately hypofractionated radiotherapy (HFRT) has been recommended as the standard regimen in localized prostate cancer (LPCa) based on non-inferiority trials compared to conventionally fractionated radiotherapy(CFRT), the conclusions on its efficacy and toxicity have not been consistent among all trials. This study aims to systematically compare the efficacy and safety of HFRT with CFRT for LPCa based on the present randomized controlled trials. The longest follow-up data from all the trials were adopted. METHODS AND MATERIALS: This research followed the steps outlined in the PRISMA statement for meta-analyses and systematic reviews. This study presents a meta-analysis of phase III trials comparing CFRT with HFRT for LPCa. The included trials reported relapse-free survival over five years and the incidence of acute or at least 3 years of late gastrointestinal (GI) and genitourinary (GU) toxicity. RESULTS: We were able to include 18 papers in our final analysis. There was no statistically significant difference in relapse-free survival after five years of treatment between the HFRT and CFRT groups. In subgroup analyses, with an ?/? of 1.5, a higher equivalent dose of HFRT compared to CFRT is associated with improved relapse-free survival over five years. Acute GI toxicity of Grade 2 or worse was more common in the HFRT group compared to the CFRT group (p?
  • |*Prostatic Neoplasms/radiotherapy/pathology/mortality [MESH]
  • |*Radiation Dose Hypofractionation [MESH]
  • |Clinical Trials, Phase III as Topic [MESH]
  • |Dose Fractionation, Radiation [MESH]
  • |Humans [MESH]
  • |Male [MESH]
  • |Randomized Controlled Trials as Topic [MESH]


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