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Phase III TOAD trial

: Effects of androgen-deprivation therapy on health-related quality of life

in asymptomatic patients who have either a rising PSA after curative radiotherapy or

prostatectomy but no overt disease, or who have non-curable disease at the outset

Sexual activity lower in the

immediate therapy group

than in the delayed

group at 6 and 12 months, with the differences exceeding the clinically

significant threshold of 10 points until beyond 2 years

Immediate therapy group

had more hormone-treatment-related symptoms at

6 and 12 months in the immediate group, but differences were below the

threshold of clinical significance

Immediate therapy group had clinically significantly higher incidence of hot

flushes over the 5-year period, as were nipple or breast symptoms

Duchesne GM, Lancet Oncol 2017

ADT and health-related quality of life