Table 1.
Randomized trials evaluating post-lumpectomy radiation benefit in older patients.
| Study | Inclusion age criteria (years) | T-size | Randomization | # patients | Local relapse (%) p value; F/U years |
Distant relapse (n = no. of patients) or (%) |
Overall survival (%) p value; F/U years |
|||
|---|---|---|---|---|---|---|---|---|---|---|
| ET + RT | ET | ET + RT | ET | ET + RT | ET | |||||
|
CALGB 9343 JCO 2013 |
≥ 70 years | ≤ 2cm | ET vs ET + RT | 636 | 2% | 10% | n = 17 | n = 10 | 67% | 66% |
| p < 0.001; 10-years | 10-years | p = 0.64; 10-years | ||||||||
|
ABCSG 8A Trial Int. J. Rad. Biol Phy 2007 |
≥ 50 years | < 3cm | ET vs ET + RT | 831 | 2.5% | 7.6% | n = 16 | n = 12 | 86.6% | 87.6% |
| p = 0.0004; 10-years | 10-years |
No difference p = 0.18; 10-years |
||||||||
|
Canadian Trial NEJM 2004 |
≥ 50 years | ≤ 5cm | ET vs ET + RT | 769 | 0.6% | 7.7% | 4.5% | 4% | 93.2% | 92.8% |
| p = <0.001; 8-years | 8-years |
No difference p = 0.69; 8-years |
||||||||
|
PRIME II NEJM 2023 |
≥ 65 years | ≤ 3cm | ET vs ET + RT | 1326 | 0.9% | 9.8% | 0.5% | 1% | 81% | 80.4% |
| p = 0.0008; 10-years | 5-years |
No difference (p = 0.34; 10-years) |
||||||||