A good fit.

It’s no surprise that androgen deprivation therapy (ADT) is wildly unpopular, but is there anything we can do to help? Here’s an pragmatic secondary analysis of pooled data on patients randomized to +/- formal exercise programs when initiated ADT, specifically focusing on the 115 patients also initiating prostate radiation during this intervention. Before pooh-poohing this as a soft intervention, there were clear reductions seen in both physical and sexual activity as well as energy among the control group while no such reductions were seen in the exercise group, and pain at 6 months was halved with exercise. Brilliant...as long as we can understand how to carry this forward to our real-world, off-trial patients. We’re going to take this opportunity to ask someone to please make a shareable guide for ready implementation so we can all work to amplify such practical findings. | Schumacher, Pract Radiat Oncol 2021

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