Thanks, I've read these studies. The meta-analysis study that I think you're referring did not delineate FIR versus UIR ("...The original intention of our meta-analysis study was to further divide intermediate-risk PC into FIR and UIR. However, after analyzing the included studies, we found that few studies conducted this subgroup analysis.). For the UIF group like me, especially with the confirmation of a Decipher analysis, I believe there's a stronger case for consideration for at least a short course of ADT. There is at least retrospective data which suggest that ADT benefits patients with unfavorable, but not favorable, intermediate-risk cancer, others suggest there is no added value with ADT for men over 70 in conjunction with RT. Bottom line, it's pretty squishy for a 70 yr old with UIR. I may roll the dice and do a short course (4 months) of ADT...