Bellmunt Risk Score as a Prognostic Tool in Metastatic Castration-Resistant Prostate Cancer Survival
JAMA Network Open 10.1001/jamanetworkopen.2026.0300March 06, 2026 at 11:00 AM EST
Is the Bellmunt Risk Score (BRS) a valid prognostic tool for predicting survival in patients with metastatic castration-resistant prostate cancer (mCRPC)?In this prognostic study using data for 1756 patients with mCRPC in the ACIS and ELM-PC-5 phase 3 trials, having a higher BRS was consistently associated with unfavorable overall survival and radiographic progression-free survival. The BRS remained a robust and independent prognostic factor for both outcomes in multivariable models.These findings suggest that the BRS provides validated and clinically meaningful prognostic information that can aid in guiding treatment decisions and risk stratification in patients with mCRPC.
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