OR
NPI 3.4-5.4
Chemotherapy Benefit?
CDK4/6 eligible
Endocrine
Pre menopausal
<35 yrs
OFS
SOFT Trials
TEXT Trials
>35 yrs
Extended tamoxifen
aTTom Trials
ATLAS Trials
Post menopausal
AI 10 years
+/- bisphosphonates