Should We Use Nomograms to Predict Outcome?

F. K H Chun, Alberto Briganti, Pierre I. Karakiewicz, Markus Graefen

Research output: Contribution to journalArticlepeer-review


Objective: To address the controversy surrounding the clinical significance of incorporating nomographic predictions into clinical decision making. Methods: We critically reviewed the literature to assess the clinical value of nomograms in clinical decision making. Results: The nomogram methodology offers a valid approach for the most accurate individual risk stratification. In the presence of sparse prospective evidence, most accurate and reliable retrospective risk stratification is helpful in clinical decision making. Conclusion: Our findings suggest that clinical decision making represents a challenging and complex procedure. Unbiased risk stratification improves clinical decision making. However, careful selection and acknowledgement of limitations prior to choosing a decision aid are mandatory.

Original languageEnglish
Pages (from-to)396-399
Number of pages4
JournalEuropean Urology, Supplements
Issue number5
Publication statusPublished - Apr 2008


  • Clinical decision making
  • Individual risk stratification
  • Nomogram
  • Prostate cancer

ASJC Scopus subject areas

  • Urology

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