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.
- Clinical decision making
- Individual risk stratification
- Prostate cancer
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