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• W2093305355 abstract "Several nomograms have been developed to assist clinicians with the care of urologic patients. Although these tools represent a useful addition to the clinical armamentarium, the need for additional nomograms and the benefits of existing nomograms have been questioned [1–2]. We will attempt to answer the concerns of Dr. Catto and provide arguments for the usefulness of nomograms in medical decision-making (MDM). First, Dr. Catto and others [1–2] assert that nomograms do not predict with adequate accuracy to warrant their clinical use. We all agree, however, that accurate estimates of the likelihood of cancer diagnosis, stage, clinical significance, treatment success, complications, and long-term morbidity are essential for patient counseling and informed MDM. Properly informing the patient of these likelihoods will improve his or her satisfaction after treatment. Lack of patient involvement has been identified as a major risk factor for regret of treatment choice [3], particularly when complications arise [4]. Therefore, accurate estimates of risk are essential for physicians if they are to recommend a specific management. Traditionally, physician judgment has formed the basis for risk estimation, patient counseling, and decision-making. However, clinicians’ estimates might be biased due to subjective and objective confounders that exist at all stages of the prediction process [5–8]. Clinicians do not recall all cases equally; certain cases can stand out and exert an unsuitably large influence when predicting future" @default.
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• W2093305355 date "2008-07-01" @default.
• W2093305355 modified "2023-10-03" @default.
• W2093305355 title "Rebuttal from Authors re: James W.F. Catto. More Nomograms or Better Evidence of Efficacy: What Do We Need in Urologic Oncology? Eur Urol 2008;54:11–12" @default.
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• W2093305355 doi "https://doi.org/10.1016/j.eururo.2008.02.029" @default.
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