Should We Use Nomograms to Predict Outcome?

ObjectiveTo address the controversy surrounding the clinical significance of incorporating nomographic predictions into clinical decision making.MethodsWe critically reviewed the literature to assess the clinical value of nomograms in clinical decision making.ResultsThe 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.ConclusionOur 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.