5 min 5 steps
Objective
Build a complete prognostic picture before surgery using the MSKCC nomogram suite.
Clinical scenario
Beyond the technical decision, the patient and the team need the mid- and long-term prognosis to choose between treatment strategies.
Step by step in the app
- 1
Open the MSKCC Nomograms
In the More menu, open the MSKCC suite. All calculators run locally on the device.
- 2
Run the pre-prostatectomy model
Provide PSA, grade group and stage to get biochemical recurrence at 2/5/7/10 years and the adverse features (ECE, LNI, SVI, OCD).
- 3
Assess cancer-specific mortality
The same module estimates freedom from cancer death at 5/10/15 years.
- 4
Check life expectancy
Use the life-expectancy module adjusted by health quartile to contextualize the treatment benefit.
- 5
Combine with PSA density
PSA density and prostate volume round out the risk picture.
Clinical pearls
- Adjusted life expectancy is decisive in older patients — it can change the indication for active treatment.
- The MSKCC adverse features help anticipate the need for adjuvant therapy.
References
- MSKCC nomograms (local coefficients)