Update of the MSKCC nomogram for metastatic progression and its role in active surveillance: the Italian TPCP cohort - Takeaways - MDSpire

Update of the MSKCC nomogram for metastatic progression and its role in active surveillance: the Italian TPCP cohort

  • By

  • Nicolas Destefanis

  • Daniela Zugna

  • Valentina Fiano

  • Renata Zelic

  • Michelangelo Fiorentino

  • Francesca Giunchi

  • Piero Fariselli

  • Mauro Giulio Papotti

  • Paola Cassoni

  • Marco Oderda

  • Paolo Gontero

  • Luca Lianas

  • Mauro Del Rio

  • Giuseppe Carlo Iorio

  • Umberto Ricardi

  • Olof Akre

  • Andreas Pettersson

  • Lorenzo Richiardi

  • May 13, 2026

  • 0 min

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  • 1

    The MSKCC nomogram outperformed the D’Amico and CAPRA models in predicting metastatic prostate cancer and overall mortality.

  • 2

    Using the MSKCC nomogram increased the proportion of patients eligible for active surveillance from 7.8% to 57.0%.

  • 3

    The study analyzed 891 prostate cancer patients diagnosed in Turin, Italy, between 2008 and 2013.

  • 4

    The primary outcome measured was the occurrence of metastatic prostate cancer within five years of diagnosis.

  • 5

    Implementing nomogram-based risk thresholds could enhance patient selection for active surveillance and improve shared decision-making.

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