The penultimate step in characterising the costs and consequences of an option is to determine whether there might be significant interest in, or pressure, to adapt an option that has been tried elsewhere.
Therefore, the LDCs and policy makers need to encourage customers to adapt these options in the long-run.
Secondly, one must keep in mind the primary goal of these classifications which is to adapt treatment options to the individual patient prognosis.
An option to adapt the selection criteria to the input data is the use of meta-learning to build knowledge-based systems capable to choose the most appropriate selection strategy among several available candidates.
The economics of establishing perennial species as renewable energy feedstocks has been widely investigated as a climate change adapted diversification option for landholders, primarily using net present value (NPV) analysis.
Theoretically, the published nomogram offers the advantage of condensing the high heterogeneity of the disease into a simple and easily interpretable format to guide the decision-making process towards the most adapted treatment options or follow-up strategies.
In particular, predicting individualised outcome based on prognostic factors may help to identify patients at risk and hence to decide on the most adapted treatment options, which follow-up strategies to adopt and how to best counsel the patient.
In conclusion, although nomogram may improve medical management and guide the decision-making process towards the most adapted treatment options or follow-up strategies, concerns to use it routinely have been raised especially with regard to the clinical relevance of that tool.
One possible solution is to develop and adapt existing programme options.
Alternatively, when there is no option to adapt the treatment program to the patients personal needs, selection of eligible patients (i.e. patients with less anxiety, more positive illness beliefs, less pronounced symptoms and/or a higher educational level) might also improve the effectiveness of a multidisciplinary treatment.
