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. 2021 Feb 23;73(2):429–438. doi: 10.1007/s13304-021-00999-4

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© The Author(s) 2021

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 6 — Decision curve analysis of BD-IPMN includes three main strategies: to treat all patients; to treat non patients; to treat the patients using nomogram as instrument of selection. The parameters of nomogram were reported also as single factor. Net benefit represents the patients correctly treated. The threshold probability represents the odd of malignancy for which the physician considered acceptable the surgical risk. The use of nomogram provide some advantage for a range of value 40–60% threshold probability of malignancy