Risk attribution — Derek Ryan

v1.0 · cal 2026-05-22

Component breakdown showing every feature that contributed to this patient's risk score.

Computed ≠ stored(F vs G)Open patient detail

Computed score

Group F · Cyst / lesion confirmed

Stored A–J score

Group G · EUS surveillance

Score buildup

Baseline 5 + +56 positive = 61

BaselineDemographicComorbidityImagingProcedureFollow-up

Demographic

Subtotal +5

Age ≥ 70
Advanced age is an independent risk factor for PDAC.
Evidence: Current age 77· Threshold: 70 years
+5

Comorbidity

Subtotal +13

Has chronic condition(s)
Chronic disease burden warrants ongoing surveillance.
Evidence: 6 active conditions
+13

Imaging

Subtotal +10

CT of abdomen on record
Imaging suggests the patient has been worked up for pancreatic concern.
Evidence: CT on 2020-06-02
+10

Procedure

Subtotal +20

EUS performed
EUS is the highest-resolution modality for sub-cm pancreatic lesions; performance implies clinical concern.
Evidence: Endoscopic ultrasonography of pancreas on 2020-07-06· Triggers PANDA group G
+20

Follow-up

Subtotal +8

Missed surveillance
No encounter in over a year increases the chance of unrecognized progression.
Evidence: Last encounter 3294 days ago
+8

The Risk Engine computed group (F) is derived purely from the feature contributions above. The stored A–J group (G) comes from the cascade classifier in scripts/classify-risk.ts. Divergence between the two indicates a classifier rule that the scoring weights haven't captured, or vice versa — useful for calibration.