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Risk attribution — Morton Auer

v1.0 · cal 2026-05-22

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

Computed = stored(J vs J)Open patient detail

Computed score

100

Group J · Stage IV / progressing

Stored A–J score

94

Group J · Stage IV / progressing

Score buildup

Baseline 5 + +174 positive = 100

BaselineDemographicSymptomComorbidityImagingProcedurePathologyTreatmentResponse

Demographic

Subtotal +5
  • Age ≥ 70

    Advanced age is an independent risk factor for PDAC.

    Evidence: Current age 105· Threshold: 70 years

    +5

Symptom

Subtotal +14
  • Abdominal pain at age ≥ 50

    Unexplained abdominal pain in a patient over 50 warrants pancreas evaluation.

    Evidence: Onset 2022-09-02· Triggers PANDA group C

    +14

Comorbidity

Subtotal +13
  • Has chronic condition(s)

    Chronic disease burden warrants ongoing surveillance.

    Evidence: 3 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 2023-04-10

    +10

Procedure

Subtotal +42
  • EUS performed

    EUS is the highest-resolution modality for sub-cm pancreatic lesions; performance implies clinical concern.

    Evidence: Endoscopic ultrasonography of pancreas on 2023-01-18· Triggers PANDA group G

    +20
  • Tissue diagnosis procedure

    Biopsy or resection indicates definitive workup or treatment.

    Evidence: EUS-guided fine needle aspiration of pancreas on 2023-01-21

    +22

Pathology

Subtotal +40
  • Pancreatic tumor confirmed

    Confirmed pancreatic malignancy is the defining factor for groups H–J.

    Evidence: Pancreatic adenocarcinoma TNM stage IV· Triggers PANDA group H

    +25
  • Stage IV disease

    Metastatic disease puts the patient in the highest-risk group with palliative-intent management.

    Evidence: Pancreatic adenocarcinoma TNM stage IV

    +15

Treatment

Subtotal +20
  • Active chemotherapy

    Active cytotoxic therapy implies confirmed malignancy with treatment intent.

    Evidence: Oxaliplatin 85 MG/M2 Injection, Irinotecan 180 MG/M2 Injection· Triggers PANDA group I

    +20

Response

Subtotal +30
  • Disease progression documented

    RECIST PD recorded — escalates urgency and changes treatment plan.

    Evidence: At least one RECIST PD event in tumor_measurements· Triggers PANDA group J

    +18
  • Patient deceased

    Score retained for cohort/historical analytics; treatment intent is post-mortem.

    Evidence: Death recorded 1974-09-18

    +12

The Risk Engine computed group (J) is derived purely from the feature contributions above. The stored A–J group (J) 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.