Risk attribution — Morton Auer
v1.0 · cal 2026-05-22Component breakdown showing every feature that contributed to this patient's risk score.
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
Demographic
Subtotal +5- +5
Age ≥ 70
Advanced age is an independent risk factor for PDAC.
Evidence: Current age 105· Threshold: 70 years
Symptom
Subtotal +14- +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
Comorbidity
Subtotal +13- +13
Has chronic condition(s)
Chronic disease burden warrants ongoing surveillance.
Evidence: 3 active conditions
Imaging
Subtotal +10- +10
CT of abdomen on record
Imaging suggests the patient has been worked up for pancreatic concern.
Evidence: CT on 2023-04-10
Procedure
Subtotal +42- +20
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
- +22
Tissue diagnosis procedure
Biopsy or resection indicates definitive workup or treatment.
Evidence: EUS-guided fine needle aspiration of pancreas on 2023-01-21
Pathology
Subtotal +40- +25
Pancreatic tumor confirmed
Confirmed pancreatic malignancy is the defining factor for groups H–J.
Evidence: Pancreatic adenocarcinoma TNM stage IV· Triggers PANDA group H
- +15
Stage IV disease
Metastatic disease puts the patient in the highest-risk group with palliative-intent management.
Evidence: Pancreatic adenocarcinoma TNM stage IV
Treatment
Subtotal +20- +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
Response
Subtotal +30- +18
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
- +12
Patient deceased
Score retained for cohort/historical analytics; treatment intent is post-mortem.
Evidence: Death recorded 1974-09-18
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.