HCT-CI (Transplant Comorbidity Index, Sorror)

Sorror HCT-CI hematopoietic-cell-transplantation comorbidity index (Sorror 2005): weighted organ comorbidities sum to a score banding non-relapse mortality (0 low, 1–2 intermediate, ≥ 3 high).

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Prior solid tumor
Yes

Result: HCT-CI 3 — high risk (≥ 3).

The tool opens with these values already filled in. Replace them with your own.

What the result means

Groups
Low 0, intermediate 1–2, high ≥ 3. The pre-transplant non-relapse-mortality risk estimate, not a go/no-go order.

What you enter

  • Arrhythmia (+1)
  • Cardiac — CAD / CHF / MI / EF ≤ 50% (+1)
  • Inflammatory bowel disease (+1)
  • Diabetes on treatment (+1)
  • Cerebrovascular disease (+1)
  • Psychiatric disturbance (+1)
  • Obesity (BMI > 35) (+1)
  • Infection — antibiotics past day 0 (+1)
The other 7 fields
  • Rheumatologic disease (+2)
  • Peptic ulcer needing treatment (+2)
  • Moderate renal — Cr > 2 mg/dL / dialysis / transplant (+2)
  • Prior solid tumor (+3)
  • Heart-valve disease (+3)
  • Hepatic disease
  • Pulmonary disease
How this is calculated
Weights
+1 arrhythmia, cardiac, IBD, diabetes, CVA, psychiatric, obesity, infection, mild hepatic; +2 rheumatologic, peptic ulcer, moderate renal/pulmonary; +3 solid tumor, heart valve, severe lung/hepatic.

Sorror ML, Maris MB, Storb R, et al. Hematopoietic cell transplantation (HCT)-specific comorbidity index: a new tool for risk assessment before allogeneic HCT. Blood. 2005;106(8):2912-2919. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.