MASCC Risk Index (febrile neutropenia)

MASCC risk index (Klastersky 2000) for febrile neutropenia.

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

Example

Burden of febrile-neutropenia illness
No or mild symptoms (5)
No hypotension
Yes
No chronic obstructive pulmonary disease
Yes
Solid tumor / no prior fungal infection
Yes
No dehydration requiring fluids
Yes
Outpatient at fever onset
Yes
Age < 60 years
Yes

Result: MASCC 26: LOW risk for serious complications (>= 21) -- a candidate for outpatient/oral management per the source.

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

What the result means

Score (max 26)
burden of illness (no/mild 5, moderate 3) + no hypotension 5 + no COPD 4 + solid tumor/no fungal 4 + no dehydration 3 + outpatient 3 + age < 60 2.
Risk
>= 21 identifies a low-risk febrile-neutropenic patient -- a candidate for outpatient/oral management. Reports the index only.

What you enter

  • Burden of febrile-neutropenia illness
  • No hypotension (SBP > 90)
  • No chronic obstructive pulmonary disease
  • Solid tumor / no prior fungal infection
  • No dehydration requiring fluids
  • Outpatient at fever onset
  • Age < 60 years
How this is calculated

Klastersky J, Paesmans M, Rubenstein EB, et al. The Multinational Association for Supportive Care in Cancer risk index: a multinational scoring system for identifying low-risk febrile neutropenic cancer patients. J Clin Oncol. 2000;18(16):3038-3051. 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.