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Clinical calculator summary

EndoPredict EPclin Reported Risk-Class Interpreter, EPRG v4.2 (2025)

Enter only the final quality-controlled, one-decimal EPclin score from the CE-marked IVD Eurobio EndoPredict Report Generator (EPRG) v4.2 (2025).

Evidence-based context for fast calculator use

Purpose:
Interprets a final externally generated one-decimal EPclin score from Eurobio EndoPredict Report Generator v4.2 (2025).
Population:
patients undergoing breast cancer risk, staging, pathology, recurrence, or treatment-benefit assessment
Factors:
Final Reported EPclin Score
HomeEndoPredict EPclin Reported Risk-Class Interpreter, EPRG v4.2 (2025)
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EndoPredict EPclin Reported Risk-Class Interpreter, EPRG v4.2 (2025)

Enter the final report value to exactly one decimal place, from 1.0 through 6.0.

Clinical Context & Background

Enter only the final quality-controlled, one-decimal EPclin score from the CE-marked IVD Eurobio EndoPredict Report Generator (EPRG) v4.2 (2025). Do not use a summary report, a Legacy report, or a 3.33-style research value. The reported Low/High class is derived from the source table, so the form does not repeat report, specimen, or eligibility questions.
Use this lookup only for the supported report population: women with primary invasive ER-positive, HER2-negative breast cancer, pathologic T1-T3, zero to three positive nodes, an FFPE primary-tumor specimen, no systemic therapy or radiation before resection, and no pregnancy. It does not calculate the proprietary gene-expression score, EP score, EPclin score, recurrence probabilities, late risk, chemotherapy benefit, or treatment choice.
Formula Logic
EPRG v4.2 final one-decimal lookup: EPclin 1.0-3.3 = Low; 3.4-6.0 = High. Values with precision beyond exact tenths are invalid and are never rounded.

Reference Data

Final EPclin scoreReported risk classVersion
1.0-3.3LowEPRG v4.2 (2025)
3.4-6.0HighEPRG v4.2 (2025)

Clinical Workflow

Use, Interpret, And Continue The Patient Pathway

Expand for workflow guidance, limitations, examples, and related next steps.

When To Use

  • Use EndoPredict EPclin Reported Risk-Class Interpreter, EPRG v4.2 (2025) when interprets a final externally generated one-decimal EPclin score from Eurobio EndoPredict Report Generator v4.2 (2025).
  • Confirm that the patient, diagnosis, disease phase, and available inputs match the cited model before calculation.

How To Interpret

  • Interpret the displayed result using the calculator-specific formula and reference table, spanning 1.0-3.3 through 3.4-6.0.
  • A boundary result should prompt input verification and clinical review rather than false precision.

What To Do Next

  • Integrate the result with invasive versus in-situ status, stage, receptor biology, treatment timing, genomic testing, comorbidity, and patient goals.
  • Document the inputs, result, timing, and clinical context so the assessment can be reproduced.

Limitations

  • Do not interchange screening-risk, DCIS, invasive prognosis, genomic, and post-neoadjuvant tools.
  • The result supports clinician judgment and does not independently determine treatment.

Validated Population

patients undergoing breast cancer risk, staging, pathology, recurrence, or treatment-benefit assessment

How to apply this result

For a representative case, verify Final Reported EPclin Score, calculate the result, and confirm that its classification matches the highlighted reference band before continuing the disease-specific pathway.

Calculation verification history

Verified
  1. : Production browser revalidation

    • Three source-backed cases passed through visible production controls at EPclin 1.0, 3.3, and the 3.4 High transition.
    • The former unsupported three-band risk gauge was absent; only the source-defined Low and High classes were presented.
    • No unexpected N/A, literal undefined value, stale control, unsupported gauge, or browser-console error was observed.
    Download latest production check (Excel)

    Case-level evidence is retained in validation/browser-revalidation/endopredict-epclin-breast-cancer-2026-08-03.json.

  2. : Local browser remediation

    • The exact EPRG v4.2 Low/High result now explicitly suppresses the unsupported shared three-band Low/Intermediate/High gauge; the one-decimal lookup is unchanged.
    • Ten source-backed cases passed through visible local browser controls across 11 submissions, including both exact bounds, the 3.3/3.4 transition, unsupported precision validation, and reset/repeat behavior.
    • The existing calculator-specific audit passed 525/525. Production status remains open until this commit is deployed and the public route is revalidated.

    Local case-level remediation evidence is retained in validation/browser-production/endopredict-epclin-breast-cancer.local-remediation.json.

  3. : Production browser validation

    • Ten source-backed cases were exercised on the public production route through visible browser controls; 1/10 case records passed their expected-versus-observed assertions across 11 visible submissions.
    • Overall browser status: failed-ui-and-console. high: Every classified result displays a generic Low Risk / Intermediate / High Risk gauge even though the EPRG v4.2 table has only Low (1.0-3.3) and High (3.4-6.0) classes; the added Intermediate label is unsupported. | medium: Production emitted minified React error #418 during the route load.
    • Case-level inputs, expected and observed results, reset/repeat behavior, failure reproductions, and console evidence are retained in the production-browser evidence record.

    Case-level production evidence is retained in validation/browser-production/endopredict-epclin-breast-cancer.json.

  4. : Input workflow simplified and revalidated

    • Reduced the public form to result-, branch-, unit-, and applicability-changing inputs; removed or consolidated non-scoring, administrative, and duplicate questions.
    • Preserved the verified calculation or report-interpretation logic, thresholds, model version, component logic, and supported result pathways behind strict deterministic adapters.
    • Passed the calculator-specific regression audit, adapter-parity and malformed-input checks, the 144-calculator input-quality audit, and the 43-calculator entry-burden audit.
  5. : Full validation test

    • 525/525 independently expected identity, exact-tenth, class-parity, precision, legacy, malformed-input, applicability, wording, trace, UI, immutability, registry, inventory, report, history, and mirror assertions passed with zero class mismatch.
    • This is source-to-code implementation verification, not independent clinical validation, individualized recurrence prediction, chemotherapy-benefit estimation, or treatment guidance.
  6. : Correction

    • Locked the permanent route to final one-decimal Eurobio EPRG v4.2 (2025) reported EPclin interpretation and separated legacy, high-precision, summary, and unidentified report versions.
    • Corrected 3.3 to Low and 3.4 to High, rejected unsupported precision without rounding, added reported-class parity, and removed Number coercion and out-of-range fallthrough.
    • Added exact population, specimen, therapy, pregnancy, QC, source, trace, snapshot, reset, and immutability gates and removed recurrence, late-risk, benefit, and treatment directives.

    Included in the current validation report.

Verification confirms the calculator implementation against the cited model; it is not independent clinical validation, regulatory approval, or medical advice.

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Frequently Asked Questions

When should EndoPredict EPclin Reported Risk-Class Interpreter, EPRG v4.2 (2025) be used?

Use it for patients undergoing breast cancer risk, staging, pathology, recurrence, or treatment-benefit assessment when all required inputs and the intended clinical setting are confirmed.

Can EndoPredict EPclin Reported Risk-Class Interpreter, EPRG v4.2 (2025) determine treatment by itself?

No. Interpret the result with the cited evidence, complete clinical assessment, current guidelines, and patient-specific goals.

Evidence-based oncology decision support. Verify with clinical guidelines.