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IMDC (Heng) Risk Criteria for Metastatic RCC

The IMDC criteria stratify metastatic renal cell carcinoma patients into favourable, intermediate, or poor risk groups using six clinical and laboratory factors, guiding first-line systemic therapy selection.

Purpose:
Risk-stratify metastatic RCC patients for first-line treatment selection
Population:
Patients with metastatic renal cell carcinoma initiating systemic therapy
Factors:
KPS <80%, Time from diagnosis to treatment <1 year, Haemoglobin below normal, Corrected calcium above normal, Neutrophils above normal, Platelets above normal
Reference:
Heng et al., JCO 2009
HomeIMDC (Heng) Risk Criteria Calculator — Metastatic Renal Cell Carcinoma
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IMDC (Heng) Risk Criteria Calculator — Metastatic Renal Cell Carcinoma

Clinical Context & Background

The International Metastatic Renal Cell Carcinoma Database Consortium (IMDC) or Heng Risk Score is a prognostic model used to stratify patients with metastatic renal cell carcinoma (mRCC) treated with targeted therapy. It helps guide treatment selection (e.g., dual immunotherapy vs. TKI/IO combinations).
Formula Logic
Sum of 6 risk factors (1 point each)

Reference Data

Risk GroupNumber of Risk FactorsMedian Overall Survival
Favorable Risk043.2 months
Intermediate Risk1 - 222.5 months
Poor Risk≥ 37.8 months

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