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Clinical calculator summary

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.

Evidence-based context for fast calculator use

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

Clinical Workflow

Use, Interpret, And Continue The Patient Pathway

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

When To Use

  • Use IMDC (Heng) Risk Criteria Calculator — Metastatic Renal Cell Carcinoma when calculate the IMDC/Heng risk score for metastatic renal cell carcinoma. Evaluate 6 prognostic factors to classify patients as favourable, intermediate, or poor risk for first-line therapy selection.
  • 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 Favorable Risk through Poor Risk.
  • A boundary result should prompt input verification and clinical review rather than false precision.

What To Do Next

  • Confirm histology, localized versus metastatic setting, nephrectomy status, treatment line, and imaging before selecting surveillance or systemic-therapy pathways.
  • Document the inputs, result, timing, and clinical context so the assessment can be reproduced.

Limitations

  • Post-nephrectomy and metastatic RCC models are not interchangeable.
  • The result supports clinician judgment and does not independently determine treatment.

Validated Population

patients undergoing localized or metastatic renal cell carcinoma prognostic assessment

How to apply this result

For a representative case, verify Karnofsky Performance Status< 80%?, Time from diagnosis to systemic treatment < 1 year?, Hemoglobin < Lower Limit of Normal?, calculate the result, and confirm that its classification matches the highlighted reference band before continuing the disease-specific pathway.

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Frequently Asked Questions

When should IMDC (Heng) Risk Criteria Calculator — Metastatic Renal Cell Carcinoma be used?

Use it for patients undergoing localized or metastatic renal cell carcinoma prognostic assessment when all required inputs and the intended clinical setting are confirmed.

Can IMDC (Heng) Risk Criteria Calculator — Metastatic Renal Cell Carcinoma 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.