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Clinical calculator summary

MSKCC Gastric Cancer Nomogram

The MSKCC Gastric Cancer Nomogram predicts disease-specific survival after R0 resection.

Evidence-based context for fast calculator use

Purpose:
MSKCC Gastric Cancer Nomogram estimates disease-specific survival after R0 gastrectomy to guide adjuvant chemotherapy decisions in gastric cancer.
Population:
patients undergoing gastric or pancreatic cancer pathology, recurrence, or postoperative prognostic assessment
Factors:
Depth of Invasion, Number of Positive Nodes, Tumor Location, Age
Reference:
Kattan MW, Karpeh MS, Mazumdar M, Brennan MF. Postoperative nomogram for disease-specific survival after an R0 resection for gastric carcinoma. J Clin Oncol. 2003;21(19):3647-3650.
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MSKCC Gastric Cancer Nomogram

Clinical Context & Background

The MSKCC Gastric Cancer Nomogram predicts disease-specific survival after R0 resection. It provides a more individualized prognosis than TNM staging alone by treating age and node count as continuous variables. (Simplified point-based approximation).
Primary Source EvidenceKattan MW, Karpeh MS, Mazumdar M, Brennan MF. Postoperative nomogram for disease-specific survival after an R0 resection for gastric carcinoma. J Clin Oncol. 2003;21(19):3647-3650.
Formula Logic
Prognostic score based on T-stage, Node Ratio/Count, Site, and Age.

Reference Data

Risk CategoryPoints5-Year Survival Est.
Favorable< 100> 80%
Intermediate100 - 18040% - 80%
Poor> 180< 40%

Clinical Workflow

Use, Interpret, And Continue The Patient Pathway

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

When To Use

  • Use MSKCC Gastric Cancer Nomogram when mSKCC Gastric Cancer Nomogram estimates disease-specific survival after R0 gastrectomy to guide adjuvant chemotherapy decisions in gastric cancer.
  • 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 through Poor.
  • A boundary result should prompt input verification and clinical review rather than false precision.

What To Do Next

  • Confirm resection status, pathologic stage, nodal assessment, margins, histology, treatment timing, and whether the model is postoperative or preoperative.
  • Document the inputs, result, timing, and clinical context so the assessment can be reproduced.

Limitations

  • Postoperative nomograms and fistula-risk tools answer different questions and are not treatment-selection rules.
  • The result supports clinician judgment and does not independently determine treatment.

Validated Population

patients undergoing gastric or pancreatic cancer pathology, recurrence, or postoperative prognostic assessment

How to apply this result

For a representative case, verify Depth of Invasion, Number of Positive Nodes, Tumor Location, calculate the result, and confirm that its classification matches the highlighted reference band before continuing the disease-specific pathway.

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MSKCC Pancreatic Cancer NomogramFistula Risk Score (FRS)JGCA Risk Classifier (EGC Curability)

Frequently Asked Questions

When should MSKCC Gastric Cancer Nomogram be used?

Use it for patients undergoing gastric or pancreatic cancer pathology, recurrence, or postoperative prognostic assessment when all required inputs and the intended clinical setting are confirmed.

Can MSKCC Gastric Cancer Nomogram 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.