Oncology• Intermediate

MASCC Risk Index for Febrile Neutropenia

Stratifies cancer patients with febrile neutropenia into low- vs high-risk for severe complications.

Clinical Parameters

7 Variables

Awaiting Clinical Parameters

Configure the patient variables on the left and select Calculate Result to generate the clinical score and stratification.

Verified 2026 Guidelines•Instant Calculation
Jump to Formula & Clinical Protocol ↓
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Clinical Significance & Diagnostic Standard
2026 Clinical Reference

What is the MASCC Risk Index for Febrile Neutropenia?

📋Clinical Summary & Definition Capsule

The MASCC Risk Index for Febrile Neutropenia is an evidence-based clinical decision rule engineered to quantify diagnostic probability, stratify clinical severity, and guide therapeutic decision-making in oncology practice. The Multinational Association for Supportive Care in Cancer (MASCC) score identifies oncology patients presenting with chemotherapy-induced febrile neutropenia who have a low risk of medical complications (score ≥ 21), facilitating safe outpatient oral antibiotic management. Clinical scoring tools like MASCC Risk Index for Febrile Neutropenia are essential in acute and outpatient management, enabling clinicians to objectively differentiate between low-risk candidates suitable for conservative therapy and high-risk patients requiring urgent interventions. Verified against current 2026 clinical standards, this tool is extensively tested on Gulf health authority licensing exams including DHA (Dubai), SMLE (Saudi Arabia), MOH, HAAD/DOH (Abu Dhabi), OMSB (Oman), and QCHP (Qatar).

💡Clinical Pearls & Diagnostic Utility

Empowers oncologists and emergency physicians to safely select appropriate candidates for outpatient oral antimicrobial therapy versus urgent inpatient IV therapy.

Mathematical Formulation

Formula & Calculation Parameters

The mathematical equation and clinical variables required to calculate MASCC Risk Index for Febrile Neutropenia:

MASCC Score (0-26) = Symptom burden (0/3/5) + No Hypotension (5) + No COPD (4) + Solid Tumor (4) + No Dehydration (3) + Outpatient (3) + Age <60 (2)
Risk Stratification

Score Interpretation & Clinical Stratification

Score RangeClinical InterpretationRisk Tier
≤ 20High Risk Febrile Neutropenia (< 21 pts)red
≥ 21Low Risk Febrile Neutropenia (≥ 21 pts)green
Clinical Limitations & Contraindications

When to Exercise Caution

Not applicable to pediatric cancer patients; clinical judgment supersedes score if severe localized infection, hemodynamic compromise, or poor social support is present.

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Medical Review & Guidelines Compliance
MD

Clinical Review Board

Dr. Muhammad Nouman, MBBS

Capital Medical University | PMDC Reg No: 117744-P

Clinical Audit Status

✓ Verified for 2026 Guidelines

Last updated: 2026-08-08

Peer-Reviewed Medical Literature

  • •Klastersky J, 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.
  • •Taplitz RA, et al. Outpatient Management of Fever and Neutropenia in Adults Treated for Malignancy: ASCO and IDSA Clinical Practice Guideline Update. J Clin Oncol. 2018;36(14):1443-1453.
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Clinical calculations like MASCC Risk Index for Febrile Neutropenia are essential knowledge across Gulf health licensing authorities. Review official exam blueprints, verify pass marks (SMLE: 70%), and access free practice test engines: