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CML chronic phase with Hasford (EURO) high risk — supports 2nd-generation TKI 1L (dasatin...

Vue déterministe de l'entité source de la LJAM. L'autorité clinique demeure avec les ID de la source cités et l'état d'approbation de l ́examinateur.

IDRF-HASFORD-HIGH
TypeSignal d’alerte
Étatreviewed 2026-04-27 | pending_clinical_signoff
MaladiesDIS-CML
SourcesSRC-ELN-CML-2020 SRC-ESMO-CML-2017 SRC-NCCN-MPN-2025

Origine du drapeau rouge

DéfinitionCML chronic phase with Hasford (EURO) high risk — supports 2nd-generation TKI 1L (dasatinib / nilotinib / bosutinib) over imatinib; comparable rationale to Sokal-high
Direction cliniqueintensifier
Catégoriescore de risque
Algorithme de décalageALGO-CML-1L

Logique de déclenchement

{
  "any_of": [
    {
      "finding": "cml_hasford_risk",
      "value": "high"
    },
    {
      "finding": "cml_euro_risk",
      "value": "high"
    },
    {
      "comparator": ">",
      "finding": "cml_hasford_score",
      "threshold": 1480
    }
  ],
  "type": "composite_score"
}

Notes

Hasford / EURO score (Hasford 1998) refined Sokal by adding eosinophils and basophils; high-risk = >1480. Hasford-high and Sokal-high overlap substantially but identify slightly different subsets. ELN 2020 recognizes both alongside the newer ELTS but prefers ELTS for treatment-free remission planning. Direction `intensify` to 2nd-gen TKI 1L; co-fires with RF-SOKAL-HIGH and the existing RF-CML-HIGH-RISK-ELTS. The CML-1L algorithm picks the 2nd-gen track as long as comorbidity flags don't de-escalate.

Utilisé par

Algorithmes

Signal d’alerte