Age ≥80 + ECOG ≥2 + comorbidity — ICI doublet toxicity prohibitive.
Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.
| ID | RF-RCC-FRAILTY-AGE |
|---|---|
| Type | Red flag |
| Status | pending_clinical_signoff |
| Diseases | DIS-RCC |
| Sources | SRC-ESMO-RCC-2024 SRC-NCCN-KIDNEY-2025 |
Red Flag Origin
| Definition | Age ≥80 + ECOG ≥2 + comorbidity — ICI doublet toxicity prohibitive. |
|---|---|
| Clinical direction | de-escalate |
| Category | frailty-age |
Trigger Logic
{
"all_of": [
{
"comparator": ">=",
"finding": "age_years",
"threshold": 80
},
{
"any_of": [
{
"comparator": ">=",
"finding": "ecog_status",
"threshold": 2
},
{
"comparator": ">=",
"finding": "comorbidity_count",
"threshold": 2
}
]
}
],
"type": "composite_clinical"
}
Notes
Single-agent TKI or ICI mono (KEYNOTE-427) alternatives.
Used By
Red flag
RF-RCC-IMDC-INTERMEDIATE-POOR-RISK- IMDC (International Metastatic RCC Database Consortium) intermediate or poor risk score i...