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Haematology

Mutation-Adjusted Risk Score for Advanced Systemic Mastocytosis calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

years

Allowed range: 18–110 years

Quick picks

Age greater than 60 years scores 1 point. Age 60 does not.

g/dL

Allowed range: 4–20 g/dL

Quick picks

Hemoglobin under 10 g/dL scores 1 point. A value of 10 does not.

/µL

Allowed range: 1000–2000000 /µL

Quick picks

Platelets under 100×10^9/L score 1 point. A count of 100 does not.

SRSF2, ASXL1, or RUNX1 mutations

One mutated gene among SRSF2, ASXL1, and RUNX1 scores 1 point. Two or more of those genes score 2 points. The two categories are not added together.

Result

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Clinical inputs

  • Age (years)Accepted range: 18 to 110
  • Hemoglobin (g/dL)Accepted range: 4 to 20
  • Platelet count (×10^9/L)Accepted range: 1 to 2000
  • SRSF2, ASXL1, or RUNX1 mutations

Primary source

Jawhar M et al. MARS: Mutation-Adjusted Risk Score for Advanced Systemic Mastocytosis. J Clin Oncol. DOI: 10.1200/JCO.19.00640. PMID: 31509472. One point each for age >60 years, hemoglobin <10 g/dL, platelets <100×10^9/L, and one mutation among SRSF2, ASXL1, and RUNX1. Two points for two or more of those genes. One gene and two or more genes are separate categories, so the total runs from 0 to 5. Low risk is 0–1 (median overall survival not reached), intermediate risk is 2 (3.9 years in the training set), and high risk is 3–5 (1.9 years). (2019)

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