{"uid":"cap_2nAKcoYMmXKcLE5upQVF1","slug":"magent-hcc-liver-decompensation-risk-classifier-citterio-2016-ef357b99","name":"magent HCC Liver Decompensation Risk Classifier (Citterio 2016)","description":"Citterio 2016 JAMA Surgery hierarchic classes for liver decompensation after HCC resection from caller-assigned portal_hypertension, major_hepatectomy, and meld (integer 6-40). High if PHT and major (LD 60.0%, liver-related mortality 25.0%). Low if no PHT, minor, and MELD ≤ 9 (LD 4.9%, mortality 4.4%). Else intermediate (LD 28.6%, mortality 9.0%). magent does not compute MELD or HVPG. Not a surgical indication, transplant listing, or medical device.","url":"https://api.magentlab.com/api/calc/hcc_ld","method":"GET","headers":{},"bodySchema":{"type":"object","$schema":"https://json-schema.org/draft/2020-12/schema","required":["input"],"properties":{"input":{"type":"object","required":["type","method"],"properties":{"type":{"type":"string","const":"http"},"method":{"enum":["GET","HEAD","DELETE"],"type":"string"},"headers":{"type":"object","additionalProperties":{"type":"string"}},"queryParams":{"type":"object","required":["portal_hypertension","major_hepatectomy","meld"],"properties":{"meld":{"type":"integer","description":"Caller-assigned MELD integer 6-40 (Citterio 2016). Low requires meld ≤ 9 when portal hypertension and major hepatectomy are both false. magent does not compute MELD."},"major_hepatectomy":{"type":"boolean","description":"Planned major hepatectomy as assigned by the caller (Citterio 2016). true or false. magent does not choose extent of resection."},"portal_hypertension":{"type":"boolean","description":"Clinically significant portal hypertension as assigned by the caller (Citterio 2016). true or false. magent does not measure HVPG or assign portal hypertension."}}}},"additionalProperties":false},"output":{"type":"object","required":["type"],"properties":{"type":{"type":"string"},"example":{"type":"object"}}}}},"responseSchema":null,"example":null,"exampleRequest":null,"tags":["x402"],"displayCostAmount":"0.005","displayCostAsset":"USDC","priceDynamic":false,"priceHint":null,"priceStatus":"priced","priceSource":"probe","requiresHandshake":false,"reviewCount":0,"rating":{"score":"0.00","successRate":"0.00","reviews":0,"stars":null,"state":"unrated"},"availabilityStatus":"unknown","priceObserved":null,"sessionDeposit":null,"pricing":{"kind":"static","summary":"$0.005/call","primary":{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"},"accepted":[{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"}]},"paymentMethods":[{"uid":"pm_Anu6bjOr3TaUsdOZevkrK","protocol":"x402","methodType":"crypto","chain":"base","mode":"charge","costAmount":"0.005","costPer":"request","priority":0,"asset":"0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913","unit":"request","depositMicros":null,"planRef":null}],"brandName":null,"brandSlug":null,"brandBaseUrl":null,"brandDocsUrl":null,"whatItDoes":"Classifies post-hepatectomy liver decompensation risk into Low, Intermediate, or High categories using the Citterio 2016 JAMA Surgery hierarchical model based on portal hypertension status, hepatectomy extent, and MELD score.","exampleAgentPrompt":"My patient has clinically significant portal hypertension and is planned for a major hepatectomy for HCC; their MELD score is 12 — can you classify their post-resection liver decompensation risk using the Citterio 2016 model?","exampleUseCases":[{"title":"Pre-operative HCC surgical risk stratification","prompt":"I have an HCC patient with no portal hypertension, planned for a minor resection, and a MELD of 8 — what liver decompensation risk class does the Citterio 2016 model assign them, and what are the expected LD and mortality rates?"},{"title":"High-risk hepatectomy patient counseling","prompt":"My patient has portal hypertension and needs a major hepatectomy for liver cancer with a MELD of 15 — classify their risk of liver decompensation and liver-related mortality so I can counsel them before surgery."},{"title":"Intermediate risk workup triage","prompt":"Can you run the Citterio 2016 liver decompensation classifier for a patient who has portal hypertension but is only getting a minor hepatectomy, with a MELD score of 11?"}],"resultDescription":"Returns the hierarchical Citterio 2016 risk class (High, Intermediate, or Low) along with the corresponding liver decompensation rate percentage and liver-related mortality rate percentage for the given combination of portal hypertension status, major hepatectomy extent, and MELD score.","failureModes":["MELD integer out of range (must be 6–40) returns validation error","Missing required query parameter (portal_hypertension, major_hepatectomy, or meld) returns 400 or similar error","Non-integer MELD value causes schema validation failure","Payment not fulfilled causes 402 Payment Required response","Service unavailable returns 5xx error"],"whenToPreferThis":"Choose this endpoint when you need to apply the specific Citterio 2016 JAMA Surgery hierarchical classification for post-HCC-resection liver decompensation risk and already have caller-assigned portal hypertension status, hepatectomy extent, and MELD score. This is not a general liver function calculator or MELD calculator — use it when the clinical team has already determined portal hypertension status and planned resection extent and simply needs the published risk class applied.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-14T13:04:50.365Z","isFirstParty":false}