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Calc Carg Tt

by magent in News & content

x402 APIPassing, checked 2 h ago

Hurria 2011 Table 5 CARG toxicity: age ≥72 (+2), GI/GU (+2, not inverted), standard dose (+2), polychemotherapy (+2), Hb male <11 or female <10 g/dL (+3), caller-assigned Jelliffe CrCl <34 (+3; magent does not compute Jelliffe), hearing fair/worse (+2), ≥1 fall in 6 months (+3), limited walking 1 block (+2), help with meds (+1), decreased social activity (+1). Max 19. 0-5 low 30%, 6-9 intermediate 52%, 10-19 high 83%. Not the 2016 revision, not CRASH, not a chemo order.

POST https://api.magentlab.com/api/calc/carg_tt

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Response time
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How to call it

# See the payment challenge (nothing is charged)
curl -i -X POST "https://api.magentlab.com/api/calc/carg_tt" \
  -H "content-type: application/json" \
  -d '{"items":[{"age":75,"decreased_social_activity":false,"falls_last_6_months":false,"gi_or_gu":true,"hearing_fair_or_worse":false,"hemoglobin_g_dl":12,"jelliffe_crcl_ml_min":50,"limited_walking_one_block":false,"needs_help_with_medications":false,"polychemotherapy":true,"sex":"male","standard_dose":true},{"age":75,"decreased_social_activity":false,"falls_last_6_months":false,"gi_or_gu":true,"hearing_fair_or_worse":false,"hemoglobin_g_dl":12,"jelliffe_crcl_ml_min":50,"limited_walking_one_block":false,"needs_help_with_medications":false,"polychemotherapy":true,"sex":"male","standard_dose":true}]}'
import { wrapFetchWithPayment } from "@x402/fetch";
import { x402Client } from "@x402/core/client";
import { ExactEvmScheme } from "@x402/evm/exact/client";
import { privateKeyToAccount } from "viem/accounts";

const client = new x402Client().register(
  "eip155:8453",
  new ExactEvmScheme(privateKeyToAccount(process.env.AGENT_KEY)),
);
const pay = wrapFetchWithPayment(fetch, client);

// Not sure it's safe to pay? Preflight it first for $0.005:
// GET https://toolvet.app/api/v1/check?url=https%3A%2F%2Fapi.magentlab.com%2Fapi%2Fcalc%2Fcarg_tt
const res = await pay("https://api.magentlab.com/api/calc/carg_tt", {
  method: "POST",
  headers: { "content-type": "application/json" },
  body: JSON.stringify({"items":[{"age":75,"decreased_social_activity":false,"falls_last_6_months":false,"gi_or_gu":true,"hearing_fair_or_worse":false,"hemoglobin_g_dl":12,"jelliffe_crcl_ml_min":50,"limited_walking_one_block":false,"needs_help_with_medications":false,"polychemotherapy":true,"sex":"male","standard_dose":true},{"age":75,"decreased_social_activity":false,"falls_last_6_months":false,"gi_or_gu":true,"hearing_fair_or_worse":false,"hemoglobin_g_dl":12,"jelliffe_crcl_ml_min":50,"limited_walking_one_block":false,"needs_help_with_medications":false,"polychemotherapy":true,"sex":"male","standard_dose":true}]}),
});
console.log(await res.json());

Example input

{
  "items": [
    {
      "age": 75,
      "decreased_social_activity": false,
      "falls_last_6_months": false,
      "gi_or_gu": true,
      "hearing_fair_or_worse": false,
      "hemoglobin_g_dl": 12,
      "jelliffe_crcl_ml_min": 50,
      "limited_walking_one_block": false,
      "needs_help_with_medications": false,
      "polychemotherapy": true,
      "sex": "male",
      "standard_dose": true
    },
    {
      "age": 75,
      "decreased_social_activity": false,
      "falls_last_6_months": false,
      "gi_or_gu": true,
      "hearing_fair_or_worse": false,
      "hemoglobin_g_dl": 12,
      "jelliffe_crcl_ml_min": 50,
      "limited_walking_one_block": false,
      "needs_help_with_medications": false,
      "polychemotherapy": true,
      "sex": "male",
      "standard_dose": true
    }
  ]
}

Example output

{
  "count": 2,
  "items": [
    {
      "citation": {
        "authors": "Hurria A, Togawa K, Mohile SG, et al.",
        "doi": "10.1200/JCO.2011.34.7625",
        "id": "hurria-2011",
        "pmid": "21810685",
        "source": "J Clin Oncol. 2011;29(25):3457-3465",
        "title": "Predicting chemotherapy toxicity in older adults with cancer: a prospective multicenter study"
      },
      "components": [
        {
          "factor": "age_ge_72",
          "points": 2,
          "present": true,
          "value": 75
        },
        {
          "factor": "gi_or_gu",
          "points": 2,
          "present": true
        },
        {
          "factor": "standard_dose",
          "points": 2,
          "present": true
        },
        {
          "factor": "polychemotherapy",
          "points": 2,
          "present": true
        },
        {
          "factor": "hemoglobin_low",
          "points": 0,
          "present": false,
          "value": {
            "hemoglobin_g_dl": 12,
            "sex": "male"
          }
        },
        {
          "factor": "jelliffe_crcl_lt_34",
          "points": 0,
          "present": false,
          "value": 50
        },
        {
          "factor": "hearing_fair_or_worse",
          "points": 0,
          "present": false
        },
        {
          "factor": "falls_last_6_months",
          "points": 0,
          "present": false
        },
        {
          "factor": "limited_walking_one_block",
          "points": 0,
          "present": false
        },
        {
          "factor": "needs_help_with_medications",
          "points": 0,
          "present": false
        },
        {
          "factor": "decreased_social_activity",
          "points": 0,
          "present": false
        }
      ],
      "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
      "formula": "carg_tt",
      "formula_expression": "CARG-TT = age_ge_72 (2) + gi_or_gu (2) + standard_dose (2) + polychemotherapy (2) + hemoglobin_low (3; male <11 g/dL or female <10 g/dL) + jelliffe_crcl_lt_34 (3) + hearing_fair_or_worse (2) + falls_last_6_months (3) + limited_walking_one_block (2) + needs_help_with_medications (1) + decreased_social_activity (1); Hurria 2011 Table 5; max 19; 0-5 low 30%, 6-9 intermediate 52%, 10-19 high 83%; GI/GU is +2 when present (not inverted); not CARG-TT 2016; not CRASH",
      "grade_3_to_5_toxicity_percent": 52,
      "max_score": 19,
      "risk_group": "intermediate",
      "score": 8
    },
    {
      "citation": {
        "authors": "Hurria A, Togawa K, Mohile SG, et al.",
        "doi": "10.1200/JCO.2011.34.7625",
        "id": "hurria-2011",
        "pmid": "21810685",
        "source": "J Clin Oncol. 2011;29(25):3457-3465",
        "title": "Predicting chemotherapy toxicity in older adults with cancer: a prospective mul

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