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🧬 Prognostic Nutritional Index (Onodera PNI)

UsePredict surgical and oncologic risk from albumin and lymphocytes.

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SourceOnodera T, et al. 1984

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Score + version; reference only — not a substitute for care · no HIS write

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Methodology · worked example, guidelines & full notes
Clinical takeaway

Lower PNI links to more complications and worse prognosis.

When to use

Predict surgical and oncologic risk from albumin and lymphocytes.

How it works

PNI = 10 × albumin (g/dL) + 0.005 × lymphocyte count (/µL). Onodera cut-offs: > 45, 40–45, < 40.

Key points

  • Lower PNI links to more complications and worse prognosis.
  • Cut-offs vary by tumour and population.
  • Easy to calculate from routine labs.

References

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Albumin4.0 g/dL
Total lymphocyte count1500 cells/µL

→PNI47.5

  • Interpretation:> 45
  • Formula:10 × albumin (g/dL) + 0.005 × lymphocytes (/µL)
Verification & sources · governance
FAQ

Frequently asked questions

What are the limits and cautions when using Prognostic Nutritional Index (Onodera PNI)?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
Does Prognostic Nutritional Index (Onodera PNI) upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is Prognostic Nutritional Index (Onodera PNI) calculated in practice? Can you show a worked example?
Inputs: Albumin 4.0 g/dL, Total lymphocyte count 1500 cells/µL → Result: PNI 47.5(Interpretation: > 45, Formula: 10 × albumin (g/dL) + 0.005 × lymphocytes (/µL))
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