Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.

Viral Hepatitis and Liver Disease

Menu
Menu
Quick Links
Veterans Crisis Line Badge
My healthevet badge
 

Clip Scoring System

for Health Care Providers

CLIP Scoring System - Liver Cancer

VariablesScore: 0Score: 1Score: 2

The CLIP score for a patient with hepatocellular carcinoma is calculated by assigning a score (0, 1, or 2) to each of four clinical factors: a) Child-Pugh stage; b) number of tumor nodules and whether the tumor extends through ≤ 50% or > 50% of the liver; c) AFP; and d) portal vein thrombosis.


These scores are added together to yield a CLIP score of 0-6, with median survival by CLIP score as follows:

0 = 42.5 months
1 = 32.0 months
2 = 16.5 months
3 = 4.5 months
4 = 2.5 months
5-6 = 1 month

Child-Pugh stageABC
Tumor morphologyuninodular and extension ≤ 50%multinodular and extension ≤ 50% massive or extension > 50%
AFP (ng/dL)< 400≥ 400
Portal vein thrombosisnoyes