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ECOG performance status
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Karnofsky performance scale
| Grade
|
Description
|
| 0
|
Fully active, able to continue with all pre-disease activities without restriction.
|
| 1
|
Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work.
|
| 2
|
Ambulatory and capable of all self-care but unable to carry out any work activities. Up and about more than 50% of waking hours.
|
| 3
|
Capable of only limited self-care. Confined to bed or chair more than 50% of waking hours.
|
| 4
|
Completely disabled. Cannot carry on any self-care. Totally confined to bed or chair.
|
| 5
|
Dead.
|
| Condition
|
Performance status %
|
Comments
|
| Able to carry on normal activity and to work. No special care needed.
|
100
|
Normal. No complaints. No evidence of disease.
|
| 90
|
Able to carry on normal activity. Minor signs or symptoms of disease.
|
| 80
|
Normal activity with effort. Some signs or symptoms of disease.
|
| Unable to work. Able to live at home and care for most personal needs. A varying degree of assistance is needed.
|
70
|
Cares for self. Unable to carry on normal activity or to do active work.
|
| 60
|
Requires occasional assistance, but is able to care for most of personal needs.
|
| 50
|
Requires considerable assistance and frequent medical care.
|
| Unable to care for self. Requires equivalent of institutional or hospital care. Disease may be progressing rapidly.
|
40
|
Disabled. Requires special care and assistance.
|
| 30
|
Severely disabled. Hospital admission is indicated although death is not imminent.
|
| 20
|
Hospitalization necessary. Very sick, active supportive treatment necessary.
|
| 10
|
Moribund; fatal processes progressing rapidly.
|
| 0
|
Dead.
|
References
- Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, Carbone PP. Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol. 1982 Dec;5(6):649-55. link to original article PubMed
- ECOG Performance Status Eastern Cooperative Oncology Group, Robert Comis M.D., Group Chair.
- Schag CC, Heinrich RL, Ganz PA. Karnofsky performance status revisited: reliability, validity, and guidelines. J Clin Oncol. 1984 Mar;2(3):187-93. link to original article (contains performance scale) PubMed