Radiation Oncology/Performance scales

Karnofsky Performance Scale 100 - Normal; no complaints; no evidence of disease 90 - Able to carry on normal activity; minor signs or symptoms of disease 80 - Able to carry on normal activity with effort; some signs or symptoms of disease 70 - Cares for self; unable to carry on normal activity or do active work 60 - Requires occasional assistance but is able to care for most personal needs 50 - Requires considerable assistance and frequent medical care 40 - Disable; requires special care and assistance 30 - Severely disabled; hospitalization is indicated although death not imminent 20 - Very sick; hospitalization necessary; active support treatment is necessary 10 - Moribund; fatal processes progressing rapidly 0 - Dead 1948: No PMID Full text — "The use of the nitrogen mustards in the palliative treatment of carcinoma." (Karnofsky DA, Cancer 1948;1(4):634-656) An early publication of the Karnofksy scale. Used to assess improvement in performance status following treatment. ECOG (Zubrod) Performance Scale 0 (Karnofsky 90-100) - Fully active; able to carry on all predisease activities without restriction 1 (Karnofsky 70-80) - Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature. For example, light housework, office work. 2 (Karnofsky 50-60) - 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 (Karnofsky 30-40) - Capable of only limited self-care; confined to bed or chair 50% or more of waking hours. 4 (Karnofsky 10-20) - Completely disabled. Cannot carry on self-care. Totally confined to bed. 5 - Dead Lansky (Pediatric) Performance Scale 100 - Fully active, normal 90 - Minor restrictions in physically strenuous activity 80 - Active, but tires more quickly 70 - Both greater restriction of and less time spent in play activity 60 - Up and around, but minimal active play; keeps busy with quieter activities 50 - Gets dressed, but lies around much of the day; no active play, able to participate in all quiet play and activities. 40 - Mostly in bed; participates in quiet activities 30 - In bed; needs assistance even for quiet play 20 - Often sleeping; play entirely limited to very passive activities 10 - No play; does not get out of bed