Performance Scales: Karnofsky & ECOG Scores

Karnofsky Status Karnofsky Grade ECOG Grade ECOG Status
Normal, no complaints 100 0 Fully active, able to carry on all pre-disease performance without restriction
Able to carry on normal activities. Minor signs or symptoms of disease 90 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
Normal activity with effort 80 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
Care for self. Unable to carry on normal activity or to do active work 70 2 Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours
Requires occasional assistance, but able to care for most of his needs 60 2 Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours
Requires considerable assistance and frequent medical care 50 3 Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours
Disabled. Requires special care and assistance 40 3 Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours
Severly disabled. Hospitalisation indicated though death nonimminent 30 4 Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair
Very sick. Hospitalisation necessary. Active supportive treatment necessary 20 4 Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair
Moribund 10 4 Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair
Dead 0 5 Dead

As published in Am J Clin. Oncol.: Oken, M.M., Creech, R.H., Tormey, D.C., Horton, J., Davis, T.E., McFadden, E.T., Carbone, P.P.: Toxicity And Response Criteria Of The Eastern Cooperative Oncology Group. Am J Clin Oncol 5:649-655, 1982.The Eastern Cooperative Oncology Group, Robert Comis M.D., Group Chair.

Last update: 07 December 2008