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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.

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