Performance status

Scoring systems

Karnofsky scoring

• 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.
• 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 their personal needs.
• 50 – Requires considerable assistance and frequent medical care.
• 40 – Disabled; requires special care and assistance.
• 30 – Severely disabled; hospital admission is indicated although death not imminent.
• 20 – Very sick; hospital admission necessary; active supportive treatment necessary.
• 10 – Moribund; fatal processes progressing rapidly.
• 0 – Dead

  ECOG/WHO/Zubrod score

• 0 – Asymptomatic
• 1 – Symptomatic but completely ambulatory
• 2 – Symptomatic, <50% in bed during the day
• 3 – Symptomatic, >50% in bed, but not bedbound
• 4 – Bedbound
• 5 – Death

  Lansky score

• 100 – fully active, normal
• 90 – minor restrictions in strenuous physical activity
• 80 – active, but gets tired more quickly
• 70 – greater restriction of play and less time spent in play activity
• 60 – up and around, but active play minimal; keeps busy by being involved in quieter activities
• 50 – lying around much of the day, but gets dressed; no active playing participates in all quiet play and activities
• 40 – mainly in bed; participates in quiet activities
• 30 – bedbound; needing assistance even for quiet play
• 20 – sleeping often; play entirely limited to very passive activities
• 10 – doesn't play; does not get out of bed
• 0 – unresponsive

  Comparison

• Zubrod 0–1 equals Karnofsky 80–100
• Zubrod 2 equals Karnofsky 60–70
• Zubrod 3–4 equals Karnofsky 10–50