untitled h1
appendix a performance status criteria

Performance Status Criteria Karnofsky and Lansky performance scores are intended to be multiples of 10  
| ECOG (Zubrod)                                                                                                                                                  | Karnofsky                                                                        | Lansky*                                                                                                                 |                                                                               |                                                                    |                                                       |
|----------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------|--------------------------------------------------------------------|-------------------------------------------------------|
| Score                                                                                                                                                          | Description                                                                      | Score                                                                                                                   | Description                                                                   | Score                                                              | Description                                           |
| 100                                                                                                                                                            | Normal, no complaints, no                                                        | 100                                                                                                                     | Fully active, normal.                                                         |                                                                    |                                                       |
| evidence of disease                                                                                                                                            |                                                                                  |                                                                                                                         |                                                                               |                                                                    |                                                       |
| Fully active, able to carry on all                                                                                                                             |                                                                                  |                                                                                                                         |                                                                               |                                                                    |                                                       |
| 0                                                                                                                                                              | pre-disease performance  without restriction.                                    | 90                                                                                                                      | Able to carry on normal  activity, minor signs or  symptoms of disease.       | 90                                                                 | Minor restrictions in physically  strenuous activity. |
| Restricted in physically  strenuous activity but  ambulatory and able to carry  out work of a light or sedentary  nature, e.g., light housework,  office work. | 80                                                                               | Normal activity with effort;  some signs or symptoms of  disease.                                                       | 80                                                                            | Active, but tires more quickly                                     |                                                       |
| 1                                                                                                                                                              | 70                                                                               | Cares for self, unable to carry  on normal activity or do active  work.                                                 | 70                                                                            | Both greater restriction of and less  time spent in play activity. |                                                       |
| 60                                                                                                                                                             | Required occasional assistance,  but is able to care for most of  his/her needs. | 60                                                                                                                      | Up and around, but minimal  active play; keeps busy with  quieter activities. |                                                                    |                                                       |
| 50                                                                                                                                                             | Requires considerable  assistance and frequent  medical care.                    |                                                                                                                         |                                                                               |                                                                    |                                                       |
| Ambulatory and capable of all  self-care but unable to carry out  any work activities. Up and  about more than 50% of waking  hours                            |                                                                                  |                                                                                                                         |                                                                               |                                                                    |                                                       |
| 2                                                                                                                                                              | 50                                                                               | Gets dressed, but lies around  much of the day; no active play,  able to participate in all quiet play  and activities. |                                                                               |                                                                    |                                                       |
| 40                                                                                                                                                             | Disabled, requires special care                                                  | 40                                                                                                                      | Mostly in bed; participates in                                                |                                                                    |                                                       |
| and assistance.                                                                                                                                                | quiet activities.                                                                |                                                                                                                         |                                                                               |                                                                    |                                                       |
| 30                                                                                                                                                             | Severely disabled,  hospitalization indicated.  Death not imminent.              |                                                                                                                         |                                                                               |                                                                    |                                                       |
| Capable of only limited selfcare, confined to bed or chair                                                                                                                                                                |                                                                                  |                                                                                                                         |                                                                               |                                                                    |                                                       |
| 3                                                                                                                                                              | more than 50% of waking  hours.                                                  | 30                                                                                                                      | In bed; needs assistance even for  quiet play.                                |                                                                    |                                                       |
| 20                                                                                                                                                             | Very sick, hospitalization                                                       | 20                                                                                                                      | Often sleeping; play entirely                                                 |                                                                    |                                                       |
| indicated. Death not imminent.                                                                                                                                 | limited to very passive activities.                                              |                                                                                                                         |                                                                               |                                                                    |                                                       |
| 10                                                                                                                                                             | Moribund, fatal processes                                                        | 10                                                                                                                      | No play; does not get out of bed.                                             |                                                                    |                                                       |
| progressing rapidly.                                                                                                                                           |                                                                                  |                                                                                                                         |                                                                               |                                                                    |                                                       |
| Completely disabled. Cannot                                                                                                                                    |                                                                                  |                                                                                                                         |                                                                               |                                                                    |                                                       |
| 4                                                                                                                                                              | carry on any self-care. Totally  confined to bed or chair.                       |                                                                                                                         |                                                                               |                                                                    |                                                       |  
*The conversion of the Lansky to ECOG scales is intended for NCI reporting purposes only.