Table 1.
EASTERN COOPERATIVE GROUP PERFORMANCE SCORE (ECOG) | KARNOFSKY PERFORMANCE SCORE (KPS) |
---|---|
0: Able to carry all pre-disease performance without restriction. | 100: Normal no complaints; no evidence of disease. |
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. | 90: Able to carry on normal activity; minor signs or symptoms of disease. |
80: Normal activity with effort; some signs or symptoms of disease. | |
2: Ambulatory and capable of all self-care but unable to carry out any work activities. Up and about more than 50% of waking hours | 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 his personal needs. | |
3: Capable of only limited self-care, confined to bed or chair more than 50% of waking hours | 50: Requires considerable assistance and frequent medical care. |
40: Disabled; requires special care and assistance. | |
4: Completely disabled. Cannot carry on any self-care. Totally confined to bed or chair | 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. | |
5: Dead | 0: Dead |
Modified from: Oken, M.M. et al. AJCO 1982 (1) and Ma, C. et al. EJC 2010(2). Both ECOG and KPS are clinician-rated instruments that measure functional status. In older adults with chronic diseases a KPS of 60 is associated with a greater risk for hospitalizations, nursing home placement and death (3).