Appendix D. Karnofsky Performance Score

100%

The patient has no complaints and is without evidence of disease

90

The patient has minor signs/symptoms, but is able to carry out his or her normal activities

80

The patient demonstrates some signs/symptoms and requires some effort to carry out normal activities

70

The patient is able to care for self, but is unable to do his or her normal activities or active work

60

The patient is able to care for self, but requires occasional assistance

50

The patient requires medical care and much assistance with self care

40

The patient is disabled and requires special care and assistance

30

The patient is severely disabled and hospitalisation is indicated; Death is not imminent

20

The patient is very ill with hospitalisation and active life‑support treatment necessary

10

The patient is moribund with fatal process proceeding rapidly

0

Dead

ECOG/WHO/RTOG to KPS (Approximate Conversion System)

E/W/R

Karnofsky

Details

0

90–100%

Normal activity

1

70–80%

Symptoms demonstrated, but the patient remains ambulatory, and able to perform self‑care

2

50–60%

Ambulatory >50% of the time and requires occasional assitance

3

30–40%

Ambulatory <50% of the time and requires nursing care

4

10–20%

Bedridden

5

0%

Death