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🎗️ Performance Status ECOG / Karnofsky

This tool maps ECOG (0–5) to Karnofsky (0–100) performance status and flags the performance threshold for systemic anticancer therapy.

Clinical takeaway

Good performance (ECOG 0–2 / KPS ≥ 60) generally tolerates systemic therapy, while poorer status favors supportive or palliative care. (original synthesis · not guideline verbatim)

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When to use

Use to record performance status, convert between the two scales, and gauge tolerance of systemic therapy.

How it works

ECOG 0 = KPS 90–100, 1 = 70–80, 2 = 50–60, 3 = 30–40, 4 = 10–20, 5 = 0. NCCN commonly uses ECOG ≤ 2 or KPS ≥ 60 as the systemic-therapy threshold.

Key points

  • Good performance (ECOG 0–2 / KPS ≥ 60) generally tolerates systemic therapy, while poorer status favors supportive or palliative care. (original synthesis · not guideline verbatim)
  • The two scales correspond approximately, not exactly, so conversion is a guide.
  • Assessment has inter-rater variability, so the most recent representative status is recorded.

References

Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

ECOG performance status (with Karnofsky)ECOG 0 (KPS 90–100)

ECOGECOG 0

  • ECOGECOG 0: Fully active, no restrictions
  • Karnofsky correspondenceKPS ~90–100
  • Performance gradingGood performance (ECOG 0–2 / KPS ≥ 60): generally able to tolerate systemic anticancer therapy
ECOG performance status (with Karnofsky)ECOG 5 (KPS 0)

ECOGECOG 5

  • ECOGECOG 5: Dead
  • Karnofsky correspondenceKPS ~0
  • Performance grading

Frequently asked questions

What is Performance Status ECOG / Karnofsky?
This tool maps ECOG (0–5) to Karnofsky (0–100) performance status and flags the performance threshold for systemic anticancer therapy.
How is Performance Status ECOG / Karnofsky calculated? What is the core formula?
ECOG 0 = KPS 90–100, 1 = 70–80, 2 = 50–60, 3 = 30–40, 4 = 10–20, 5 = 0. NCCN commonly uses ECOG ≤ 2 or KPS ≥ 60 as the systemic-therapy threshold.
When is Performance Status ECOG / Karnofsky used?
Use to record performance status, convert between the two scales, and gauge tolerance of systemic therapy.
What are the key clinical points for Performance Status ECOG / Karnofsky?
Good performance (ECOG 0–2 / KPS ≥ 60) generally tolerates systemic therapy, while poorer status favors supportive or palliative care. (original synthesis · not guideline verbatim) The two scales correspond approximately, not exactly, so conversion is a guide. Assessment has inter-rater variability, so the most recent representative status is recorded.
What are the limits and cautions when using Performance Status ECOG / Karnofsky?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
How is Performance Status ECOG / Karnofsky calculated in practice? Can you show a worked example?
Inputs: ECOG performance status (with Karnofsky) ECOG 0 (KPS 90–100) → Result: ECOG ECOG 0(ECOG: ECOG 0: Fully active, no restrictions, Karnofsky correspondence: KPS ~90–100, Performance grading: Good performance (ECOG 0–2 / KPS ≥ 60): generally able to tolerate systemic anticancer therapy) Inputs: ECOG performance status (with Karnofsky) ECOG 5 (KPS 0) → Result: ECOG ECOG 5(ECOG: ECOG 5: Dead, Karnofsky correspondence: KPS ~0, Performance grading: —)

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