Palliative Perfomance Scale (PPSv2)^1,2
Instructions: Starting at the 'Ambulation' column, find the row that best fits the patient. Stronger performance factors are located on the left and if the patient doesn't fit all in one row give preference to the ones that are leftmost. Self care is defined as things like being able to do mouth care, shave, bathe, etc...
For further instructions you can visit the Victoria Hospice official documentation.

PPS %	Ambulation	Activity and Evidence of Disease	Self-Care	Intake	Conscious Level
100	Full	Normal activity & work, No evidence of disease	Full	Normal	Full
90	Full	Normal activity & work, Some evidence of disease	Full	Normal	Full
80	Full	Normal activity & work with effort, Some evidence of disease	Full	Normal or reduced	Full
70	Reduced	Unable normal activity & work, Significant disease	Full	Normal or reduced	Full
60	Reduced	Unable hobby/house work, Significant Disease	Occasional assistance	Normal or reduced	Full or confusion
50	Mainly Sit/Lie	Unable to do any work, Extensive disease	Considerable assistance	Normal or reduced	Full or drowsy or confusion
40	Mainly in Bed	Unable to do most activity, Extensive disease	Mainly Assistance	Normal or reduced	Full or Drowsy +/- confusion
30	Totally Bed Bound	Unable to do any activity, Extensive disease	Total Care	Normal or reduced	Full or Drowsy +/- confusion
20	Totally Bed Bound	Unable to do any activity, Extensive disease	Total Care	Minimal sips	Full or Drowsy +/- confusion
10	Totally Bed Bound	Unable to do any activity, Extensive disease	Total Care	Mouth care only	Drowsy or Coma
0	Death	-	-	-	-

Karnofsky Performance Status³

KPS %	Description
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 his/her 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 is not imminent.
20	Very sick, hospital admission necessary. Active support treatment necessary.
10	Moribund, fatal processes progressing rapidly
0	Death

ECOG⁴

Score	Description
0	Asymptomatic. Fully active, able to carry on all pre-disease activities without restriction.
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).
2	Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours.
3	Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours.
4	Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair
5	Death

Dealing with Differences Between the ECOG, KPS and PPS.

In this tool, we check for agreement among the given performance status variables in two ways. First, we check that the PPS and KPS differ by no more than 20%. Secondly, to compare ECOG with PPS and KPS, we make sure that the estimates are no more than one 'level' apart based on the following paper.⁵

ECOG	KPS/PPS
0	100
1	80-90
2	60-70
3	40-50
4	10-30

For example, an ECOG of 0 and a PPS/KPS of 80% are reasonable (one level apart), however an ECOG of 4 and a PPS/KPS 60% should raise questions about the accuracy of the scoring and will raise a flag.