Description

List et al developed a performance scale that could be used to evaluate how well a patient with cancer of the head or neck can do common functions affected by the cancer. The scale can be used to monitor progression of disease and response to treatment. The authors are from the University of Chicago.


NOTE: The performance scale can be used in other diseases affecting the head and neck such as trauma or neurologic diseases.

 

Common functions evaluated:

(1) eating in public

(2) understandability of speech

(3) normalcy of diet

 

Parameter

Performance

Points

eating in public

no restriction of place, food or companion (can eat out at any opportunity)

100

 

no restriction of place, but restricts diet when in public (eats anywhere but limits diet to foods that can be handled easily like liquids)

75

 

eats only in the presence of selected persons in selected places

50

 

eats only at home in the presence of selected persons

25

 

always eats alone

0

understandability of speech

always understandable

100

 

understandable most of the time; occasional repetition necessary

75

 

usually understandable; face-to-face contact necessary

50

 

difficult to understand

25

 

never understandable; may use written communication

0

normalcy of diet

full diet with no restrictions

100

 

peanuts

90

 

all meats

80

 

carrots, celery

70

 

dry bread and crackers

60

 

soft, chewable foods

50

 

soft foods requiring no chewing

40

 

pureed foods

30

 

warm liquids

20

 

cold liquids

10

 

nonoral feeding (tube feeding, etc.)

0

 


To read more or access our algorithms and calculators, please log in or register.