Manchester Score for Prognosis in Small Cell Lung CancerLoading...Serum LDH > upper limit of normalNo0Yes+1Serum Na < 132 mmol/LNo0Yes+1Serum alk phos > 1.5x the upper limit of normalNo0Yes+1Serum bicarbonate < 24No0Yes+1Extensive stage diseaseNo0Yes+1Karnofsky Performance Status100 - Normal. No complaints. No evidence of disease090 - Able to carry on normal activity. minor signs/symptoms of disease080 - Normal activity w/ effort. Some signs/symptoms of disease070 - Care for self. Unable to carry on normal activity or to do active work060 - Requires occasional assistance, but is able to care for most his/her personal needs050 - Requires considerable assistance and frequent medical care+140 - Disable. Requires special care and assistance+130 - Severely disabled. Hospital admission is indicated although death is not imminent+120 - Very sick. Hospital admission necessary. Active supportive treatment necessary+110 - Moribund. Fatal processes progressing rapidly+1Indications for UseInsights & Cautions