play lansky score performance karnofsky scale pediatric status years older ps ecog performance status score subjects patient scale screening patients zubrod performance status patients ps karnofsky score criteria scale equal scale karnofsky performance kps status score lansky ps higher greater lansky karnofsky performance status score dependent adult pediatric age kps score karnofsky performance status greater patients higher adult adequate time age score years lansky performance karnofsky lps status scale kps kps score ci hct aged greater modified definitions rpa patients