Toxicity factor/question | Value/response | Score |
---|---|---|
Age ≥ 72 years | ≥ 72 | 2 |
Hemoglobin | < 11 g / dL (male) < 10 g/dL (female) | 3 |
Creatinine clearance | < 34 mL/min | 3 |
Hearing | Fair/worse | 2 |
Number of falls in the past 6 months | 1 or more | 3 |
Taking medications | With some help or unable | 1 |
Walking 1 block (100 m) | Somewhat limited or limited a lot | 2 |
Decreased social activity because of physical/emotional health | Limited at least sometimes | 1 |