WHO Mucositis Scale

  • The World Health Organization (WHO) mucositis scale is used to grade the severity of oral mucositis.1
  • It was developed as part of the WHO handbook (1979) to standardize the reporting of results and complications from cancer treatment.
    • Grade 0: No mucositis
    • Grade 1: Soreness/erythema only.
    • Grade 2: Erythema, and ulcers. Able to tolerate solids.
    • Grade 3: Unable to tolerate solids but able to tolerate liquids.
    • Grade 4: Unable to tolerate solids or liquids. Oral alimentation is not possible.

WHO Mucositis Scale (1979)

Grade Clinical Features
0 No mucositis
1 Soreness/erythema
2 Erythema and ulcers but able to tolerate solid diet.
3 Unable to tolerate solids but able to tolerate liquids
4 Unable to tolerate solids or liquids.
Oral alimentation is not possible.
  1. World Health Organization. WHO handbook for reporting results of cancer treatment. World Health Organization, 1979. 

Last updated September 29, 2022