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Is the Montreal Cognitive Assessment (MoCA) screening superior to the Mini-Mental State Examination (MMSE) in the detection of mild cognitive impairment (MCI) and Alzheimer's Disease (AD) in the elderly?
Pinto, Tiago C C; Machado, Leonardo; Bulgacov, Tatiana M; Rodrigues-Júnior, Antônio L; Costa, Maria L G; Ximenes, Rosana C C; Sougey, Everton B.
Afiliação
  • Pinto TCC; Post-graduate program in Neuropsychiatry and Behavioral Science at the Federal University of Pernambuco,Recife,Brazil.
  • Machado L; Post-graduate program in Neuropsychiatry and Behavioral Science at the Federal University of Pernambuco,Recife,Brazil.
  • Bulgacov TM; Post-graduate program in Neuropsychiatry and Behavioral Science at the Federal University of Pernambuco,Recife,Brazil.
  • Rodrigues-Júnior AL; Post-graduate program in Neuropsychiatry and Behavioral Science at the Federal University of Pernambuco,Recife,Brazil.
  • Costa MLG; Post-graduate program in Neuropsychiatry and Behavioral Science at the Federal University of Pernambuco,Recife,Brazil.
  • Ximenes RCC; Post-graduate program in Neuropsychiatry and Behavioral Science at the Federal University of Pernambuco,Recife,Brazil.
  • Sougey EB; Post-graduate program in Neuropsychiatry and Behavioral Science at the Federal University of Pernambuco,Recife,Brazil.
Int Psychogeriatr ; 31(4): 491-504, 2019 04.
Article em En | MEDLINE | ID: mdl-30426911
ABSTRACTObjective:To compare the accuracy of Mini-Mental State Examination (MMSE) and of the Montreal Cognitive Assessment (MoCA) in tracking mild cognitive impairment (MCI) and Alzheimer's Disease (AD). METHOD: A Systematic review of the PubMed, Bireme, Science Direct, Cochrane Library, and PsycInfo databases was conducted. Using inclusion and exclusion criteria and staring with 1,629 articles, 34 articles were selected. The quality of the selected research was evaluated through the Quality Assessment of Diagnostic Accuracy Studies 2 tool (QUADAS-2). RESULT: More than 80% of the articles showed MoCA to be superior to MMSE in discriminating between individuals with mild cognitive impairment and no cognitive impairment. The area under the curve varied from 0.71 to 0.99 for MoCA, and 0.43 to 0.94 for MMSE, when evaluating the ability to discriminate MCI in the cognitively healthy elderly individuals, and 0.87 to 0.99 and 0.67 to 0.99, respectively, when evaluating the detection of AD. The AUC mean value for MoCA was significantly larger compared to the MMSE in discriminating MCI from control [0.883 (CI 95% 0.855-0.912) vs MMSE 0.780 (CI 95% 0.740-0.820) p < 0.001]. CONCLUSION: The screening tool MoCA is superior to MMSE in the identification of MCI, and both tests were found to be accurate in the detection of AD.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença de Alzheimer / Disfunção Cognitiva / Testes de Estado Mental e Demência Tipo de estudo: Diagnostic_studies / Prognostic_studies / Screening_studies / Systematic_reviews Limite: Aged / Humans Idioma: En Revista: Int Psychogeriatr Assunto da revista: GERIATRIA / PSIQUIATRIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença de Alzheimer / Disfunção Cognitiva / Testes de Estado Mental e Demência Tipo de estudo: Diagnostic_studies / Prognostic_studies / Screening_studies / Systematic_reviews Limite: Aged / Humans Idioma: En Revista: Int Psychogeriatr Assunto da revista: GERIATRIA / PSIQUIATRIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido