Format

Send to

Choose Destination
Alzheimers Res Ther. 2015 Nov 9;7(1):69. doi: 10.1186/s13195-015-0156-8.

Improved predictive ability of the Montreal Cognitive Assessment for diagnosing dementia in a community-based study.

Author information

1
Graduate Institute of Humanities in Medicine, Taipei Medical University, Taipei, Taiwan. tulu@ms36.hinet.net.
2
Brain and Consciousness Research Center, Taipei Medical University, Shuang Ho Hospital, New Taipei City, Taiwan. tulu@ms36.hinet.net.
3
Section of Dementia and Cognitive Impairment, Department of Neurology, Chang Gung Memorial Hospital, Linkou, Taiwan. tulu@ms36.hinet.net.
4
School of Public Health, College of Public Health and Nutrition, Taipei Medical University, 250 Wu-Hsing Street, Taipei City, 110, Taiwan. elvics@gmail.com.
5
School of Public Health, College of Public Health and Nutrition, Taipei Medical University, 250 Wu-Hsing Street, Taipei City, 110, Taiwan. ylhuang@tmu.edu.tw.
6
Department of Public Health, College of Medicine, Taipei Medical University, 250 Wu-Hsing Street, Taipei City, 110, Taiwan. ylhuang@tmu.edu.tw.
7
Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan. romanray92@gmail.com.
8
Department of Neurology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan. m000735@ms.skh.org.tw.
9
Department of Neurology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan. m001012@ms.skh.org.tw.
10
School of Public Health, College of Public Health and Nutrition, Taipei Medical University, 250 Wu-Hsing Street, Taipei City, 110, Taiwan. baich@tmu.edu.tw.
11
Department of Public Health, College of Medicine, Taipei Medical University, 250 Wu-Hsing Street, Taipei City, 110, Taiwan. baich@tmu.edu.tw.

Abstract

INTRODUCTION:

We compared the predictive ability of the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) to diagnose dementia in a community-based study.

METHODS:

A total of 276 people aged 60 years or older were enrolled. All of the participants were administered face-to-face interview questionnaires and MoCA and MMSE examinations. The receiver operating characteristic curve method and area under curve were performed to assess the predictive ability for diagnosing dementia.

RESULTS:

The 276 participants had a mean age of 67.9 ± 6.1 years and mean education duration of 11.4 ± 4.0 years. In general, the MoCA yielded higher AUCs (0.891) with favorable sensitivity (78 %) and excellent specificity (94 %) compared with the MMSE in differentiating the participants with and without dementia in either the total sample or all subgroups.

CONCLUSION:

Our study determined a higher predictive ability in the MoCA than in the MMSE for diagnosing dementia according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria in a community-based sample with a broader range of education level.

PMID:
26549573
PMCID:
PMC4638087
DOI:
10.1186/s13195-015-0156-8
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for BioMed Central Icon for PubMed Central
Loading ...
Support Center