Comparison of the Short Test of Mental Status and the Montreal Cognitive Assessment Across the Cognitive Spectrum.
Academic Medical Centers
Aged
Aged, 80 and over
Aging
/ physiology
Alzheimer Disease
/ diagnosis
Area Under Curve
Cognition Disorders
/ diagnosis
Cognitive Dysfunction
/ diagnosis
Cohort Studies
Diagnosis, Differential
Disease Progression
Female
Geriatric Assessment
/ methods
Humans
Independent Living
Male
Mental Status and Dementia Tests
Middle Aged
Minnesota
Neuropsychological Tests
Predictive Value of Tests
Prevalence
ROC Curve
Retrospective Studies
Risk Assessment
Journal
Mayo Clinic proceedings
ISSN: 1942-5546
Titre abrégé: Mayo Clin Proc
Pays: England
ID NLM: 0405543
Informations de publication
Date de publication:
08 2019
08 2019
Historique:
received:
28
08
2018
revised:
18
12
2018
accepted:
04
01
2019
pubmed:
10
7
2019
medline:
10
1
2020
entrez:
9
7
2019
Statut:
ppublish
Résumé
To compare the Short Test of Mental Status (STMS) with the Montreal Cognitive Assessment (MoCA) for predicting and detecting mild cognitive impairment (MCI). Participants from the community-based Mayo Clinic Study of Aging (MCSA) (November 24, 2010, through May 19, 2012) and an academic referral Alzheimer's Disease Research Center (ADRC) (March 16, 2015, through September 5, 2018) were analyzed. All participants were evaluated using a standardized neuropsychological battery, and a multidisciplinary consensus diagnosis was assigned. The MCSA and ADRC samples included 313 and 106 stable cognitively normal (CN) participants, 72 and 8 CN participants at baseline who developed incident MCI or dementia, 114 and 96 participants with prevalent MCI, and 25 and 132 participants with dementia, respectively. There were no statistically significant differences between the 2 tests in 6 of 7 diagnostic comparisons across academic referral and community populations. The STMS had a better area under the curve (0.90; 95% CI, 0.87-0.93) for differentiating prevalent MCI from CN participants in the MCSA cohort compared with the MoCA cohort (0.85; 95% CI, 0.81-0.89; P=.01). In addition, 53% of the stable CN participants (222 of 419) scored less than 26 on the MoCA, with specificity of 47% for diagnosing prevalent MCI. We provide evidence that the STMS performs similarly to the MoCA in a variety of settings and neurodegenerative syndromes. These results suggest that the current recommended MoCA cutoff score may be overly sensitive, consistent with previous studies. We also provide a conversion table for comparing the 2 cognitive tests.
Identifiants
pubmed: 31280871
pii: S0025-6196(19)30215-0
doi: 10.1016/j.mayocp.2019.01.043
pmc: PMC6937135
mid: NIHMS1523550
pii:
doi:
Types de publication
Comparative Study
Journal Article
Multicenter Study
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
1516-1523Subventions
Organisme : NIA NIH HHS
ID : P50 AG016574
Pays : United States
Organisme : NIA NIH HHS
ID : U01 AG006786
Pays : United States
Informations de copyright
Copyright © 2019 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.
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