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Improved predictive ability of the Montreal Cognitive Assessment for diagnosing dementia in a community-based study
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 fa...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4638087/ https://www.ncbi.nlm.nih.gov/pubmed/26549573 http://dx.doi.org/10.1186/s13195-015-0156-8 |
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author | Hsu, Jung-Lung Fan, Yen-Chun Huang, Ya-Li Wang, Jui Chen, Wei-Hung Chiu, Hou-Chang Bai, Chyi-Huey |
author_facet | Hsu, Jung-Lung Fan, Yen-Chun Huang, Ya-Li Wang, Jui Chen, Wei-Hung Chiu, Hou-Chang Bai, Chyi-Huey |
author_sort | Hsu, Jung-Lung |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4638087 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-46380872015-11-10 Improved predictive ability of the Montreal Cognitive Assessment for diagnosing dementia in a community-based study Hsu, Jung-Lung Fan, Yen-Chun Huang, Ya-Li Wang, Jui Chen, Wei-Hung Chiu, Hou-Chang Bai, Chyi-Huey Alzheimers Res Ther Research 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. BioMed Central 2015-11-09 /pmc/articles/PMC4638087/ /pubmed/26549573 http://dx.doi.org/10.1186/s13195-015-0156-8 Text en © Hsu et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Hsu, Jung-Lung Fan, Yen-Chun Huang, Ya-Li Wang, Jui Chen, Wei-Hung Chiu, Hou-Chang Bai, Chyi-Huey Improved predictive ability of the Montreal Cognitive Assessment for diagnosing dementia in a community-based study |
title | Improved predictive ability of the Montreal Cognitive Assessment for diagnosing dementia in a community-based study |
title_full | Improved predictive ability of the Montreal Cognitive Assessment for diagnosing dementia in a community-based study |
title_fullStr | Improved predictive ability of the Montreal Cognitive Assessment for diagnosing dementia in a community-based study |
title_full_unstemmed | Improved predictive ability of the Montreal Cognitive Assessment for diagnosing dementia in a community-based study |
title_short | Improved predictive ability of the Montreal Cognitive Assessment for diagnosing dementia in a community-based study |
title_sort | improved predictive ability of the montreal cognitive assessment for diagnosing dementia in a community-based study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4638087/ https://www.ncbi.nlm.nih.gov/pubmed/26549573 http://dx.doi.org/10.1186/s13195-015-0156-8 |
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