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?
International Psychogeriatrics
Pinto, T. C. C., Machado, L., et al. (2019).
International Psychogeriatrics, 31(4), 491-504.
This systematic review investigates the accuracy of the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) to identify individuals with mild cognitive impairment (MCI) and Alzheimer’s Disease (AD). <span style="color: #6e6259; font-family: urw-geometric, serif; font-size: 12pt;">Although speech-language pathologists do not diagnose AD or MCI, findings from this review may be useful for identifying tools for detection of cognitive impairments in these populations.</span>
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No funding received
up to March 2018
Original studies
34
Of the 24 articles examining the accuracy of the MoCA and MSSE to detect dementia, 14 (58.3%) showed similar results between the two tests and 10 studies (41.7%) showed the MoCA to be superior to the MMSE. Further research into the optimal cut-off score given a patient's education level and age is warranted.
Of the 31 studies examining the accuracy of the MoCA and the MMSE in detecting MCI, 25 (80.6%) showed the MoCA to be superior to the MMSE. Further research into the optimal cut-off score given a patient's education level and age is warranted.
