Is the Montreal Cognitive Assessment (MoCA) Test Better Suited Than the Mini-Mental State Examination (MMSE) in Mild Cognitive Impairment (MCI) Detection Among People Aged Over 60? Meta-Analysis
Psychiatria Polska
Ciesielska, N., Sokolowski, R., et al. (2016).
Psychiatria Polska, 50(5), 1039-1052.
This meta-analysis compares the sensitivity and specificity of the Montreal Cognitive Assessment (MoCA) and the Mini-Mental State Examination (MMSE) for the purposes of detecting mild cognitive impairment (MCI) in adults over 60 years of age. Although SLPs do not diagnose MCI, the findings may be applicable when screening individuals for cognitive impairments.
Not stated
up to February 2015
Published diagnostic accuracy studies
33
The MoCA was found to better "meet the criteria for screening tests for the detection of MCI in patients over 60 years of age" (p. 1049) as compared to the MMSE. The suggested cutoff point for the MoCA was 24/25 (corresponding to 80.48% sensitivity and 81.19% specificity). The suggested cutoff for the MMSE was 27/28 (66.34% sensitivity and 72.94% specificity).
