![]() The Mini-Cog test and the ACE-R are the best alternative screening tests for dementia, and the Montreal Cognitive Assessment is the best alternative for mild cognitive impairment. Subgroup analysis revealed that only the Montreal Cognitive Assessment had comparable performance to the MMSE on detection of mild cognitive impairment with 0.89 sensitivity and 0.75 specificity.īesides the MMSE, there are many other tests with comparable diagnostic performance for detecting dementia. The MoCa (Montreal Cognitive Assessment) Test for Dementia How can doctors tell whether you are developing dementia One widely used tool is the Montreal Cognitive Assessment, or MoCA testa series of questions designed to shed insight into how well your brain handles cognitive tasks. ![]() Among the other 10 tests, the Mini-Cog test and Addenbrooke's Cognitive Examination-Revised (ACE-R) had the best diagnostic performances, which were comparable to that of the MMSE (Mini-Cog, 0.91 sensitivity and 0.86 specificity ACE-R, 0.92 sensitivity and 0.89 specificity). The combined sensitivity and specificity for detection of dementia were 0.81 (95% CI, 0.78-0.84) and 0.89 (95% CI, 0.87-0.91), respectively. Most studies used the MMSE (n = 102) and included 10,263 patients with dementia. Sensitivity, specificity, and positive and negative likelihood ratios were the main outcomes.Įleven screening tests were identified among 149 studies with more than 49,000 participants. Bivariate random-effects models were used, and the area under the summary receiver-operating characteristic curve was used to present the overall performance. Studies were eligible if participants were interviewed face to face with respective screening tests, and findings were compared with criterion standard diagnostic criteria for dementia. Because Google Scholar searches literature with a combined ranking algorithm on citation counts and keywords in each article, our literature search was extended to Google Scholar with individual test names and dementia screening as a supplementary search. Appropriate diagnosis of MCI and dementia is important in order to assess for reversible causes of cognitive impairment, to help patients and families understand the cause of their cognitive concerns, and to discuss prognostic possibilities (Petersen et al., 2018). Literature searches were performed on the list of dementia screening tests in MEDLINE, EMBASE, and PsychoINFO from the earliest available dates stated in the individual databases until September 1, 2014. What is the MoCA test for dementia The MoCA is often used as an initial screening tool to detect the presence of cognitive impairment, such as dementia. To evaluate the diagnostic performance of all cognitive tests for the detection of dementia. The Mini-Mental State Examination (MMSE) is a proprietary instrument for detecting dementia, but many other tests are also available. Dementia is a global public health problem.
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