Fasnacht, Jael S; Wueest, Alexandra S; Berres, Manfred; Thomann, Alessandra E; Krumm, Sabine; Gutbrod, Klemens; Steiner, Luzius A; Goettel, Nicolai; Monsch, Andreas U (2023). Conversion between the Montreal Cognitive Assessment and the Mini-Mental Status Examination. Journal of the American Geriatrics Society, 71(3), pp. 869-879. Wiley-Blackwell 10.1111/jgs.18124
|
Text
J_American_Geriatrics_Society_-_2022_-_Fasnacht_-_Conversion_between_the_Montreal_Cognitive_Assessment_and_the_Mini_Mental.pdf - Published Version Available under License Creative Commons: Attribution-Noncommercial (CC-BY-NC). Download (1MB) | Preview |
BACKGROUND
Early and accurate detection of cognitive changes using simple tools is essential for an appropriate referral to a more detailed neurocognitive assessment and for the implementation of therapeutic strategies. The Mini-Mental Status Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) are two commonly used psychometric tests for cognitive screening. Both tests have different strengths and weaknesses. Preferences regarding test selection may therefore differ among clinicians. The aim of this retrospective observational cohort study was to define corresponding scores for the MMSE and the MoCA.
METHODS
We examined the relationship between the cognitive screening tests in 803 German-speaking Memory Clinic outpatients, encompassing a wide range of neurocognitive disorders. We produced a conversion table using the equipercentile equating method with log-linear smoothing. In addition, we conducted a systematic review of existing MMSE-MoCA conversions to create a table allowing for the conversion of MoCA scores into MMSE scores and vice versa using the weighted mean method.
RESULTS
The Memory Clinic sample showed that the prediction of MMSE to MoCA was overall less accurate compared to the conversion from MoCA to MMSE. The 19 studies included after thorough literature search showed that MoCA scores were consistently lower than MMSE scores. Eleven of 19 conversion studies had addressed the conversion of the MoCA to the MMSE, while two studies converted MMSE to MoCA scores. Another six studies applied bi-directional conversions. We provide an easy-to-use table covering the entire range of scores and taking into account all currently existing conversion formulas.
CONCLUSION
The comprehensive MMSE-MoCA conversion table enables a direct comparison of cognitive test scores at screening examinations and over the course of disease in patients with neurocognitive disorders.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology |
UniBE Contributor: |
Gutbrod, Klemens |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0002-8614 |
Publisher: |
Wiley-Blackwell |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
09 Nov 2022 09:40 |
Last Modified: |
18 Mar 2023 00:12 |
Publisher DOI: |
10.1111/jgs.18124 |
PubMed ID: |
36346002 |
Uncontrolled Keywords: |
MMSE MoCA conversion equating equipercentile |
BORIS DOI: |
10.48350/174615 |
URI: |
https://boris.unibe.ch/id/eprint/174615 |
Actions (login required)
 |
Edit item |