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MMSE and MoCA in Parkinson's disease and dementia with Lewy bodies: a multicenter 1-year follow-up study

Journal of neural transmission (Vienna, Austria : 1996), 2016-04, Vol.123 (4), p.431 [Peer Reviewed Journal]

ISSN: 1435-1463 ;EISSN: 1435-1463 ;DOI: 10.1007/s00702-016-1517-6 ;PMID: 26852137

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Title:
MMSE and MoCA in Parkinson's disease and dementia with Lewy bodies: a multicenter 1-year follow-up study
Author: Biundo, Roberta ; Weis, L ; Bostantjopoulou, S ; Stefanova, E ; Falup-Pecurariu, C ; Kramberger, M G ; Geurtsen, G J ; Antonini, A ; Weintraub, D ; Aarsland, D
Subjects: Aged ; Cognition Disorders - diagnosis ; Cognition Disorders - etiology ; Cohort Studies ; Cross-Sectional Studies ; Female ; Follow-Up Studies ; Humans ; Lewy Body Disease - complications ; Male ; Medicin och hälsovetenskap ; Middle Aged ; Neuropsychological Tests ; Parkinson Disease - complications ; Retrospective Studies
Is Part Of: Journal of neural transmission (Vienna, Austria : 1996), 2016-04, Vol.123 (4), p.431
Description: The Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) are the most commonly used scales to test cognitive impairment in Lewy body disease (LBD), but there is no consensus on which is best suited to assess cognition in clinical practice and most sensitive to cognitive decline. Retrospective cohort study of 265 LBD patients [Parkinson's disease (PD) without dementia (PDnD, N = 197), PD with dementia (PDD, N = 40), and dementia with Lewy bodies (DLB, N = 28)] from an international consortium who completed both the MMSE and MoCA at baseline and 1-year follow-up (N = 153). Percentage of relative standard deviation (RSD%) at baseline was the measure of inter-individual variance, and estimation of change (Cohen's d) over time was calculated. RSD% for the MoCA (21 %) was greater than for the MMSE (13 %) (p = 0.03) in the whole group. This difference was significant only in PDnD (11 vs. 5 %, p < 0.01), but not in PDD (30 vs. 19 %, p = 0.37) or DLB (15 vs. 14 %, p = 0.78). In contrast, the 1-year estimation of change did not differ between the two tests in any of the groups (Cohen's effect <0.20 in each group). MMSE and MoCA are equal in measuring the rate of cognitive changes over time in LBD. However, in PDnD, the MoCA is a better measure of cognitive status as it lacks both ceiling and floor effects.
Publisher: Austria
Language: English
Identifier: ISSN: 1435-1463
EISSN: 1435-1463
DOI: 10.1007/s00702-016-1517-6
PMID: 26852137
Source: SWEPUB Freely available online

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MMSE and MoCA in Parkinson's disease and dementia with Lewy bodies: a multicenter 1-year follow-up study

ISSN: 1435-1463 ;EISSN: 1435-1463 ;DOI: 10.1007/s00702-016-1517-6 ;PMID: 26852137

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