

MoCA has been subsequently adopted in clinical settings around the world and is widely used as a scale in academic and non-academic research. Ten of the 122 dementia patients in the study had MoCA scores above the researchers' suggested cutoff of 17, but MMSE scores less than 22. MoCAalso known as Montreal Cognitive Assessment or The MoCA Testwas validated as a highly sensitive tool for early detection of mild cognitive impairment (MCI) in 2000. The MoCA may have been less useful than the MMSE in patients with overt dementia, Hochstetler and colleagues indicated. Overall, Hochstetler and colleagues characterized the MoCA as more challenging than the MMSE (hence the lower scores in each category). It is widely used across the world in a variety of settings.2 The MoCA is recommended by the Alzheimer Society to objectively assess cognitive complaints in a clinical setting. The MoCA also puts more weight on recall and attention-calculation performance, while de-emphasizing language skill.Īmong the three groups in the study, mean MMSE and MoCA scores were as follows: The Montreal Cognitive Assessment (MoCA)1 was developed as a brief screening test for mild cognitive impairment (MCI). Another use for which the MoCA may be better suited than the MMSE is in detecting the earliest stages of impairment. This study aims to evaluate the Montreal Cognitive Assessment (MoCA) as a screening tool for cognitive dysfunction in SLE. Early detection requires the use of screening tests, as formal diagnostic cognitive testing is time-consuming. The researchers said that, combined with a functional test, the MoCA could be helpful in classifying patients in the borderline area between mild impairment and dementia. Objectives Cognitive dysfunction in SLE is common and associated with significant morbidity but is currently underdetected. "These data suggest that the MoCA, using a cutoff of ≥17, may be more useful than the MMSE to detect a range of mild cognitive impairment cases," Hochstetler and colleagues concluded in the poster. Those classifications would be considered more reliable than results from any single test, but may not be practical in many clinical and research settings. The Montreal Cognitive Assessment (MoCA) is a one page, 30 point test that takes about 10 minutes. (Citing Lilly company policy, Hochstetler declined to speak on the record with MedPage Today.)Ī similar spread of MoCA scores, ranging from 17 to 30, was seen in 283 individuals identified as healthy controls in ADNI, which uses multiple tests to classify participants. How the Montreal Cognitive Assessment (MoCA) works. Among the 422 patients classified as mildly impaired, MMSE scores started at 21, whereas MoCA scores ranged from 13 to 30, according to a poster Hochstetler presented at the American Neurological Association annual meeting.
