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Linking Cognitive Screening Tests in Community-Dwelling Older Adults: Crosswalk between the Montreal Cognitive Assessment-Basic and the Mini-Mental State Examination

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机构: [1]Beijing Geriatric Healthcare and Disease Prevention Center, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Evidence-Based Medicine Center, Xuanwu Hospital, Capital Medical University, Beijing, China [3]School of Traditional Chinese Medicine, Capital Medical University, Beijing, China [4]Evidence-Based Medicine Center, Beijing Municipal Geriatric Medical Research Center, Beijing, China
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关键词: MMSE MoCA-Basic conversion cognitive impairment equipercentile equating

摘要:
To develop the crosswalk between the Montreal Cognitive Assessment-Basic (MoCA-B) and Mini-Mental Status Examination (MMSE) based on a community-dwelling older population to facilitate data synthesis and comparison.A cross-sectional study.We used baseline data of 2170 subjects with total MoCA-B and MMSE scores from an ongoing prospective cohort study, the Beijing Longitudinal Disability Survey in Community Elderly (BLINDSCE).The MoCA-B and MMSE were administered by trained assessors. Equipercentile equating was used to develop the conversion table between MoCA-B and MMSE scores in the total sample and subgroups by age, sex, residency, and education level. The mean absolute error (MAE), intraclass correlation coefficient (ICC), and Bland-Altman plot were used to evaluate the linking performance.MoCA-B and MMSE scores converted bi-directionally for the overall sample and subgroups, with small standardized MAE (SMAE) and high ICC. The linking results between MoCA-B and MMSE scores were consistent across the total sample and the age and sex subgroups, while a 2-score difference was observed within the residency and education subgroups.This study provides easy-to-use crosswalks between measures of MoCA-B and MMSE with precision among community-dwelling older adults. Our results help to compare and pool data across studies using either of the 2 cognitive screening tests and provide a useful reference to clinicians for better evidence-based practice in patients evaluated using different cognitive tests.Copyright © 2025 The Author(s). Published by Elsevier Inc. All rights reserved.

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出版当年[2025]版:
大类 | 2 区 医学
小类 | 2 区 老年医学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 老年医学
第一作者:
第一作者机构: [1]Beijing Geriatric Healthcare and Disease Prevention Center, Xuanwu Hospital, Capital Medical University, Beijing, China
通讯作者:
通讯机构: [1]Beijing Geriatric Healthcare and Disease Prevention Center, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Evidence-Based Medicine Center, Xuanwu Hospital, Capital Medical University, Beijing, China [4]Evidence-Based Medicine Center, Beijing Municipal Geriatric Medical Research Center, Beijing, China
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