대한치매학회지 (Dementia and Neurocognitive Disorders)

대한치매학회 (Korean Dementia Association)
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Validation of MoCA-MMSE Conversion Scales in Korean Patients with Cognitive Impairments

  • Jung, Young Ik (Department of Neurology, Bundang Jesaeng General Hospital) ;
  • Jeong, Eun Hye (Department of Neurology, Bundang Jesaeng General Hospital) ;
  • Lee, Heejin (Department of Neurology, Bundang Jesaeng General Hospital) ;
  • Seo, Junghee (Department of Neurology, Bundang Jesaeng General Hospital) ;
  • Yu, Hyun-Jeong (Department of Neurology, Bundang Jesaeng General Hospital) ;
  • Hong, Jin Y. (Department of Neurology, Yonsei University Wonju College of Medicine) ;
  • Sunwoo, Mun Kyung (Department of Neurology, Bundang Jesaeng General Hospital)
  • 투고 : 2018.11.19
  • 심사 : 2018.12.31
  • 발행 : 2018.12.31
⟨ 이전 논문 다음 논문 ⟩

초록

Background and Purpose: Two conversion scales between the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) have been validated for Korean patients with Parkinson's disease. The aim of the present study was to validate these conversion scales for all patients with cognitive impairments regardless of dementia subtype. Methods: Medical records of 323 subjects who completed both MMSE and MoCA on the same day were retrospectively reviewed. Mean, median, and root mean squared error (RMSE) of the difference between true and equivalent MMSE scores were calculated. Intraclass correlation coefficients (ICCs) between true and equivalent MMSE scores were also calculated. The validity of MoCA-MMSE conversion scales was evaluated according to educational level (low educated: ${\leq}6$ years; high educated: ${\geq}7$ years) and subtypes of cognitive impairment. Results: The difference between true and equivalent MMSE scores had a median value of 0, a mean value of 0.19 according to the van Steenoven scale, a mean value of 0.57 according to the Lawton scale, RMSE value of 2.2 according to the van Steenoven scale, and RMSE value of 0.42 according to the Lawton scale. Additionally, ICCs between true and equivalent MMSE scores were 0.92 and 0.90 on van Steenovan and Lawton conversion scales, respectively. These results were maintained in subgroup analyses. Conclusions: Findings of the present study suggest that both van Steenovan and Lawton MoCA-MMSE conversion scales are applicable to transforming MoCA scores into MMSE scores in patients with cognitive impairments regardless of dementia subtype or educational level.

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참고문헌

  1. Freitas S, Simoes MR, Alves L, Santana I. Montreal Cognitive Assessment: validation study for mild cognitive impairment and Alzheimer disease. Alzheimer Dis Assoc Disord 2013;27:37-43. https://doi.org/10.1097/WAD.0b013e3182420bfe
  2. Arevalo-Rodriguez I, Smailagic N, Roque I Figuls M, Ciapponi A, Sanchez-Perez E, Giannakou A, et al. Mini-Mental State Examination (MMSE) for the detection of Alzheimer's disease and other dementias in people with mild cognitive impairment (MCI). Cochrane Database Syst Rev 2015:CD010783.
  3. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-198. https://doi.org/10.1016/0022-3956(75)90026-6
  4. Roalf DR, Moberg PJ, Xie SX, Wolk DA, Moelter ST, Arnold SE. Comparative accuracies of two common screening instruments for classification of Alzheimer's disease, mild cognitive impairment, and healthy aging. Alzheimers Dement 2013;9:529-537. https://doi.org/10.1016/j.jalz.2012.10.001
  5. Newman JC. Copyright and bedside cognitive testing: why we need alternatives to the Mini-Mental State Examination. JAMA Intern Med 2015;175:1459-1460. https://doi.org/10.1001/jamainternmed.2015.2159
  6. Newman JC, Feldman R. Copyright and open access at the bedside. N Engl J Med 2011;365:2447-2449. https://doi.org/10.1056/NEJMp1110652
  7. Tombaugh TN, McIntyre NJ. The Mini-Mental State Examination: a comprehensive review. J Am Geriatr Soc 1992;40:922-935. https://doi.org/10.1111/j.1532-5415.1992.tb01992.x
  8. Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc 2005;53:695-699. https://doi.org/10.1111/j.1532-5415.2005.53221.x
  9. Dalrymple-Alford JC, MacAskill MR, Nakas CT, Livingston L, Graham C, Crucian GP, et al. The MoCA: well-suited screen for cognitive impairment in Parkinson disease. Neurology 2010;75:1717-1725. https://doi.org/10.1212/WNL.0b013e3181fc29c9
  10. Hoops S, Nazem S, Siderowf AD, Duda JE, Xie SX, Stern MB, et al. Validity of the MoCA and MMSE in the detection of MCI and dementia in Parkinson disease. Neurology 2009;73:1738-1745. https://doi.org/10.1212/WNL.0b013e3181c34b47
  11. Julayanont P, Tangwongchai S, Hemrungrojn S, Tunvirachaisakul C, Phanthumchinda K, Hongsawat J, et al. The Montreal Cognitive Assessment-basic: a screening tool for mild cognitive impairment in illiterate and low-educated elderly adults. J Am Geriatr Soc 2015;63:2550-2554. https://doi.org/10.1111/jgs.13820
  12. Bergeron D, Flynn K, Verret L, Poulin S, Bouchard RW, Bocti C, et al. Multicenter validation of an MMSE-MoCA conversion table. J Am Geriatr Soc 2017;65:1067-1072. https://doi.org/10.1111/jgs.14779
  13. Falkowski JA, Hynan LS, Krishnan K, Carter K, Lacritz L, Weiner M, et al. Conversion of MoCA to MMSE scores. Alzheimers Dement (Amst) 2015;1:125.
  14. Lawton M, Kasten M, May MT, Mollenhauer B, Schaumburg M, Liepelt-Scarfone I, et al. Validation of conversion between Mini-Mental State Examination and Montreal Cognitive Assessment. Mov Disord 2016;31:593-596. https://doi.org/10.1002/mds.26498
  15. van Steenoven I, Aarsland D, Hurtig H, Chen-Plotkin A, Duda JE, Rick J, et al. Conversion between Mini-Mental State Examination, Montreal Cognitive Assessment, and dementia rating scale-2 scores in Parkinson's disease. Mov Disord 2014;29:1809-1815. https://doi.org/10.1002/mds.26062
  16. Kim R, Kim HJ, Kim A, Jang MH, Kim HJ, Jeon B. Validation of the Conversion between the Mini-Mental State Examination and Montreal Cognitive assessment in Korean patients with Parkinson's Disease. J Mov Disord 2018;11:30-34. https://doi.org/10.14802/jmd.17038
  17. Trzepacz PT, Hochstetler H, Wang S, Walker B, Saykin AJ; Alzheimer's Disease Neuroimaging Initiative. Relationship between the Montreal Cognitive Assessment and Mini-Mental State Examination for assessment of mild cognitive impairment in older adults. BMC Geriatr 2015;15:107. https://doi.org/10.1186/s12877-015-0103-3
  18. Kim JI, Sunwoo MK, Sohn YH, Lee PH, Hong JY. The MMSE and MoCA for screening cognitive impairment in less educated patients with Parkinson's disease. J Mov Disord 2016;9:152-159. https://doi.org/10.14802/jmd.16020

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