“There's no broad consensus that we should be giving MoCA's to people as part of their wellness examination or general annual physical,” he said. The Montreal test is not a routine screening test in the same way a colonoscopy or a mammogram are, Honig said. “If you're looking for Alzheimer's, then you'd be reassured to say that there's no signs of that disease,” Nasreddine said, referring to a perfect score on the test. A person with a a high school education in the United States should be able to get 26 to 30, Honig said. A test is considered positive when the score is less than 26 out of 30, but this has been associated with false-positive rates as high as 40. The availability of fine-grained, culture-specific psychometric outcomes can favor the interpretation of scores of the Montreal Cognitive Assessment (MoCA), the. This is because there are often confounding factors such as the level of education and whether the test is being given in the person’s native language. By converting MoCA into cognitive quotient (QuoCo) plotted against standardized age (S A ), the interpretation is modulated for age and education. He has seen patients with dementia score greater than 26 and he has seen patients without dementia score below 26. The MoCA-MIS had poor to fair testretest reliability, possibly due to a strong negative skewness of scores with ceiling performances on both versions in 31 participants (as opposed to 0 ceiling performances for MoCA-TS on both versions). This is the first time MoCA test scores are integrated into a ready to use set of charts, a method, which appears superior to standard cutoffs as shown by Youden indexes. Lawrence Honig, a neurologist and one of the directors of the Alzheimer's Disease Research Center at Columbia University, said while the test is a pretty good indicator, it’s not perfect.
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