Mild Cognitive Impairment and Dementia Tests Systemic Review and Meta-Analysis
A recent meta-analysis study that investigated the use of cognitive tests in mild cognitive impairment identified the most sensitive/specialized tests.
This study performed by Breton Alexandre, Casey Daniel and Arnaoutoglou Nikitas has shown that clinicians should avoid using the Mini-Mental State Examination (MMSE) for the diagnosis of dementia.
The suggested primary tests are the MoCA and the ACE-R in a tertiary setting. In addition, the study concluded that a new to the public test named Memory Alteration test is the most sensitive test for the early stages of dementia.
The main reason behind this argument is that the well-known MMSE does not properly diagnose about one out of ten patients in the early stages of the disease.
The dementia tests proposed for general practitioners are: MoCA ACE-R or ACE-III (>20 minutes) and the shortest ones Memory Alteration Test (M@T) and QMCI (both under 5 min to perform).
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