![]() However, in substantial contrast, all other neuropsychological scores and the MoCA standardized scores were within the normal range and even above in all years. Mild Cognitive Impairment MoCA Montreal Cognitive Assessment cutoff scores diagnostic accuracy. From the second year and forward, the average MoCA total score was below the cutoff of 26/30. We recommend the use of this cutoff score going forward. Meta-analysis revealed a cutoff score of 23/30 yielded the best diagnostic accuracy across a range of parameters.Ī MoCA cutoff score of 23, rather than the initially recommended score of 26, lowers the false positive rate and shows overall better diagnostic accuracy. These studies were assessed across a range of cutoff scores to determine the respective sensitivities, specificities, positive and negative predictive accuracies, likelihood ratios for positive and negative results, classification accuracies, and Youden indices. Of the 304 studies identified, nine met inclusion criteria for the meta-analysis. We conducted a systematic review and meta-analysis of the literature to determine the diagnostic accuracy of the MoCA for differentiating healthy cognitive aging from possible MCI. Results For longitudinal evaluation of the Cognitive Charts-MoCA, sensitivity (SE) was 89, 95 confidence interval (CI): 86, 92 and specificity (SP) 79, 95 CI: 77, 81, hence showing better performance than fixed cutoffs of MoCA (SE 82, 95 CI: 79, 85, SP 68, 95 CI: 67, 70). Some studies have indicated that the originally suggested cutoff score of 26/30 leads to an inflated rate of false positives, particularly for those of older age and/or lower education. Several validation studies have been conducted on the MoCA, in a variety of clinical populations. The Montreal Cognitive Assessment (MoCA Nasreddine et al., 2005) is a cognitive screening tool that aims to differentiate healthy cognitive aging from Mild Cognitive Impairment (MCI). ![]()
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