Comparison of the use of screening tools for evaluating cognitive impairment in patients with Parkinson's disease / Comparação do uso de ferramentas de triagem para avaliação do comprometimento cognitivo em pacientes com doença de Parkinson
Dement. neuropsychol
;
10(4): 344-350, Oct.-Dec. 2016. tab, graf
Article
in English
| LILACS
| ID: biblio-828643
ABSTRACT
ABSTRACT Background:
Screening tests have been used for cognitive deficits in Parkinson's disease (PD).Objective:
This study compared the Montreal Cognitive Assessment (MoCA) test, the Mini-Mental State Examination (MMSE) and the clock drawing test for this purpose.Methods:
A total of 50 patients with PD were selected, 41 (82%) were diagnosed with dementia by the criteria of the Movement Disorder Society. The test Scales for Outcomes in Parkinson's Disease-Cognition (SCOPA-Cog) was used as the gold standard in comparison with the screening tests.Results:
The MoCA test (AUC=0.906) had a sensitivity of 87.80% and specificity of 88.89%. When the MMSE was associated with the clock drawing test (AUC=0.936), it had a specificity of 66.67% and sensitivity of up to 97.56%.Conclusion:
The study suggests that the MoCA test can be a good screening test in PD. However, MMSE associated with the clock drawing test may be more effective than the MoCA test.RESUMO
RESUMO Embasamento Diversos testes têm sido utilizados como ferramenta de triagem para déficits cognitivos na doença de Parkinson (DP). Objetivo:
Este estudo comparou os testes Montreal Cognitive Assessment (MoCA), Mini Exame do Estado Mental (MEEM) e teste do relógio para essa finalidade.Métodos:
Foram selecionados 50 pacientes com DP, dos quais 41 (82 %) foram diagnosticados com demência pelos critérios da Movement Disorder Society. O teste Scales for Outcomes in Parkinson's Disease-Cognition (SCOPA-Cog) foi usado como padrão-ouro na comparação com os testes de triagem.Resultados:
O teste MoCA (AUC=0,906) apresentou sensibilidade de 87,80% e especificidade de 88,89%. Quando o MEEM foi associado ao teste do relógio (AUC=0,936), apresentou especificidade de 66,67% e sensibilidade de até 97,56%.Conclusão:
O estudo sugere que o teste MoCA pode ser um melhor teste de triagem na DP. Entretanto, o MEEM associado ao teste do relógio pode ser mais eficiente que o MoCA.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Parkinson Disease
/
Dementia
/
Cognitive Dysfunction
Type of study:
Diagnostic study
/
Screening study
Limits:
Humans
Language:
English
Journal:
Dement. neuropsychol
Journal subject:
NEUROCIENCIAS
/
Neurology
/
Psychology
/
Psychiatry
Year:
2016
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Estadual de Ponta Grossa/BR
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