{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T20:17:42Z","timestamp":1791922662860,"version":"4.3.4"},"reference-count":32,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,3,19]],"date-time":"2023-03-19T00:00:00Z","timestamp":1679184000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["alz-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alzheimer's &amp;amp; Dementia"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>This systematic review evaluates the accuracy of the Montreal Cognitive Assessment (MoCA) for detecting mild cognitive impairment (MCI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>We searched MEDLINE, PSYCInfo, EMBASE, and Cochrane CENTRAL (1995\u20132021) for studies comparing the MoCA with validated diagnostic criteria to identify MCI in general practice. Screening, data extraction, and risk of bias assessment were performed independently, in duplicate. Pooled sensitivity and specificity for MoCA cutoffs were estimated using bivariate meta\u2010analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Thirteen studies [2158 participants, 948(44%) with MCI] were included; 10 used Petersen criteria as the reference standard. Risk of bias of studies were high or unclear for all domains except reference standard. Sensitivity and specificity were 73.5%(95% confidence interval: 56.7\u201385.5) and 91.3%(84.6\u201395.3) at cutoff &lt;23; 79.5%(67.1\u201388.0) and 83.7%(75.4\u201389.6) at cutoff &lt;24; and 83.8%(75.6\u201389.6) and 70.8(62.1\u201378.3) at cutoff &lt;25.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>MoCA cutoffs &lt;23 to &lt;25 maximized the sum of sensitivity and specificity for detecting MCI. The risk of bias of included studies limits confidence in these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/alz.13040","type":"journal-article","created":{"date-parts":[[2023,3,19]],"date-time":"2023-03-19T14:48:43Z","timestamp":1679237323000},"page":"3235-3243","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":218,"title":["Accuracy of the Montreal Cognitive Assessment tool for detecting mild cognitive impairment: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1159-7629","authenticated-orcid":false,"given":"Nayaar","family":"Islam","sequence":"first","affiliation":[{"name":"School of Epidemiology and Public Health Faculty of Medicine University of Ottawa  Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rola","family":"Hashem","sequence":"additional","affiliation":[{"name":"School of Epidemiology and Public Health Faculty of Medicine University of Ottawa  Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryse","family":"Gad","sequence":"additional","affiliation":[{"name":"School of Epidemiology and Public Health Faculty of Medicine University of Ottawa  Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aime","family":"Brown","sequence":"additional","affiliation":[{"name":"School of Epidemiology and Public Health Faculty of Medicine University of Ottawa  Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke","family":"Levis","sequence":"additional","affiliation":[{"name":"Centre for Prognosis Research School of Medicine Keele University  Newcastle UK"},{"name":"Lady Davis Institute for Medical Research Jewish General Hospital and McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christel","family":"Renoux","sequence":"additional","affiliation":[{"name":"Lady Davis Institute for Medical Research Jewish General Hospital and McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brett D.","family":"Thombs","sequence":"additional","affiliation":[{"name":"Lady Davis Institute for Medical Research Jewish General Hospital and McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew DF","family":"McInnes","sequence":"additional","affiliation":[{"name":"School of Epidemiology and Public Health Faculty of Medicine University of Ottawa  Ottawa Canada"},{"name":"Department of Radiology University of Ottawa  Ottawa Canada"},{"name":"Clinical Epidemiology Program Ottawa Hospital Research Institute  Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3233\/JAD\u20102011\u2010110740"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1212\/CON.0000000000000313"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.14283\/jpad.2020.19"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2011.07.008"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.13806"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.2152"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103956(75)90026\u20106"},{"key":"e_1_2_8_9_1","unstructured":"Mini\u2010Mental State Examination | MMSE.PAR. 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