Montreal Cognitive Assessment (MoCA) use in general practice for the early detection of cognitive impairment: a feasibility study. Carton, C., Calafiore, M., Cauet, C., Messaadi, N., Bayen, M., Wyts, D., Messaadi, W., Richebe, T., & Bayen, S. BJGP open, jan, 2025.
doi  abstract   bibtex   
BACKGROUND: GPs can detect cognitive impairment (CI) at a very early stage, allowing early support for people and their caregivers. The early onset of CI is between 50 years and 60 years. Currently, in France, the Mini-Mental State Examination (MMSE) remains the most used screening test, although it has a lower sensitivity and specificity than the Montreal Cognitive Assessment (MoCA) for detecting mild CI, taking an average of 15 minutes to complete. AIM: To investigate the feasibility of the MoCA during routine consultations in general practice for the early detection of CI and to determine prevalence of CI in a primary care setting. DESIGN & SETTING: A quantitative, prospective feasibility study was carried out in real-life working conditions during routine GP consultations in France. METHOD: GPs performed MoCA on adults aged ≥50 years, without suspected or confirmed CI. RESULTS: Sixty-one GPs performed 221 MoCA with a mean duration of 8 minutes and detected mild neurocognitive impairment in 62% of patients. CONCLUSION: The MoCA is feasible and easy to perform during routine consultations in general practice by trained and experienced physicians.
@article{Carton2025,
abstract = {BACKGROUND: GPs can detect cognitive impairment (CI) at a very early stage,  allowing early support for people and their caregivers. The early onset of CI is between 50 years and 60 years. Currently, in France, the Mini-Mental State Examination (MMSE) remains the most used screening test, although it has a lower sensitivity and specificity than the Montreal Cognitive Assessment (MoCA) for detecting mild CI, taking an average of 15 minutes to complete. AIM: To investigate the feasibility of the MoCA during routine consultations in general practice for the early detection of CI and to determine prevalence of CI in a primary care setting. DESIGN & SETTING: A quantitative, prospective feasibility study was carried out in real-life working conditions during routine GP consultations in France. METHOD: GPs performed MoCA on adults aged ≥50 years, without suspected or confirmed CI. RESULTS: Sixty-one GPs performed 221 MoCA with a mean duration of 8 minutes and detected mild neurocognitive impairment in 62% of patients. CONCLUSION: The MoCA is feasible and easy to perform during routine consultations in general practice by trained and experienced physicians.},
author = {Carton, Cassandre and Calafiore, Matthieu and Cauet, Charles and Messaadi, Nassir and Bayen, Marc and Wyts, David and Messaadi, Wassil and Richebe, Teddy and Bayen, Sabine},
doi = {10.3399/BJGPO.2024.0039},
issn = {2398-3795 (Electronic)},
journal = {BJGP open},
language = {eng},
month = {jan},
pmid = {39168498},
title = {{Montreal Cognitive Assessment (MoCA) use in general practice for the early  detection of cognitive impairment: a feasibility study.}},
year = {2025}
}

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