Faculty
Faculty Publications
A new scoring method of the mini-mental status examination to screen for dementia | |
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Year of publication | 2014 |
Title of paper | A new scoring method of the mini-mental status examination to screen for dementia |
Author | 143. Choe JY, Han JW, Kim TH, Kim JL, Moon SW, Park JH, Kim SG, Kim BJ, Kwak KP, Ryu SH, Yoon JC, Lee DY, Lee DW, Lee SB, Lee JJ, Jhoo JH, Kim KW |
Publication in journal | Dement Geriatr Cogn Disord |
Status of publication | accepted |
Vol | 37 |
Link | https://www.ncbi.nlm.nih.gov/pubmed/24503547 263회 연결 |
Background: Although the Mini-Mental Status Examination (MMSE) is the most widely used screening instrument for dementia, it has several limitations. Methods: We developed and validated a new scoring method of the MMSE, namely the short form of the MMSE (MMSE-S). Results: The MMSE-S was more robust to demographic influences than the MMSE. The influence of education, in particular, was smaller in the MMSE-S compared to the MMSE (p < 0.01). The diagnostic accuracy of the MMSE-S for very mild to mild dementia was also better than that of the original MMSE (p < 0.0001). Its specificity, in particular, was higher than that of the original MMSE. In Korea, we could improve the post-test probability for dementia from 46.88 to 64.76% by employing the MMSE-S instead of the MMSE. We also provided optimal cut-off scores for dementia stratified by age, education, and gender, which may further improve the diagnostic accuracy of the MMSE-S for dementia. Conclusion: Due to its good accuracy and brevity, the MMSE-S may contribute to enhancing the cost-effectiveness of and accessibility to dementia screening as well as early diagnosis and treatment of dementia, particularly in low- and middle-income countries. |