Volume 29, Issue 14 p. 1809-1815
Research Article

Conversion between Mini-Mental State Examination, Montreal Cognitive Assessment, and Dementia Rating Scale-2 scores in Parkinson's disease

Inger van Steenoven BSc

Corresponding Author

Inger van Steenoven BSc

Division of Neurogeriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden

Correspondence to: Inger van Steenoven; Division of Neurogeriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden, E-mail: [email protected]Search for more papers by this author
Dag Aarsland MD, PhD

Dag Aarsland MD, PhD

Division of Neurogeriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden

Centre for Age-Related Diseases, Stavanger University Hospital, Stavanger, Norway

Department of Neurology, Akershus University Hospital, Oslo, Norway

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Howard Hurtig MD

Howard Hurtig MD

Department of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA

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Alice Chen-Plotkin MD

Alice Chen-Plotkin MD

Department of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA

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John E. Duda MD

John E. Duda MD

Parkinson's Disease Research, Education and Clinical Center, Philadelphia Veterans Affairs Medical Center, Philadelphia, USA

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Jacqueline Rick PhD

Jacqueline Rick PhD

Department of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA

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Lama M. Chahine MD

Lama M. Chahine MD

Department of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA

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Nabila Dahodwala MD

Nabila Dahodwala MD

Department of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA

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John Q. Trojanowski MD, PhD

John Q. Trojanowski MD, PhD

Department of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA

Department of Pathology and Laboratory Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA

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David R. Roalf PhD

David R. Roalf PhD

Department of Psychiatry, Neuropsychiatry Section, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA

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Paul J. Moberg PhD

Paul J. Moberg PhD

Department of Psychiatry, Neuropsychiatry Section, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA

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Daniel Weintraub MD

Daniel Weintraub MD

Parkinson's Disease Research, Education and Clinical Center, Philadelphia Veterans Affairs Medical Center, Philadelphia, USA

Mental Illness Research, Education and Clinical Center, Philadelphia Veterans Affairs Medical Center, Philadelphia, USA

Department of Psychiatry, Geriatric Psychiatry Section, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA

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First published: 07 November 2014
Citations: 88

Funding agencies: No financial support was received for this work.

Relevant conflicts of interest/financial disclosures: Nothing to report.

Author roles may be found in the online version of this article.

ABSTRACT

Cognitive impairment is one of the earliest, most common, and most disabling non-motor symptoms in Parkinson's disease (PD). Thus, routine screening of global cognitive abilities is important for the optimal management of PD patients. Few global cognitive screening instruments have been developed for or validated in PD patients. The Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), and Dementia Rating Scale-2 (DRS-2) have been used extensively for cognitive screening in both clinical and research settings. Determining how to convert the scores between instruments would facilitate the longitudinal assessment of cognition in clinical settings and the comparison and synthesis of cognitive data in multicenter and longitudinal cohort studies. The primary aim of this study was to apply a simple and reliable algorithm for the conversion of MoCA to MMSE scores in PD patients. A secondary aim was to apply this algorithm for the conversion of DRS-2 to both MMSE and MoCA scores. The cognitive performance of a convenience sample of 360 patients with idiopathic PD was assessed by at least two of these cognitive screening instruments. We then developed conversion scores between the MMSE, MoCA, and DRS-2 using equipercentile equating and log-linear smoothing. The conversion score tables reported here enable direct and easy comparison of three routinely used cognitive screening assessments in PD patients. © 2014 International Parkinson and Movement Disorder Society