In addition, there was a floor effect in 5 of the 10 MoCA domains – working memory, repetition, verbal fluency, abstraction and short-term memory (Figure 1). ![]() According to the MoCA total score, 26.5% of the patients were considered normal, 24% of them had mild cognitive impairment, and 49.3% of patients were diagnosed with dementia, although only one patient had the clinical diagnosis of dementia associated with PD. Results: 79 patients with PD were evaluated (59.4% men), with a mean age of 60.6 years (SD ± 11.1), mean disease duration of 7.6 years (SD ± 5.1), mean years of education of 9.1 years (SD ± 5.2), 79% of patients in early stage of the disease (Hoehn & Yahr 1 to 2), and mean MoCA total score of 20.5 (SD ± 5.1). ![]() Demographic and clinical data of patients were registered, and the MoCA total score and its domains were performed. Method: Cross-sectional study involving patients with PD located at an outpatient clinic of Movement Disorders in Belém, Northern Brazil. Although, when applied to patients with PD and low education level, there is evidence that the test can lose diagnostic accuracy. ![]() Objective: To analyze the effectiveness of Montreal Cognitive Assessment (MoCA) to define dementia in low education level patients with PD in the Brazilian Amazon.īackground: The Montreal Cognitive Assessment (MoCA) is a cognitive assessment test most used in patients with Parkinson’s disease (PD). Category: Parkinson's Disease: Cognitive functions
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