Evidence map›Paper›PMID 39951678›Full record

ArticleNeurology2025

Montreal Cognitive Assessment vs the Mini-Mental State Examination as a Screening Tool for Patients With Genetic Frontotemporal Dementia.

Liset de Boer, Jackie M Poos, Esther Van Den Berg, Julie F H De Houwer, Tine Swartenbroekx, Elise G P Dopper, Pam Boesjes, Najlae Tahboun, Arabella Bouzigues, Phoebe H Foster and 7 more

Abstract readComparative Study
In one paragraph

Article in Neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Liset de BoerDepartment of Neurology and Alzheimer Center Erasmus MC, Erasmus MC University Medical Centre, Rotterdam, the Netherlands; and.ORCID 0009-0007-7161-3559
Jackie M PoosDepartment of Neurology and Alzheimer Center Erasmus MC, Erasmus MC University Medical Centre, Rotterdam, the Netherlands; and.ORCID 0000-0001-8843-7247
Esther Van Den BergDepartment of Neurology and Alzheimer Center Erasmus MC, Erasmus MC University Medical Centre, Rotterdam, the Netherlands; and.ORCID 0000-0002-8120-7366
Julie F H De HouwerDepartment of Neurology and Alzheimer Center Erasmus MC, Erasmus MC University Medical Centre, Rotterdam, the Netherlands; and.
Tine SwartenbroekxDepartment of Neurology and Alzheimer Center Erasmus MC, Erasmus MC University Medical Centre, Rotterdam, the Netherlands; and.
Elise G P DopperDepartment of Neurology and Alzheimer Center Erasmus MC, Erasmus MC University Medical Centre, Rotterdam, the Netherlands; and.
Pam BoesjesDepartment of Neurology and Alzheimer Center Erasmus MC, Erasmus MC University Medical Centre, Rotterdam, the Netherlands; and.
Najlae TahbounDepartment of Neurology and Alzheimer Center Erasmus MC, Erasmus MC University Medical Centre, Rotterdam, the Netherlands; and.
Arabella BouziguesDementia Research Centre, University College London, United Kingdom.ORCID 0000-0002-0267-8590
Phoebe H FosterDementia Research Centre, University College London, United Kingdom.ORCID 0000-0001-6300-6598
Eve Ferry-BolderDementia Research Centre, University College London, United Kingdom.ORCID 0009-0006-5083-0901
Kerala Adams-CarrDementia Research Centre, University College London, United Kingdom.
Lucy L RussellDementia Research Centre, University College London, United Kingdom.ORCID 0000-0001-5023-5893
Rhian S ConveryDementia Research Centre, University College London, United Kingdom.ORCID 0000-0002-9477-1812
Jonathan D RohrerDementia Research Centre, University College London, United Kingdom.ORCID 0000-0002-6155-8417
Harro SeelaarDepartment of Neurology and Alzheimer Center Erasmus MC, Erasmus MC University Medical Centre, Rotterdam, the Netherlands; and.ORCID 0000-0003-1989-7527
Lize C JiskootDepartment of Neurology and Alzheimer Center Erasmus MC, Erasmus MC University Medical Centre, Rotterdam, the Netherlands; and.ORCID 0000-0002-1120-1858

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesWith upcoming clinical trials targeting preclinical stages of genetic frontotemporal dementia (FTD), early detection through cognitive screening is crucial. The Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) have potential as screening instruments for early-stage genetic FTD. However, no comparative evaluation has been performed. We aimed to compare MMSE and MoCA performance among presymptomatic, prodromal, and symptomatic pathogenic variant carriers to analyze which screening test has superior discriminative abilities.

methodsWe used cross-sectional and longitudinal data from 2 longitudinal genetic FTD cohort studies in the Netherlands and the United Kingdom, collected between 2021 and 2024. Participants were either presymptomatic, prodromal, or symptomatic pathogenic variant carriers or healthy controls (first-degree family members without pathogenic variants for FTD). Grouping was based on the global CDR-plus-NACC-FTLD score. Participants were assessed with both MoCA and MMSE. Statistical analyses compared total and subscores between groups and evaluated predictive and classification accuracy of both tests.

resultsA total of 243 participants (mean age 49.9 ± 13.1 years, mean education 14.5 ± 3.0 years, 56% female), 157 of whom were pathogenic variant carriers ( DISCUSSION: Its higher sensitivity and better discriminative power make MoCA a more valuable tool for cognitive screening in upcoming clinical trials targeting preclinical FTD. Future studies should aim for larger sample sizes from additional study centers.

Indexed as

Frontotemporal DementiaMental Status and Dementia TestsAdultAgedC9orf72 ProteinCross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedProdromal SymptomsC9orf72 Protein

Identifiers

PMID39951678
PMCPMC11837847

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.