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Table 2 Cut-offs and diagnostic accuracy for the MoCA score, the MoCA z-score, and the MMSE

From: Enhanced diagnostic accuracy for neurocognitive disorders: a revised cut-off approach for the Montreal Cognitive Assessment

Group

Mild+Major NCD vs. NF

Mild NCD vs. NF

MoCA score

AUC (95% CI)

0.94 (0.91–0.96)

0.86 (0.81–0.91)

Original cut-off

25/26

25/26

  Correct classification rate

79%

75%

  Sensitivity (95% CI)

94% (94–95%)

86% (84–87%)

  Specificity (95% CI)

63% (60–67%)

63% (60–67%)

Balanced cut-off

24/25

24/25

  Correct classification rate

82%

74%

  Sensitivity (95% CI)

90% (89–90%)

74% (72–76%)

  Specificity (95% CI)

74% (70–77%)

74% (70–76%)

Cut-off; Youden’s index

23/24

23/24

Cut-off; 10th percentile in NCs

23/24

23/24

  Correct classification rate

88%

79%

  Sensitivity (95% CI)

84% (83–85%)

65% (63–67%)

  Specificity (95% CI)

92% (90–94%)

92% (90–94%)

MoCAz-score*

AUC (95% CI)

0.94 (0.91–0.96)

0.86 (0.81–0.91)

Balanced cut-off

≤ − 1.08

≤ − 0.84

  Correct classification rate

86%

76%

  Sensitivity (95% CI)

86% (85–87%)

76% (74–78%)

  Specificity (95% CI)

86% (83–89%)

76% (73–79%)

Cut-off; Youden’s index

≤ − 1.31

≤ − 1.14

  Correct classification rate

88%

79%

  Sensitivity (95% CI)

81% (80–82%)

68% (66–70%)

  Specificity (95% CI)

94% (92–96%)

90% (88–92%)

Cut-off; 10th percentile in NCs

≤ − 1.36

≤ − 1.36

  Correct classification rate

88%

79%

  Sensitivity (95% CI)

80% (79–81%)

61% (59–63%)

  Specificity (95% CI)

96% (95–97%)

96% (95–97%)

MMSE

AUC (95% CI)

0.89 (0.85–0.93)

0.78 (0.72–0.85)

Cut-off; Youden’s index

27/28

28/29

  Correct classification rate

82%

73%

  Sensitivity (95% CI)

72% (71–73%)

69% (67–70%)

  Specificity (95% CI)

92% (90–94%)

76% (72–79%)

  1. Abbreviations: AUC area under the curve, CI confidence interval, NC normal controls, NCD neurocognitive disorder, NF normal findings
  2. Correct classification rate = (sensitivity + specificity)/2
  3. Youden’s index = sensitivity + specificity − 1
  4. *MoCA z-score = demographically corrected standard score [7]