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Ionova T.I.

Multinational Center for Quality of Life Research;
Saint Petersburg State University Hospital

Frolova E.V.

Mechnikov North-Western State Medical University

Ovakimyan K.V.

Mechnikov North-Western State Medical University

Mkhitaryan E.A.

Pirogov Russian National Research Medical University;
Russian Clinical and Research Center of Gerontology Pirogov — Russian National Research Medical University

Tkacheva O.N.

Pirogov Russian National Research Medical University

Logunov D.L.

City Polyclinic No. 78

Oskova A.Yu.

Dolgoprudny Central City Hospital

Vasileva E.A.

Dolgoprudny Central City Hospital

Zhitkova Yu.V.

Interregional Clinical-Diagnostic Center

Gasparyan A.A.

Interregional Clinical-Diagnostic Center

Lunev K.V.

Altai State Medical University

Luneva E.A.

LLC «PROFIMED»

Porfirieva N.M.

Multinational Center for Quality of Life Research

Nikitina T.P.

Multinational Center for Quality of Life Research;
Saint Petersburg State University Hospital

The use of the Mini-Cog, MMSE, and GPCOG tests in domestic clinical practice for the evaluation of cognitive disorders in elderly and senile patients: the results of a survey of experts’ opinions

Authors:

Ionova T.I., Frolova E.V., Ovakimyan K.V., Mkhitaryan E.A., Tkacheva O.N., Logunov D.L., Oskova A.Yu., Vasileva E.A., Zhitkova Yu.V., Gasparyan A.A., Lunev K.V., Luneva E.A., Porfirieva N.M., Nikitina T.P.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2023;123(7): 55‑64

DOI: 10.17116/jnevro202312307155

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Table of contents

THE USE OF THE MINI-COG, MMSE, AND GPCOG TESTS IN DOMESTIC CLINICAL PRACTICE FOR THE EVALUATION OF COGNITIVE DISORDERS IN ELDERLY AND SENILE PATIENTS: THE RESULTS OF A SURVEY OF EXPERTS’ OPINIONS
THE USE OF THE MINI-COG, MMSE, AND GPCOG TESTS IN DOMESTIC CLINICAL PRACTICE FOR THE EVALUATION OF COGNITIVE DISORDERS IN ELDERLY AND SENILE PATIENTS: THE RESULTS OF A SURVEY OF EXPERTS’ OPINIONS

To cite this article:

Ionova TI, Frolova EV, Ovakimyan KV, et al. . The use of the Mini-Cog, MMSE, and GPCOG tests in domestic clinical practice for the evaluation of cognitive disorders in elderly and senile patients: the results of a survey of experts’ opinions. S.S. Korsakov Journal of Neurology and Psychiatry. 2023;123(7):55‑64. (In Russ., In Engl.)
https://doi.org/10.17116/jnevro202312307155

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)
 
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Abstract:

OBJECTIVE

To explore the experts’ opinion on the feasibility of using Mini-Kog, MMSE and GPCOG tests for screening assessment of cognitive impairment in elderly and senile patients at the primary stage of medical care, as well as to compare different characteristics of these tests according to experts’ opinion.

MATERIAL AND METHODS

The survey of specialists was carried out on the basis of 6 Medical Centers. Prior to the survey, specialists tested cognitive functions in elderly and senile patients during routine visits undergoing routine admission using Mini-Kog, MMSE and GPCOG tests, as well as interviewed their relatives using the corresponding section of the GPCOG. During the survey, specialists filled out a special physician checklist containing items for indicating socio-demographic information and questions regarding the use of tests for assessing cognitive functions in elderly and senile patients in daily clinical practice.

RESULTS

The survey involved 40 specialists from different cities of Russia (mean age±SD — 38.6±14.3 years, 82.5% — women). Elderly and senile patients accounted for the predominant proportion (76-100%) of all followed-up patients. All physicians considered it important to conduct a cognitive assessment in elderly patients and they have to use various cognitive tests in their practice. According to most experts, among the Mini-Kog, MMSE and GPCOG tests, all three tools are informative, convenient and suitable for screening cognitive impairment in geriatric patients. The MMSE test is more informative and convenient. Mini-Kog, compared to the other two tools, is the simplest and most time-efficient tool that is also better perceived by patients. An advantage of the GPCOG is the possibility of participation of informants in the assessment of cognitive functions in older patients.

CONCLUSION

The findings could be used in further research focused on improving the approaches for early detection of cognitive impairment in geriatric patients by primary care physicians.

Keywords:

cognitive disorders
dementia
mild cognitive impairment
geriatrics
elderly
screening tests
MMSE
Mini-Cog
GPCOG

Authors:

Ionova T.I.

Multinational Center for Quality of Life Research;
Saint Petersburg State University Hospital

Frolova E.V.

Mechnikov North-Western State Medical University

Ovakimyan K.V.

Mechnikov North-Western State Medical University

Mkhitaryan E.A.

Pirogov Russian National Research Medical University;
Russian Clinical and Research Center of Gerontology Pirogov — Russian National Research Medical University

Tkacheva O.N.

Pirogov Russian National Research Medical University

Logunov D.L.

City Polyclinic No. 78

Oskova A.Yu.

Dolgoprudny Central City Hospital

Vasileva E.A.

Dolgoprudny Central City Hospital

Zhitkova Yu.V.

Interregional Clinical-Diagnostic Center

Gasparyan A.A.

Interregional Clinical-Diagnostic Center

Lunev K.V.

Altai State Medical University

Luneva E.A.

LLC «PROFIMED»

Porfirieva N.M.

Multinational Center for Quality of Life Research

Nikitina T.P.

Multinational Center for Quality of Life Research;
Saint Petersburg State University Hospital

Received:

17.05.2023

Accepted:

30.05.2023

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References:

  1. Bogolepova AN, Vasenina EE, Gomzyakova NA, et al. Clinical Guidelines for Cognitive Disorders in Elderly and Older Patients. Zhurnal Nevrologii i Psikhiatrii im. S.S. Korsakova. 2021;121(10-3):126-137. (In Russ.). https://doi.org/10.17116/jnevro20211211036
  2. Patnode CD, Perdue LA, Rossom RC, et al. Screening for Cognitive Impairment in Older Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2020;323(8):764-785.  https://doi.org/10.1001/jama.2019.22258
  3. Vasenina EE, Levin OS, Sonin AG. Modern trends in epidemiology of dementia and management of patients with cognitive impairment. Zhurnal Nevrologii i Psikhiatrii im. S.S. Korsakova. 2017;117(6-2):87-95. (In Russ.). https://doi.org/10.17116/jnevro20171176287-95
  4. 2020 Alzheimer’s disease facts and figures. Alzheimer’s & dementia: the journal of the Alzheimer’s Association. March 10, 2020. Advance online publication. Accessed October 18, 2022.
  5. Programma profilaktiki, rannego vyyavleniya, diagnostiki i lecheniya kognitivnykh rasstroistv u lits pozhilogo i starcheskogo vozrasta. Metodicheskie rekomendatsii. Ed. by O.N. Tkacheva. M.: Prometei; 2019. (In Russ.).
  6. Rasmussen J, Langerman H. Alzheimer’s Disease — Why We Need Early Diagnosis. Degener Neurol Neuromuscul Dis. 2019;9:123-130.  https://doi.org/10.2147/DNND.S228939
  7. Yakhno NN, Tkacheva ON, Gavrilova SI, et al. Comprehensive interdisciplinary and interdepartmental program for prevention, early detection, diagnosis and treatment of cognitive disorders in older and senile people. Russian Journal of Geriatric Medicine. 2022;(1):6-16. (In Russ.). https://doi.org/10.37586/2686-8636-1-2022-6-16
  8. Turner RS, Stubbs T, Davies DA, Albensi BC. Potential New Approaches for Diagnosis of Alzheimer’s Disease and Related Dementias. Front Neurol. 2020;11:496.  https://doi.org/10.3389/fneur.2020.00496
  9. Tkacheva ON, Cherdak MA, Mkhitaryan EA. Examination of patients with cognitive impairments. RMJ. 2017;25:1880-1883. (In Russ.).
  10. Sedova EV, Paleev FN, Starceva ON. Osnovy geriatrii dlja vrachej pervichnogo zvena: uchebno-metodicheskoe posobie. M.: MONIKI; 2019. (In Russ.).
  11. Gorshunova NK, Medvedev NV, Kaposhko Yu. Prevention of cognitive impairment in the activities of a general practitioner. Vrach. 2018;29(6):45-47. (In Russ.). https://doi.org/10.29296/25877305-2018-06-09
  12. Half of primary care doctors say they aren’t ready for increase in Alzheimer’s cases. FierceHealthcare. March 11, 2020. Accessed October 18, 2022. https://www.fiercehealthcare.com/practices/half-primary-care-doctors-say-they-aren-t-ready-for-increase-alzheimer-s-cases
  13. Borson S, Scanlan JM, Chen PJ, et al. The Mini-Cog as a screen for dementia: Validation in a population-based sample. J Am Geriatr Soc. 2003;51(10):1451-1454. https://doi.org/10.1046/j.1532-5415.2003.51465.x
  14. Folstein MF, Folstein SE, McHugh PR. «Mini-mental state». A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-198.  https://doi.org/10.1016/0022-3956(75)90026-6
  15. Nasreddine Z, Phillips N, BÃdirian V, et al. The Montreal Cognitive Assessment, MoCA: A Brief Screening Tool For Mild Cognitive Impairment. J Am Geriatr Soc. 2005;53(4):695-699.  https://doi.org/10.1111/j.1532-5415.2005.53221.x
  16. Gutorova DA, Vasenina EE, Levin OS. Screening of cognitive impairment in the old and old-old population with the 3-CT scale. Zhurnal Nevrologii i Psikhiatrii im. S.S. Korsakova. 2016;116(6):35-40. (In Russ.). https://doi.org/10.17116/jnevro20161166235-40
  17. Holsinger T, Plassman BL, Stechuchak KM, et al. Screening for cognitive impairment: comparing the performance of four instruments in primary care. J Am Geriatr Soc. 2012;60(6):1027-1036. https://doi.org/10.1111/j.1532-5415.2012.03967.x
  18. Seitz D, Chan C, Newton H, et al. Mini-cog for the diagnosis of Alzheimer’s disease dementia and other dementias within a primary care setting. Cochrane Database Syst Rev. 2018;2(2):CD011415. https://doi.org/10.1002/14651858.cd011415.pub2
  19. Kurbanova MM, Galayeva AA, Stefanovskaya YV, et al. Modern methods for the diagnosis of cognitive impairment. Russian Family Doctor. 2020;24(1):35-44. (In Russ.). https://doi.org/10.17816/RFD18986
  20. Kahle-Wrobleski K, Corrada MM, Li B, Kawas CH. Sensitivity and specificity of the mini-mental state examination for identifying dementia in the oldest-old: the 90+ study. J Am Geriatr Soc. 2007;55(2):284-289.  https://doi.org/10.1111/j.1532-5415.2007.01049.x
  21. Wojtowicz A, Larner AJ. General Practitioner Assessment of Cognition: use in primary care prior to memory clinic referral. Neurodegener Dis Manag. 2015;5(6):505-510.  https://doi.org/10.2217/nmt.15.43
  22. Ionova TI, Frolova EV, Ovakimyan KV, et al. Linguistic and cultural adaptation of the Russian version of general practitioner assessment of cognition questionnaire ― GPCOG in elderly and senile patients at the primary care level. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2022;122(12):117-127. (In Russ.). https://doi.org/10.17116/jnevro2022122121117
  23. Brodaty H, Kemp NM, Low LF. Characteristics of the GPCOG, a screening tool for cognitive impairment. Int J Geriat Psychiat. 2004;19:870-874.  https://doi.org/10.1002/gps.1167
  24. Brodaty H, Pond D, Kemp N, et al. The GPCOG: a new screening test for dementia designed for general practice. J Am Geriatr Soc. 2002;50(3):530-534.  https://doi.org/10.1046/j.1532-5415.2002.50122.x
  25. Risk reduction of cognitive decline and dementia: WHO guidelines. Geneva: World Health Organization; 2019. Accessed October 10, 2022. https://www.who.int/publications/i/item/9789241550543
  26. Hussenoeder FS, Conrad I, Roehr S, et al. Mild cognitive impairment and quality of life in the oldest old: a closer look. Qual Life Res. 2020;29(6):1675-1683. https://doi.org/10.1007/s11136-020-02425-5
  27. Decade of Healthy Ageing 2020–2030. Geneva: World Health Organization; 2019. Accessed October 6, 2022. (In Russ.). https://www.who.int/ru/initiatives/decade-of-healthy-ageing
  28. Chereneva EA, Safonova LM, Cherenev DV. Profilaktika kognitivnyh narusheniy u lyudey pozhilogo vozrasta. Korrekcionno-pedagogicheskoe obrazovanie. 2022;3(31):51-58. (In Russ.).
  29. Savchenko DV, Savostyanova AV. Correction of Mild Cognitive Impairment in the Elderly Using Socio-Psychological Technologies. Uchenye zapiski Rossijskogo gosudarstvennogo social’nogo universiteta = Scientific Notes of Russian State Social University. 2022;21(2):67-75. (In Russ.).
  30. Ranjit E, Sapra A, Bhandari P, et al. Cognitive Assessment of Geriatric Patients in Primary Care Settings. Cureus. 2020;12(9):e10443. https://doi.org/10.7759/cureus.10443
  31. Solovyova AP, Goryachev DV, Arkhipov VV. Criteria for assessment of cognitive impairment in clinical trials. Vedomosti Nauchnogo tsentra ekspertizy sredstv meditsinskogo primeneniya = The Bulletin of the Scientific Centre for Expert Evaluation of Medicinal Products. 2018;8(4):218-230. (In Russ.). https://doi.org/10.30895/1991-2919-2018-8-4-218-230
  32. Esina EYu, Zujkova AA, Ostroushko NI, et al. Mini-cog test and MMSE scale in screening of cognitive disorders in elderly and senior people in a practice of a primary health doctor. Profilakticheskaya Meditsina. 2020;23(5):105-110. (In Russ.). https://doi.org/10.17116/profmed202023051105
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