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T.I. Ionova
Multinational Center for Quality of Life Research;
Saint Petersburg State University Hospital
K.V. Ovakimyan
Mechnikov North-Western State Medical University
E.A. Mkhitaryan
Pirogov Russian National Research Medical University;
Russian Clinical and Research Center of Gerontology Pirogov — Russian National Research Medical University
N.M. Porfirieva
Multinational Center for Quality of Life Research
T.P. Nikitina
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
Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2023;123(7): 55‑64
Views: 1620
Downloaded: 38
To cite this article:
Ionova TI, Frolova EV, Ovakimyan KV, Mkhitaryan EA, Tkacheva ON, Logunov DL, Oskova AYu, Vasileva EA, Zhitkova YuV, Gasparyan AA, Lunev KV, Luneva EA, Porfirieva NM, Nikitina TP. 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
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.
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.
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.
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:
Authors:
T.I. Ionova
Multinational Center for Quality of Life Research;
Saint Petersburg State University Hospital
K.V. Ovakimyan
Mechnikov North-Western State Medical University
E.A. Mkhitaryan
Pirogov Russian National Research Medical University;
Russian Clinical and Research Center of Gerontology Pirogov — Russian National Research Medical University
N.M. Porfirieva
Multinational Center for Quality of Life Research
T.P. Nikitina
Multinational Center for Quality of Life Research;
Saint Petersburg State University Hospital
Received:
17.05.2023
Accepted:
30.05.2023
List of references:
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