Login
EN
Phones:
+7 (495) 482-41-18
+7 (495) 482-43-29

  • © 1998-2026
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

T.I. Ionova

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

E.V. Frolova

Mechnikov North-Western State Medical University

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

O.N. Tkacheva

Pirogov Russian National Research Medical University

D.L. Logunov

City Polyclinic No. 78

A.Yu. Oskova

Dolgoprudny Central City Hospital

E.A. Vasileva

Dolgoprudny Central City Hospital

Yu.V. Zhitkova

Interregional Clinical-Diagnostic Center

A.A. Gasparyan

Interregional Clinical-Diagnostic Center

K.V. Lunev

Altai State Medical University

E.A. Luneva

LLC «PROFIMED»

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

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

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:

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

More about the authors

DOI: 10.17116/jnevro202312307155

Read: 6124 times

Download PDF
Download PDF (RU)
Contact the author
Table of contents

Open 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

Close metadata
Recommended articles:
Current aspe­cts of the rela­tionship between depression and cognitive impairment in patients with Parkinson’s disease. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(10):66-74
Gliatilin in the Treatment of Cognitive Impairments Not Reaching the Level of Deme­ntia: Meta-Analysis and Systematic Review. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(11):86-99
The patient pathway in the diagnosis and treatment of mild cognitive impairment and new therapeutic oppo­rtunities. Reso­lution of the Expert Council (Moscow, April 21, 2025). S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(11):100-104
Obstructive sleep apnea as an aggravating factor of cognitive impairment in vascular cognitive diso­rder. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(11):151-156
Sarcopenic obesity and inte­rleukin status in patients with age-associated pathology of the visual organ. Russian Annals of Ophthalmology. 2025;(6):22-28
A new look at blood biomarkers in Alzheimer’s patients. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(12):7-13
Traumatic brain injury: cognitive, affe­ctive diso­rders, and post-traumatic atta­cks. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(12):29-35
New Oppo­rtunities in the Treatment of Mode­rate Cognitive Impairment: Resu­lts of the Millennium Study in Real Clinical Practice. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(12):106-112
Frequency of nutritional defi­ciency in patients with Alzheimer’s disease and Parkinson’s disease. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(12):113-119
Frequency and spatial characteristics of EEG in patients with coro­nary artery disease with preserved cognitive status and cognitive diso­rders. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(12):216-222

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:

T.I. Ionova

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

E.V. Frolova

Mechnikov North-Western State Medical University

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

O.N. Tkacheva

Pirogov Russian National Research Medical University

D.L. Logunov

City Polyclinic No. 78

A.Yu. Oskova

Dolgoprudny Central City Hospital

E.A. Vasileva

Dolgoprudny Central City Hospital

Yu.V. Zhitkova

Interregional Clinical-Diagnostic Center

A.A. Gasparyan

Interregional Clinical-Diagnostic Center

K.V. Lunev

Altai State Medical University

E.A. Luneva

LLC «PROFIMED»

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:

  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
Contact the author
Email
Message

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
E-mail
Password
Forgot Password?

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.