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The concordance between the Montreal Cognitive Assessment and the Repeatable Battery for the Assessment of Neuropsychological Status as a cognitive screening tool in a South African community sample

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MoCA exhibited acceptable validity for predicting mild cognitive impairment in a South African cohort, with an AUC of 0.711.
At a cut-off of 26/30, MoCA displayed high sensitivity but low specificity for mild cognitive impairment detection.
Utilizing cut-off scores of 25/30 and 24/30 significantly optimizes sensitivity and specificity for English and Afrikaans speakers, respectively.
Demographic variables like age, sex, and education may influence cognitive assessment results and require consideration in future evaluations.

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Analysis reveals MoCA's effectiveness as a screening tool for mild cognitive impairment, indicating a need for adjusted cut-off scores.

Suliman et al. (2025) studied this question.

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