RT Journal Article T1 Utility of the mini-cog for detection of cognitive impairment in primary care: data from two spanish studies. A1 Carnero-Pardo, Cristóbal A1 Cruz-Orduña, Isabel A1 Espejo-Martínez, Beatriz A1 Martos-Aparicio, Carolina A1 López-Alcalde, Samuel A1 Olazarán, Javier K1 Atención Primaria de Salud K1 Enfermedad de Alzheimer K1 Deterioro Cognitivo Leve K1 Pruebas Psicológicas K1 Andalucia K1 España K1 Cuestionarios K1 Sensibilidad y Especificidad K1 Humanos AB Objectives. To study the utility of the Mini-Cog test for detection of patients with cognitive impairment (CI) in primary care (PC). Methods. We pooled data from two phase III studies conducted in Spain. Patients with complaints or suspicion of CI were consecutively recruited by PC physicians. The cognitive diagnosis was performed by an expert neurologist, after formal neuropsychological evaluation. The Mini-Cog score was calculated post hoc, and its diagnostic utility was evaluated and compared with the utility of the Mini-Mental State (MMS), the Clock Drawing Test (CDT), and the sum of the MMS and the CDT (MMS + CDT) using the area under the receiver operating characteristic curve (AUC). The best cut points were obtained on the basis of diagnostic accuracy (DA) and kappa index. Results. A total sample of 307 subjects (176 CI) was analyzed. The Mini-Cog displayed an AUC (±SE) of 0.78 ± 0.02, which was significantly inferior to the AUC of the CDT (0.84 ± 0.02), the MMS (0.84 ± 0.02), and the MMS + CDT (0.86 ± 0.02). The best cut point of the Mini-Cog was 1/2 (sensitivity 0.60, specificity 0.90, DA 0.73, and kappa index 0.48 ± 0.05). Conclusions. The utility of the Mini-Cog for detection of CI in PC was very modest, clearly inferior to the MMS or the CDT. These results do not permit recommendation of the Mini-Cog in PC. PB Hindawi Publishing Corporation YR 2013 FD 2013-07-19 LK http://hdl.handle.net/10668/1303 UL http://hdl.handle.net/10668/1303 LA en NO Carnero-Pardo C, Cruz-Orduña I, Espejo-Martínez B, Martos-Aparicio C, López-Alcalde S, Olazarán J. Utility of the mini-cog for detection of cognitive impairment in primary care: data from two spanish studies. Int J Alzheimers Dis; 2013:285462 NO Journal Article; DS RISalud RD Jun 1, 2025