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2, P=.02 and copy clocks (β=12, P=.005) and lower MoCA-based clock scores in both command (OR=0.19, P=.001) and copy conditions (OR=0.14, P=.012). The digital clock drawing test is feasible to administer and is highly acceptable to older adults in a preoperative setting. We demonstrated a significant association between both the dCDT time and clock score metrics, with the established 4AT. Our results provide convergent validity of the dCDT in the preoperative setting. The digital clock drawing test is feasible to administer and is high