ArticleJAMA2010
The older adult driver with cognitive impairment: "It's a very frustrating life".
Article in JAMA, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 58 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 205 citations in OpenAlex.
- Driving and Alzheimer's dementia or mild cognitive impairment: a systematic review of the existing guidelines emphasizing on the neurologist's role.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021Pooled it
- Associations Between Falls and Driving Outcomes in Older Adults: Systematic Review and Meta-Analysis.Journal of the American Geriatrics Society · 2017Pooled it
- Effectiveness of the Combined Exercise and Cognitive Training System in Enhancing Frontal Lobe Function in Older Adults: A Randomized Control Study.BioMed research international · 2026Trial
- Visual Impairment and Driving in Older Adults: A Narrative Review.Current treatment options in neurology · 2026Review
- Association of Daily Driving Behaviors With Mild Cognitive Impairment in Older Adults Followed Over 10 Years.Neurology · 2025Observational
- Article
- State Department of Motor Vehicles Reporting Mandates of Dementia Diagnoses and Dementia Underdiagnosis.JAMA network open · 2024Article
- Medication and Road Test Performance Among Cognitively Healthy Older Adults.JAMA network open · 2023Article
- A qualitative study exploring the experiences and needs of people living with young onset dementia related to driving cessation: 'It's like you get your legs cut off'.Age and ageing · 2023Article
- Automated Vehicles for People With Dementia: A "Tremendous Potential" That "Has Ways to go"-Reports of a Qualitative Study.The Gerontologist · 2023Article
- Predicting driving decline and assessing crash risk in a globally aging population.Arquivos de neuro-psiquiatria · 2022Article
- Visual disorders and driving ability in persons with dementia: A mini review.Frontiers in human neuroscience · 2022Review
- Association between psychological symptoms and illegal driving behaviors in a sample of Chinese private car drivers.Frontiers in psychiatry · 2022Article
- Driving Performance in Older Adults: Current Measures, Findings, and Implications for Roadway Safety.Innovation in aging · 2022Review
- The Advancing Understanding of Transportation Options (AUTO) study: design and methods of a multi-center study of decision aid for older drivers.Injury epidemiology · 2021Article
- The SIMARD-MD is not an Effective Driver Screening Tool for Determining Fitness-To-Drive.Canadian geriatrics journal : CGJ · 2021Article
- The Predictors of Driving Cessation among Older Drivers in Korea.International journal of environmental research and public health · 2020Article
- A need-based, multi-level, cross-sectoral framework to explain variations in satisfaction of care needs among people living with dementia.BMC health services research · 2020Article
- Driving Safety of Cognitively-Impaired Drivers Based on Near Collisions in Naturalistic Driving.Journal of Alzheimer's disease reports · 2020Article
- CCCDTD5: Individual and community-based psychosocial and other non-pharmacological interventions to support persons living with dementia and their caregivers.Alzheimer's & dementia (New York, N. Y.) · 2020Article
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
Although automobiles remain the transportation of choice for many older adults, late-life cognitive impairment and dementia often impair the ability to drive safely. However, there is no commonly used method of assessing dementia severity in relation to driving, no consensus on the assessment of older drivers with cognitive impairment, and no gold standard for determining driving fitness. Yet clinicians are called on by patients, their families, other health professionals, and often their state's Department of Motor Vehicles to assess their patients' fitness to drive and to make recommendations about driving privileges. This article describes the challenges of driving with cognitive impairment for both the patient and caregiver, summarizes the literature on dementia and driving, discusses evidence-based assessment of fitness to drive, and addresses important ethical and legal issues. It also describes the role of physician assessment, referral for neuropsychological testing, screening for functional ability, tools to assess dementia severity, driving evaluation clinics, and Department of Motor Vehicles referrals that may assist with evaluation. Lastly, it discusses mobility counseling (eg, exploration of transportation alternatives), because health professionals need to address this important issue for older adults who lose the ability to drive. The application of a comprehensive, interdisciplinary approach to the older driver with cognitive impairment will have the best opportunity to enhance patients' social connectedness and quality of life while meeting their psychological and medical needs and maintaining personal and public safety.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.