Evidence map›Paper›PMID 21075991›Full record

ReviewCanadian family physician Medecin de famille canadien2010

Approach to assessing fitness to drive in patients with cardiac and cognitive conditions.

Frank J Molnar, Christopher S Simpson

Open access · greenAbstract readReview
In one paragraph

Review in Canadian family physician Medecin de famille canadien, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.7field-weighted citation impact, top 6% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Relationship between self-perceived driving ability and neuropsychological performance in neurological and psychiatric patients.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  3. Determining the causes of postural hypotension.Canadian family physician Medecin de famille canadien · 2018
    Article
  4. Article
  5. Article
  6. Article
  7. Challenges and achievements in caring for the elderly.Canadian family physician Medecin de famille canadien · 2010
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Frank J MolnarOttawa Hospital, Civic Campus, 1053 Carling Ave, Ottawa, ON K1Y 4E9. fmolnar@ottawahospital.on.ca
Christopher S Simpson
Ottawa Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo help physicians become more comfortable assessing the fitness to drive of patients with complex cardiac and cognitive conditions. QUALITY OF EVIDENCE: The approach described is based on the authors' clinical practices, recommendations from the Third Canadian Consensus Conference on Diagnosis and Treatment of Dementia, and guidelines from the 2003 Canadian Cardiovascular Society Consensus Conference. MAIN MESSAGE: When assessing fitness to drive in patients with multiple, complex health problems, physicians should divide conditions that might affect driving into acute intermittent (ie, not usually present on examination) and chronic persistent (ie, always present on examination) medical conditions. Physicians should address acute intermittent conditions first, to allow time for recovery from chronic persistent features that might be reversible. Decisions regarding fitness to drive in acute intermittent disorders are based on probability of recurrence; decisions in chronic persistent disorders are based on functional assessment.

conclusionAssessing fitness to drive is challenging at the best of times. When patients have multiple comorbidities, assessment becomes even more difficult. This article provides clinicians with systematic approaches to work through such complex cases.

Indexed as

Automobile DrivingCognition DisordersHeart DiseasesAged, 80 and overCanadaChecklistDecision MakingEvidence-Based MedicineHumansMaleMandatory ReportingPhysical ExaminationPhysician-Patient RelationsPhysicians, FamilyPractice Guidelines as TopicRisk Assessment

Identifiers

PMID21075991
PMCPMC2980427
OpenAlexW2097117136

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.