Evidence map›Paper›PMID 23601553›Full record

ArticleActa ophthalmologica2014

Association between vision impairment and driving exposure in older adults aged 70 years and over: a population-based examination.

Daniel Sandlin, Gerald McGwin, Cynthia Owsley

Abstract readComparative Study
In one paragraph

Article in Acta ophthalmologica, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

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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

3 authors.

Daniel SandlinDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USADepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USADepartment of Surgery, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Gerald McGwin
Cynthia Owsley

Funding

Pilot CoreP30AG022838 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BALL, KARLENE K · 2003 to 2020
$5.7M
Older Drivers: An Evidence-Basis for Licensure StandardsR01EY018966 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI OWSLEY, CYNTHIA · 2008 to 2018
$5.7M
NEI NIH HHS R01 EY018966NEI NIH HHS R01EY18966NIA NIH HHS P30 AG022838NIA NIH HHS P30AG22838
6 · The paper itself

Abstract

purposeTo examine the relationship between vision impairment and driving exposure (amount of driving one does) in a population-based sample of older drivers and to examine to what extent cognitive status impacts this relationship.

methodsEnrollees consisted of a population-based sample of older adults from Alabama who were ≥70 years old, held a current driver's license, and had driven within the last 3 months. Three aspects of visual function were measured under binocular conditions - habitual distance visual acuity, contrast sensitivity and visual processing speed. General cognitive status was assessed with the mini-mental status examination. Driving exposure was estimated by the Driving Habits Questionnaire that asked about the number of miles, places, trips and days driven per week.

resultsDrivers with impaired contrast sensitivity exhibited reduced annual mileage, and a decreased number of places and trips driven per week compared to those with normal contrast sensitivity, even after adjustment for other factors. Slowed visual processing speed was associated with reduced number of days driven per week after adjustment. Visual acuity deficit was not associated with changes in driving exposure. Cognitive status did not impact any of the associations between vision impairment and driving exposure.

conclusionOlder drivers with contrast sensitivity impairment exhibit reduced driving exposure in terms of number of trips and places they drive per week, as well as decreased annual mileage. These apparent self-regulatory practices should be viewed as adaptive because contrast sensitivity impairment elevates motor vehicle collision (MVC) risk and reduction in driving exposure can reduce MVC risk.

Indexed as

Automobile DrivingAccidents, TrafficAgedAged, 80 and overAge FactorsAlabamaContrast SensitivityFemaleFollow-Up StudiesHumansMalePopulation SurveillancePrevalenceRisk FactorsSurveys and QuestionnairesVision Disordersagingcontrast sensitivitydrivingvision impairmentvisual acuityvisual processing speed

Identifiers

PMID23601553
PMCPMC3720764

What OpenQuestion holds

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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.