Evidence map›Paper›PMID 24683493›Full record

ArticleJournal of ophthalmology2014

Prediction of driving safety in individuals with homonymous hemianopia and quadrantanopia from clinical neuroimaging.

Michael S Vaphiades, Lanning B Kline, Gerald McGwin, Cynthia Owsley, Ritu Shah, Joanne M Wood

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of ophthalmology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
4.5field-weighted citation impact, top 7% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
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

6 authors at 2 institutions in 2 countries.

Michael S VaphiadesDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA ; Department of Neurology, School of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Lanning B KlineDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Gerald McGwinDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA ; Department of Surgery, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Cynthia OwsleyDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Ritu ShahDepartment of Radiology, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Joanne M WoodSchool of Optometry and Vision Science, Queensland University of Technology, Kelvin Grove, QLD 4059, Australia ; Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, QLD 4059, Australia.
University of Alabama at Birmingham · USQueensland University of Technology · AU

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 EY018966NIA NIH HHS P30 AG022838
6 · The paper itself

Abstract

Background. This study aimed to determine whether it is possible to predict driving safety of individuals with homonymous hemianopia or quadrantanopia based upon a clinical review of neuroimages that are routinely available in clinical practice. Methods. Two experienced neuroophthalmologists viewed a summary report of the CT/MRI scans of 16 participants with homonymous hemianopic or quadrantanopic field defects which indicated the site and extent of the lesion and they made predictions regarding whether participants would be safe/unsafe to drive. Driving safety was independently defined at the time of the study using state-recorded motor vehicle crashes (all crashes and at-fault) for the previous 5 years and ratings of driving safety determined through a standardized on-road driving assessment by a certified driving rehabilitation specialist. Results. The ability to predict driving safety was highly variable regardless of the driving safety measure, ranging from 31% to 63% (kappa levels ranged from -0.29 to 0.04). The level of agreement between the neuroophthalmologists was only fair (kappa = 0.28). Conclusions. Clinical evaluation of summary reports of currently available neuroimages by neuroophthalmologists is not predictive of driving safety. Future research should be directed at identifying and/or developing alternative tests or strategies to better enable clinicians to make these predictions.

Identifiers

PMID24683493
PMCPMC3941145
OpenAlexW2023375705

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.