Evidence map›Paper›PMID 24883164›Full record

ArticleCanadian geriatrics journal : CGJ2014

Comparison of the SIMARD MD to Clinical Impression in Assessing Fitness to Drive in Patients with Cognitive Impairment.

Madelaine Wernham, Pamela G Jarrett, Connie Stewart, Elizabeth MacDonald, Donna MacNeil, Cynthia Hobbs

Erratum issuedOpen access · diamondAbstract read
In one paragraph

Article in Canadian geriatrics journal : CGJ, 2014. 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Special issue on fitness to drive.Canadian geriatrics journal : CGJ · 2014
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Madelaine WernhamDalhousie University Medical School, Saint John, NB;
Pamela G JarrettDepartment Geriatric Medicine, Horizon Health Network, Saint John, NB;
Connie StewartDepartment of Computer Science & Applied Statistics, University of New Brunswick, Saint John, NB.
Elizabeth MacDonaldDepartment Geriatric Medicine, Horizon Health Network, Saint John, NB;
Donna MacNeilDepartment Geriatric Medicine, Horizon Health Network, Saint John, NB;
Cynthia HobbsDepartment Geriatric Medicine, Horizon Health Network, Saint John, NB;
Horizon Health Network · CADalhousie University · CAUniversity of New Brunswick · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe assessment of fitness to drive in patients with cognitive impairment is complex. The SIMARD MD was developed to assist with assessing fitness to drive. This study compares the clinical decision made by a geriatrician regarding driving with the SIMARD MD score.

methodsPatients with a diagnosis of mild dementia or mild cognitive impairment, who had a SIMARD MD test, were included in the sample. A retrospective chart review was completed to gather diagnosis, driving status, and cognitive and functional information.

resultsSixty-three patients were identified and 57 met the inclusion criteria. The mean age was 77.1 years (SD 8.9). The most common diagnosis was Alzheimer's disease in 22 (38.6%) patients. The mean MMSE score was 24.9 (SD 3.34) and the mean MoCA was 19.9 (SD 3.58). The mean SIMARD MD score was 37.2 (SD 19.54). Twenty-four patients had a SIMARD MD score ≤ 30, twenty-eight between 31-70, and five scored > 70. The SIMARD MD scores did not differ significantly compared to the clinical decision (ANOVA p value = 0.14).

conclusionsThere was no association between the SIMARD MD scores and the geriatricians' clinical decision regarding fitness to drive in persons with mild dementia or mild cognitive impairment.

Indexed as

clinical decisiondementiadrivingmild cognitive impairmentSIMARD MD

Identifiers

PMID24883164
PMCPMC4038537
OpenAlexW2088625987

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.