Evidence map›Paper›PMID 25660605›Full record

ReviewQJM : monthly journal of the Association of Physicians2015

An international study of the quality of national-level guidelines on driving with medical illness.

M J Rapoport, K Weegar, Y Kadulina, M Bédard, D Carr, J L Charlton, J Dow, I A Gillespie, C A Hawley, S Koppel and 10 more

Open access · bronzeAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in QJM : monthly journal of the Association of Physicians, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

6 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. The new why when designing mandatory medical examinations.Occupational medicine (Oxford, England) · 2017
    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

20 authors at 17 institutions in 6 countries.

M J RapoportFrom the Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada, University of Toronto, Toronto, ON M5S 2J7, Canada.
K WeegarOttawa Hospital Research Institute, Ottawa, ON K1H 8M2, Canada.
Y KadulinaUniversity of Ottawa, Ottawa, ON K1N 6N5, Canada.
M BédardCentre for Research on Driving, Lakehead University, Thunder Bay, ON P7B 5E1, Canada, St. Joseph's Care Group, Thunder Bay, ON P7B 5G7, Canada.
D CarrWashington University in St. Louis, St. Louis, MO 63130, USA.
J L CharltonMonash University Accident Research Centre, Victoria 3800, Australia.
J DowSociété de l'assurance automobile du Québec, Québec, QC G1K 8J6, Canada.
I A GillespieBritish Columbia Medical Association, Vancouver, BC V6J 5A4, Canada.
C A HawleyUniversity of Warwick, Coventry CV4 7AL, UK.
S KoppelMonash University Accident Research Centre, Victoria 3800, Australia.
S McCullaghHamilton Health Sciences, Hamilton, ON L8L 2X2, Canada, McMaster University, Hamilton, ON L8S 1C7, Canada.
F MolnarOttawa Hospital Research Institute, Ottawa, ON K1H 8M2, Canada, University of Ottawa, Ottawa, ON K1N 6N5, Canada.
M Murie-FernándezClínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain.
G NaglieUniversity of Toronto, Toronto, ON M5S 2J7, Canada, Baycrest Health Sciences, Toronto, ON M6A 2E1, Canada.
D O'NeillTrinity College Dublin, Dublin, 2, Ireland, doneill@tcd.ie.
S ShorttCanadian Medical Association, Ottawa, ON K1G 5W8, Canada.
C SimpsonKingston General Hospital, Kingston, ON K7L 2V7, Canada, Queen's University, Kingston, ON K7L 3N6, Canada and.
H A TuokkoUniversity of Victoria, Victoria, BC V8W 2Y2, Canada.
B H VrkljanMcMaster University, Hamilton, ON L8S 1C7, Canada.
S MarshallOttawa Hospital Research Institute, Ottawa, ON K1H 8M2, Canada, University of Ottawa, Ottawa, ON K1N 6N5, Canada.
Monash University · AUUniversity of Ottawa · CABaycrest Hospital · CACanadian Medical Association · CAClinica Universidad de Navarra · ESHamilton Health Sciences · CALakehead University · CAMcMaster University · CAOttawa Hospital · CAOttawa Hospital Research InstituteQuebec Automobile Insurance Corporation · CAQueen's University · CASunnybrook Health Science Centre · CATrinity College Dublin · IEUniversity of Victoria · CAUniversity of Warwick · GBWashington University in St. Louis · US

Funding

Canadian Institutes of Health Research KPE 129596
6 · The paper itself

Abstract

backgroundMedical illnesses are associated with a modest increase in crash risk, although many individuals with acute or chronic conditions may remain safe to drive, or pose only temporary risks. Despite the extensive use of national guidelines about driving with medical illness, the quality of these guidelines has not been formally appraised.

aimTo systematically evaluate the quality of selected national guidelines about driving with medical illness.

designA literature search of bibliographic databases and Internet resources was conducted to identify the guidelines, each of which was formally appraised.

methodsEighteen physicians or researchers from Canada, Australia, Ireland, USA and UK appraised nine national guidelines, applying the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument.

resultsRelative strengths were found in AGREE II scores for the domains of scope and purpose, stakeholder involvement and clarity of presentation. However, all guidelines were given low ratings on rigour of development, applicability and documentation of editorial independence. Overall quality ratings ranged from 2.25 to 5.00 out of 7.00, with modifications recommended for 7 of the guidelines. Intra-class coefficients demonstrated fair to excellent appraiser agreement (0.57-0.79).

conclusionsThis study represents the first systematic evaluation of national-level guidelines for determining medical fitness to drive. There is substantive variability in the quality of these guidelines, and rigour of development was a relative weakness. There is a need for rigorous, empirically derived guidance for physicians and licensing authorities when assessing driving in the medically ill.

Indexed as

Acute DiseaseAutomobile DrivingChronic DiseaseEvidence-Based MedicineHumansInternational CooperationObserver VariationPractice Guidelines as TopicRisk Assessment

Identifiers

PMID25660605
PMCPMC4620729
OpenAlexW2154566479

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.