Evidence map›Paper›PMID 26338449›Full record

ArticleJournal of the American Geriatrics Society2015

Driving with Mild Cognitive Impairment or Dementia: Cognitive Test Performance and Proxy Report of Daily Life Function in Older Women.

Leslie Vaughan, Patricia E Hogan, Stephen R Rapp, Elizabeth Dugan, Richard A Marottoli, Beverly M Snively, Sally A Shumaker, Kaycee M Sink

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2015. 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
5.7field-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, 17 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Leslie VaughanDepartment of Social Sciences and Health Policy, Wake Forest University, Winston-Salem, North Carolina.
Patricia E HoganDepartment of Biostatistical Sciences, Wake Forest University, Winston-Salem, North Carolina.
Stephen R RappDepartment of Social Sciences and Health Policy, Wake Forest University, Winston-Salem, North Carolina.
Elizabeth DuganDepartment of Gerontology, McCormack Graduate School for Policy and Global Studies, University of Massachusetts Boston, Boston, Massachusetts.
Richard A MarottoliSchool of Medicine, Yale University, New Haven, Connecticut.
Beverly M SnivelyDepartment of Biostatistical Sciences, Wake Forest University, Winston-Salem, North Carolina.
Sally A ShumakerDepartment of Social Sciences and Health Policy, Wake Forest University, Winston-Salem, North Carolina.
Kaycee M SinkSection on Gerontology and Geriatric Medicine, Department of Internal Medicine, Sticht Center on Aging, School of Medicine, Wake Forest University, Winston-Salem, North Carolina.
Wake Forest University · USUniversity of Massachusetts Boston · USYale University · US

Funding

NIA NIH HHS HHSN271201100004CPHS HHS HHSN-268-2004-6-4221CPHS HHS HHSN-271-2011-00004C
6 · The paper itself

Abstract

objectivesTo investigate associations between proxy report of cognitive and functional limitations and cognitive performance and current or former driving status in older women with mild cognitive impairment (MCI) and all-cause dementia.

designCross-sectional data analysis of retrospectively identified older women with adjudicated MCI and all-cause dementia in the Women's Health Initiative Memory Study-Epidemiology of Cognitive Health Outcomes (WHIMS-ECHO).

settingAcademic medical center.

participantsWomen (mean age ± standard deviation 83.7 ± 3.5) adjudicated with MCI or dementia during Year 1, 2, 3, or 4 of the WHIMS-ECHO follow-up period (N = 385). MEASUREMENTS: The telephone-administered cognitive battery included tests of attention, verbal learning and memory, verbal fluency, executive function, working memory, and global cognitive function plus self-report measures of depressive symptomatology. The Dementia Questionnaire (DQ) was administered to a knowledgeable proxy (family member, friend).

resultsSixty percent of women with MCI and 40% of those with dementia are current drivers. Proxy reports of functional limitations in instrumental activities of daily living (IADLs) are associated with current driving status in women with MCI, whereas performance-based cognitive tests are not. In women with dementia, proxy reports of functional limitations in IADLs and performance-based cognitive tests are associated with current driving status, as expected.

conclusionThese findings have clinical implications for the importance of evaluating driving concurrently with other instrumental functional abilities in MCI and dementia. Additional work is needed to determine whether proxy report of cognitive and functional impairments should help guide referrals for driving assessment and rehabilitation or counseling for driving transition.

Indexed as

Activities of Daily LivingAutomobile DrivingAgedAged, 80 and overCognitive DysfunctionCross-Sectional StudiesDementiaFemaleHumansProxyPsychological Testsagingdementiadrivinginstrumental activities of daily livingmild cognitive impairment

Identifiers

PMID26338449
PMCPMC4841465
OpenAlexW1760879797

What OpenQuestion holds

Textmetadata
LicenceTDM
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.