Evidence map›Paper›PMID 28372333›Full record

Observational studyJournal of Alzheimer's disease : JAD2017

Assessment of Driving Safety in Older Adults with Mild Cognitive Impairment.

Kaarin J Anstey, Ranmalee Eramudugolla, Sidhant Chopra, Jasmine Price, Joanne M Wood

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Journal of Alzheimer's disease : JAD, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
12.8field-weighted citation impact, top 2% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. [Current Evidence for Assessing Fitness to Drive of People with Cognitive Impairment: A Systematic Review].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023
    Pooled it
  2. Driving and Alzheimer's dementia or mild cognitive impairment: a systematic review of the existing guidelines emphasizing on the neurologist's role.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Pooled it
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  11. Social Cognitive Theory, Driving Cessation, and Alternative Transportation in Later Life.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
    Article
  12. Article
  13. Review
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  16. Age-Related Diseases and Driving Safety.Geriatrics (Basel, Switzerland) · 2020
    Review
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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

5 authors at 2 institutions in 1 country.

Kaarin J AnsteyCentre for Research on Ageing, Health and Wellbeing, Australian National University, Canberra, Australia.
Ranmalee EramudugollaCentre for Research on Ageing, Health and Wellbeing, Australian National University, Canberra, Australia.
Sidhant ChopraCentre for Research on Ageing, Health and Wellbeing, Australian National University, Canberra, Australia.
Jasmine PriceCentre for Research on Ageing, Health and Wellbeing, Australian National University, Canberra, Australia.
Joanne M WoodSchool of Optometry and Vision Science, Queensland University of Technology, Brisbane City, QLD, Australia.
Australian National University · AUQueensland University of Technology · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith population aging, drivers with mild cognitive impairment (MCI) are increasing; however, there is little evidence available regarding their safety.

objectiveWe aimed to evaluate risk of unsafe on-road driving performance among older adults with MCI.

methodThe study was a cross-sectional observational study, set in Canberra, Australia. Participants were non-demented, current drivers (n = 302) aged 65 to 96 years (M = 75.7, SD = 6.18, 40% female) recruited through the community and primary and tertiary care clinics. Measures included a standardized on-road driving test (ORT), a battery of screening measures designed to evaluate older driver safety (UFOV®, DriveSafe, Multi-D), a neurocognitive test battery, and questionnaires on driving history and behavior.

resultsUsing Winblad criteria, 57 participants were classified as having MCI and 245 as cognitively normal (CN). While the MCI group had a significantly lower overall safety rating on the ORT (5.61 versus 6.05, p = 0.03), there was a wide range of driving safety scores in the CN and MCI groups. The MCI group performed worse than the CN group on the off-road screening tests. The best fitting model of predictors of ORT performance across the combined sample included age, the Multi-D, and DriveSafe, classifying 90.4% of the sample correctly.

conclusionAdults with MCI exhibit a similar range of driving ability to CN adults, although on average they scored lower on off-road and on-road assessments. Driving specific tests were more strongly associated with safety ratings than traditional neuropsychological tests.

Indexed as

Automobile DrivingCognitive DysfunctionSafetyAgedAged, 80 and overCross-Sectional StudiesFemaleHumansLogistic ModelsMaleMental Status and Dementia TestsNeuropsychological TestsRiskSelf ReportDriving safetymild cognitive impairmentneuropsychological assessmentolder driverson-road drivingperformance

Identifiers

PMID28372333
PMCPMC5409039
OpenAlexW2604009776

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.