Evidence map›Paper›PMID 28605807›Full record

ArticleInvestigative ophthalmology & visual science2017

Visual Sensory and Visual-Cognitive Function and Rate of Crash and Near-Crash Involvement Among Older Drivers Using Naturalistic Driving Data.

Carrie Huisingh, Emily B Levitan, Marguerite R Irvin, Paul MacLennan, Virginia Wadley, Cynthia Owsley

Abstract readMulticenter Study
In one paragraph

Article in Investigative ophthalmology & visual science, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Evaluation of Functional Impacts of Vision Impairment: Progress, Challenges and Future Directions.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Review
  4. Article
  5. Visual Impairment and Driving in Older Adults: A Narrative Review.Current treatment options in neurology · 2026
    Review
  6. Hard braking events in bioptic drivers with central vision impairment.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Neuropsychological Correlates of Changes in Driving Behavior Among Clinically Healthy Older Adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
    Article
  14. Examining Patterns of Driving Avoidance Behaviors Among Older People Using Latent Class Analysis.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  15. Article
  16. Article
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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

6 authors.

Carrie HuisinghDepartment of Ophthalmology, University of Alabama at Birmingham, Birmingham, Alabama, United States.
Emily B LevitanDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, United States.
Marguerite R IrvinDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, United States.
Paul MacLennanDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States.
Virginia WadleyDepartment of Medicine, Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, Alabama, United States.
Cynthia OwsleyDepartment of Ophthalmology, University of Alabama at Birmingham, Birmingham, Alabama, United States.

Funding

Visual Phenotyping CoreP30EY003039 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LAWRENCE C SINCICH · 1985 to 2026
$16.9M
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
Visual Risk Factors for Motor Vehicle Collision Involvement: SHRP2R21EY027817 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI MCGWIN, GERALD, OWSLEY, CYNTHIA · 2017 to 2018
$408k
NEI NIH HHS P30 EY003039NEI NIH HHS R01 EY018966NEI NIH HHS R21 EY027817NIA NIH HHS P30 AG022838
6 · The paper itself

Abstract

Purpose: An innovative methodology using naturalistic driving data was used to examine the association between visual sensory and visual-cognitive function and rates of future crash or near-crash involvement among older drivers. Methods: The Strategic Highway Research Program (SHRP2) Naturalistic Driving Study was used for this prospective analysis. The sample consisted of N = 659 drivers aged ≥70 years and study participation lasted 1 or 2 years for most participants. Distance and near visual acuity, contrast sensitivity, peripheral vision, visual processing speed, and visuospatial skills were assessed at baseline. Crash and near-crash involvement were based on video recordings and vehicle sensors. Poisson regression models were used to generate crude and adjusted rate ratios (RRs) and 95% confidence intervals, while accounting for person-miles of travel. Results: After adjustment, severe impairment of the useful field of view (RR = 1.33) was associated with an increased rate of near-crash involvement. Crash, severe crash, and at-fault crash involvement were associated with impaired contrast sensitivity in the worse eye (RRs = 1.38, 1.54, and 1.44, respectively) and far peripheral field loss in both eyes (RRs = 1.74, 2.32, and 1.73, respectively). Conclusions: Naturalistic driving data suggest that contrast sensitivity in the worse eye and far peripheral field loss in both eyes elevate the rates of crash involvement, and impaired visual processing speed elevates rates of near-crash involvement among older drivers. Naturalistic driving data may ultimately be critical for understanding the relationship between vision and driving safety.

Indexed as

AgingAccidents, TrafficAdolescentAdultAgedAged, 80 and overAutomobile DrivingCognitionContrast SensitivityFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesRetrospective Studies

Identifiers

PMID28605807
PMCPMC5469423

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.