Evidence map›Paper›PMID 29064571›Full record

SynthesisAlcoholism, clinical and experimental research2017

Estimation of the Potential Effectiveness of Lowering the Blood Alcohol Concentration (BAC) Limit for Driving from 0.08 to 0.05 Grams per Deciliter in the United States.

James C Fell, Michael Scherer

Abstract readMeta-Analysis
In one paragraph

Synthesis in Alcoholism, clinical and experimental research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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

19 citing papers in PubMed.

  1. Article
  2. Article
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  4. Article
  5. Article
  6. Article
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  8. Article
  9. Alcohol-impaired driving among adults-USA, 2014-2018.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2022
    Article
  10. Rideshare Trips and Alcohol-Involved Motor Vehicle Crashes in Chicago.Journal of studies on alcohol and drugs · 2021
    Article
  11. Article
  12. Article
  13. Article
  14. Interpol review of toxicology 2016-2019.Forensic science international. Synergy · 2020
    Review
  15. Article
  16. Article
  17. Article
  18. Observational
  19. 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

2 authors.

James C FellNational Opinion Research Center (NORC) at the University of Chicago, Bethesda, Maryland.ORCID http://orcid.org/0000-0002-7193-1908
Michael SchererPacific Institute for Research and Evaluation, Calverton, Maryland.

Funding

Effectiveness of .08 and .05 BAC Limits for DrivingR21AA022171 · NIAAA · PACIFIC INSTITUTE FOR RES AND EVALUATION · PI FELL, JAMES C. · 2013 to 2014
$410k
NIAAA NIH HHS R21 AA022171
6 · The paper itself

Abstract

backgroundIn 2013, the National Transportation Safety Board (NTSB) issued a report recommending that states lower the illegal blood alcohol concentration (BAC) limit for driving from 0.08 to 0.05 g/dl. The NTSB concluded that there is a strong evidence-based foundation for a BAC limit of 0.05 or lower. Most industrialized nations have already enacted a 0.05 illegal BAC limit. This study was undertaken to contribute to the scientific evidence as to whether lowering the BAC limit to 0.05 will be an effective alcohol policy in the United States.

methodsWe accomplished our objective by: (i) conducting a meta-analysis of qualifying international studies to estimate the range and distribution of the most likely effect size from a reduction to 0.05 BAC or lower; (ii) translating this synthesis toward estimating the effects of reducing the current 0.08 BAC limit to 0.05 in the United States; and (iii) estimating the life-saving benefits of the proposed 0.03 reduction in the driving limit from 0.08 to 0.05 BAC.

resultsIn our meta-analysis of studies on lowering the BAC limit in general, we found a 5.0% decline in nonfatal alcohol-related crashes, a 9.2% decline in fatal alcohol-related crashes from lowering the BAC to 0.08, and an 11.1% decline in fatal alcohol-related crashes from lowering the BAC to 0.05 or lower. We estimate that 1,790 lives would be saved each year if all states adopted a 0.05 BAC limit.

conclusionsThis study provides strong evidence of the relationship between lowering the BAC limit for driving and the general deterrent effect on alcohol-related crashes.

Indexed as

Blood Alcohol ContentAccidents, TrafficAutomobile DrivingHumansPublic PolicyUnited StatesBlood Alcohol Content0.05 g/dlBAC LimitEffectivenessLives SavedMeta-Analysis

Identifiers

PMID29064571
PMCPMC5790204

What OpenQuestion holds

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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.