Evidence map›Paper›PMID 29189301›Full record

ArticleAlzheimer disease and associated disorders

Assessing Fitness to Drive in Patients With Different Types of Dementia.

Dafne Piersma, Anselm B M Fuermaier, Dick De Waard, Ragnhild J Davidse, Jolieke De Groot, Michelle J A Doumen, Ruud A Bredewoud, René Claesen, Afina W Lemstra, Philip Scheltens and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Alzheimer disease and associated disorders. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
9.7field-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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. 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
  2. Visual dysfunction in dementia with Lewy bodies.Current neurology and neuroscience reports · 2024
    Review
  3. Review
  4. Clinical Tests Predicting On-Road Performance in Older Drivers with Cognitive Impairment.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2023
    Article
  5. Age-Related Diseases and Driving Safety.Geriatrics (Basel, Switzerland) · 2020
    Review
  6. Review
  7. Article
  8. 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

16 authors at 6 institutions in 2 countries.

Dafne PiersmaDepartments of Clinical and Developmental Neuropsychology, University of Groningen, Groningen.
Anselm B M FuermaierDepartments of Clinical and Developmental Neuropsychology, University of Groningen, Groningen.
Dick De WaardDepartments of Clinical and Developmental Neuropsychology, University of Groningen, Groningen.
Ragnhild J DavidseSWOV Institute for Road Safety Research, The Hague.
Jolieke De GrootSWOV Institute for Road Safety Research, The Hague.
Michelle J A DoumenDepartments of Clinical and Developmental Neuropsychology, University of Groningen, Groningen.
Ruud A BredewoudCBR Dutch Driving Test Organisation, Rijswijk.
René ClaesenCBR Dutch Driving Test Organisation, Rijswijk.
Afina W LemstraDepartment of Neurology, Alzheimer Center, VU University Medical Center, Amsterdam.
Philip ScheltensDepartment of Neurology, Alzheimer Center, VU University Medical Center, Amsterdam.
Annemiek VermeerenDepartment of Neuropsychology & Psychopharmacology, Maastricht University, Maastricht.
Rudolf PondsDepartment of Psychiatry and Neuropsychology, School of Mental Health and Neurosciences (MHeNS), Maastricht University, Maastricht, The Netherlands.
Frans VerheyDepartment of Psychiatry and Neuropsychology, School of Mental Health and Neurosciences (MHeNS), Maastricht University, Maastricht, The Netherlands.
Peter P De DeynNeurology and Alzheimer Research Center, University of Groningen and University Medical Center Groningen, Groningen.
Wiebo H BrouwerDepartments of Clinical and Developmental Neuropsychology, University of Groningen, Groningen.
Oliver TuchaDepartments of Clinical and Developmental Neuropsychology, University of Groningen, Groningen.
University of Groningen · NLMaastricht University · NLEuropean Patent Organisation · NLStichting Wetenschappelijk Onderzoek Verkeersveiligheid · NLUniversity Medical Center · USUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dementia is a risk factor for unsafe driving. Therefore, an assessment strategy has recently been developed for the prediction of fitness to drive in patients with the Alzheimer disease (AD). The aim of this study was to investigate whether this strategy is also predictive of fitness to drive in patients with non-AD dementia, that is, vascular dementia, frontotemporal dementia, and dementia with Lewy bodies. Predictors were derived from 3 types of assessment: clinical interviews, neuropsychological tests, and driving simulator rides. The criterion was the pass-fail outcome of an official on-road driving assessment. About half of the patients with non-AD dementia (n=34) failed the on-road driving assessment. Neuropsychological assessment [area under the curve (AUC)=0.786] was significantly predictive of fitness to drive in patients with non-AD dementia, however, clinical interviews (AUC=0.559) and driving simulator rides (AUC=0.404) were not. The fitness-to-drive assessment strategy with the 3 types of assessment combined (AUC=0.635) was not found to significantly predict fitness to drive in non-AD dementia. Different types of dementia require different measures and assessment strategies.

Indexed as

Automobile Driver ExaminationAgedAlzheimer DiseaseAutomobile DrivingFemaleHumansMaleNeuropsychological TestsReaction Time

Identifiers

PMID29189301
PMCPMC5841853
OpenAlexW2769347334

What OpenQuestion holds

Textmetadata
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.