Evidence map›Paper›PMID 29340641›Full record

ArticleInvestigative ophthalmology & visual science2018

Effects of Age-Related Macular Degeneration on Driving Performance.

Joanne M Wood, Alex A Black, Kerry Mallon, Anthony S Kwan, Cynthia Owsley

Open access · goldAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
13.4field-weighted citation impact, top 1% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. 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
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  15. Navigating the pathway to ceasing driving-A voyage of discovery.International journal of older people nursing · 2022
    Article
  16. Visual Predictors of Postural Sway in Older Adults.Translational vision science & technology · 2022
    Article
  17. Visual functions associated with on-road performance by older drivers evaluated by a certified driving rehabilitation specialist.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2022
    Article
  18. 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

5 authors at 3 institutions in 2 countries.

Joanne M WoodSchool of Optometry and Vision Science, Queensland University of Technology, Brisbane, Queensland, Australia.
Alex A BlackSchool of Optometry and Vision Science, Queensland University of Technology, Brisbane, Queensland, Australia.
Kerry MallonSchool of Optometry and Vision Science, Queensland University of Technology, Brisbane, Queensland, Australia.
Anthony S KwanQueensland Eye Institute, Brisbane, Queensland, Australia.
Cynthia OwsleyDepartment of Ophthalmology, University of Alabama at Birmingham, Birmingham, Alabama, United States.
Queensland University of Technology · AUQueensland Eye Institute · AUUniversity of Alabama at Birmingham · US

Funding

Older Drivers: An Evidence-Basis for Licensure StandardsR01EY018966 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI OWSLEY, CYNTHIA · 2008 to 2018
$5.7M
NEI NIH HHS R01 EY018966
6 · The paper itself

Abstract

Purpose: To explore differences in driving performance of older adults with age-related macular degeneration (AMD) and age-matched controls, and to identify the visual determinants of driving performance in this population. Methods: Participants included 33 older drivers with AMD (mean age [M] = 76.6 ± 6.1 years; better eye Age-Related Eye Disease Study grades: early [61%] and intermediate [39%]) and 50 age-matched controls (M = 74.6 ± 5.0 years). Visual tests included visual acuity, contrast sensitivity, visual fields, and motion sensitivity. On-road driving performance was assessed in a dual-brake vehicle by an occupational therapist (masked to drivers' visual status). Outcome measures included driving safety ratings (scale of 1-10, where higher values represented safer driving), types of driving behavior errors, locations at which errors were made, and number of critical errors (CE) requiring an instructor intervention. Results: Drivers with AMD were rated as less safe than controls (4.8 vs. 6.2; P = 0.012); safety ratings were associated with AMD severity (early: 5.5 versus intermediate: 3.7), even after adjusting for age. Drivers with AMD had higher CE rates than controls (1.42 vs. 0.36, respectively; rate ratio 3.05, 95% confidence interval 1.47-6.36, P = 0.003) and exhibited more observation, lane keeping, and gap selection errors and made more errors at traffic light-controlled intersections (P < 0.05). Only motion sensitivity was significantly associated with driving safety in the AMD drivers (P = 0.005). Conclusions: Drivers with early and intermediate AMD can exhibit impairments in their driving performance, particularly during complex driving situations; motion sensitivity was most strongly associated with driving performance. These findings have important implications for assessing the driving ability of older drivers with visual impairment.

Indexed as

Automobile DrivingAgedAged, 80 and overContrast SensitivityFemaleHumansMacular DegenerationMalePsychomotor PerformanceVision, LowVision TestsVisual AcuityVisual Fields

Identifiers

PMID29340641
PMCPMC5770181
OpenAlexW2783899657

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.