Evidence map›Paper›PMID 41467925›Full record

Observational studyAging clinical and experimental research2025

Driving knowledge assessment in cognitively impaired older adults: evidence from geriatric day hospitals.

Clémentine Rivière, Karl Götze, Sophie Lacaille, Claire Paquet, Julien Dumurgier, Capucine Diard, Marie Laure Seux, Charlotte Tomeo, Antoine Lynch, Sandrine Greffard and 3 more

Abstract readObservational StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Aging clinical and experimental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Clémentine RivièreAP-HP. Nord, Université Paris Cité, Hôpital Lariboisière Fernand Widal AP-HP, Paris, France. clementine.riviere@aphp.fr.
Karl GötzeAP-HP. Nord, Université Paris Cité, Hôpital Bichat Bretonneau AP-HP, Paris, France.
Sophie LacailleAP-HP. Nord, Université Paris Cité, Hôpital Bichat Bretonneau AP-HP, Paris, France.
Claire PaquetAP-HP. Nord, Université Paris Cité, Hôpital Lariboisière Fernand Widal AP-HP, Paris, France.
Julien DumurgierAP-HP. Nord, Université Paris Cité, Hôpital Lariboisière Fernand Widal AP-HP, Paris, France.
Capucine DiardAP-HP, Université Paris Saclay, Hôpital Sainte Périne AP-HP, Paris, France.
Marie Laure SeuxAP-HP. Centre Université Paris Cité, Hôpital Broca AP-HP, Paris, France.
Charlotte TomeoAP-HP. Sorbonne, Hôpital Rothschild AP-HP, Paris, France.
Antoine LynchHôpital Rives de Seine, Courbevoie, France.
Sandrine GreffardAP-HP. Nord, Université Paris Cité, Hôpital Lariboisière Fernand Widal AP-HP, Paris, France.
Agathe Raynaud SimonAP-HP. Nord, Université Paris Cité, Hôpital Bichat Bretonneau AP-HP, Paris, France.
Théodore DecaixAP-HP. Nord, Université Paris Cité, Hôpital Lariboisière Fernand Widal AP-HP, Paris, France.
Matthieu LilamandAP-HP. Nord, Université Paris Cité, Hôpital Lariboisière Fernand Widal AP-HP, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence and appropriate tools are often lacking to support the decision of driving discontinuation in cognitively impaired older adults by Alzheimer's disease and related disorders. Maintaining strong driving knowledge as individuals age is crucial for ensuring their fitness to drive. The objectives of this study were to describe the driving knowledge of older drivers > 65 referred for cognitive assessment compared to control subjects. We also analyzed the relationship between neuropsychological tests and driving knowledge assessment.

methodsCross-sectional, observational, multicenter study in geriatric day hospitals including older drivers with cognitive complaints who underwent a comprehensive neuropsychological assessment. Their performance on a driving theory test (knowledge of driving laws and road rules) and self-evaluation of driving abilities were assessed via a computer-based exam and compared to those of healthy younger drivers. Regression models were used to examine the relationship between driving knowledge and the neuropsychological examination scores with adjustment for age, gender and cognitive performance.

resultsWe included 144 patients (mean age 79.6 ± 4.9) and 249 controls (mean age 28.1 ± 6.6). Performance in the driving theory test was significantly lower in patients than in controls (p < 0.001). We showed a significative association between driving knowledge, the Montreal Cognitive Assessment (MoCA) and the Digit Symbol Substitution Test (DSST) independent from age, gender and cognitive performance.

conclusionOur study has raised concerns regarding the overall poor theoretical driving skills in older drivers and their low self-evaluation ability. The MoCA and the DSTT may be useful for guiding driving discontinuation in cognitively impaired older adults.

Indexed as

Automobile DrivingCognitive DysfunctionAdultAgedAged, 80 and overCognitionCross-Sectional StudiesFemaleHumansMaleNeuropsychological TestsAlzheimer’s diseaseCognitive disordersDriving skillsOlder drivers

Identifiers

PMID41467925
PMCPMC12774923

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.