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. 2013 Aug 29;2013(8):CD006222.
doi: 10.1002/14651858.CD006222.pub4.

Driving assessment for maintaining mobility and safety in drivers with dementia

Alan J Martin  1 , Richard Marottoli, Desmond O'Neill
Affiliations

Driving assessment for maintaining mobility and safety in drivers with dementia

Alan J Martin et al. Cochrane Database Syst Rev. .

Abstract

Background: Demographic changes are leading to an increase in the number of older drivers: as dementia is an age-related disease, there is also an increase in the numbers of drivers with dementia. Dementia can impact on both the mobility and safety of drivers, and the impact of formal assessment of driving is unknown in terms of either mobility or safety. Those involved in assessment of older drivers need to be aware of the evidence of positive and negative effects of driving assessment. Cognitive tests are felt by some authors to have poor face and construct validity for assessing driving performance; extrapolating from values in one large-scale prospective cohort study, the cognitive test that most strongly predicted future crashes would, if used as a screening tool, potentially prevent six crashes per 1000 people over 65 years of age screened, but at the price of stopping the driving of 121 people who would not have had a crash.

Primary objectives: 1. to assess whether driving assessment facilitates continued driving in people with dementia;2. to assess whether driving assessment reduces accidents in people with dementia.

Secondary objective: 1. to assess the quality of research on assessment of drivers with dementia.

Search methods: ALOIS, the Cochrane Dementia Group's Specialized Register was searched on 13 September 2012 using the terms: driving or driver* or "motor vehicle*" or "car accident*" or "traffic accident*" or automobile* or traffic. This register contains records from major healthcare databases, ongoing trial databases and grey literature sources and is updated regularly.

Selection criteria: We sought randomised controlled trials prospectively evaluating drivers with dementia for outcomes such as transport mobility, driving cessation or motor vehicle accidents following driving assessment.

Data collection and analysis: Each review author retrieved studies and assessed for primary and secondary outcomes, study design and study quality.

Main results: No studies were found that met the inclusion criteria. A description and discussion of the driving literature relating to assessment of drivers with dementia relating to the primary objectives is presented.

Authors' conclusions: In an area with considerable public health impact for drivers with dementia and other road users, the available literature fails to demonstrate the benefit of driver assessment for either preserving transport mobility or reducing motor vehicle accidents. Driving legislation and recommendations from medical practitioners requires further research that addresses these outcomes in order to provide the best outcomes for both drivers with dementia and the general public.

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Conflict of interest statement

None known.

Update of

References

References to studies excluded from this review

Adler 2008 {published data only}
    1. Adler G, Silverstein NM. At‐risk drivers with Alzheimer's disease: recognition, response, and referral. Traffic Injury Prevention 2008;9(4):299‐303. - PubMed
Akinwuntan 2007 {published data only}
    1. Akinwuntan AE, Devos H, Feys H, Verheyden G, Baten G, Kiekens C, et al. Confirmation of the accuracy of a short battery to predict fitness‐to‐drive of stroke survivors without severe deficits. Journal of Rehabilitation Medicine 2007;39(9):698‐702. - PubMed
Anderson 2005 {published data only}
    1. Anderson SW, Rizzo M, Shi Q, Uc EY, Dawson JD. Cognitive Abilities Related to Driving Performance in a Simulator and Crashing on the Road. Proceedings of the Third International Driving Symposium on Human Factors in Driver Assessment, Training and Vehicle Design; 2005 Jun 27‐30; Rockport (ME). 2005.
Anstey 2009 {published data only}
    1. Anstey KJ, Wood J, Caldwell H, Kerr G, Lord SR. Comparison of self‐reported crashes, state crash records and an on‐road driving assessment in a population‐based sample of drivers aged 69‐95 years. Traffic Injury Prevention 2009;10(1):84‐90. - PubMed
ANZSGM 2010 {published data only}
    1. Australian and New Zealand Society for Geriatric Medicine. Australian and New Zealand Society for Geriatric Medicine position statement driving and dementia. Australas Journal of Ageing 2010;29(3):137‐41. - PubMed
Arai 2009 {published data only}
    1. Arai Y, Arai A, Misuno Y. Automobile driving by dementia patients: a need for social support. Seishin Shinkeigaku Zasshi 2009;111(1):101‐7. - PubMed
Badenes 2007 {published data only}
    1. Badenes Guia D, Casas Hernanz L, Aguilar Barbera M, Cejudo Bolivar JC. Assessment of dementia of car driving abilities in patients with mild cognitive impairment and dementia. Mapfre Medicina 2007;18(2):98‐107. [MEDLINE: ]
Badenes‐Guia 2008 {published data only}
    1. Badenes Guia D, Casas Hernanz L, Cejudo Bolivar JC, Aguilar Barberà M. Evaluation of the capacity to drive in patients diagnosed of mild cognitive impairment and dementia. Neurologia 2008;23(9):575‐82. - PubMed
Ball 2006 {published data only}
    1. Ball KK, Roenker DL, Wadley VG, Edwards JD, Roth DL, McGwin G, Jr, et al. Can high‐risk older drivers be identified through performance‐based measures in a Department of Motor Vehicles setting?. Journal of the American Geriatrics Society 2006;54(1):77‐84. - PubMed
Barrash 2010 {published data only}
    1. Barrash J, Stillman A, Anderson SW, Uc EY, Dawson JD, Rizzo M. Prediction of driving ability with neuropsychological tests: demographic adjustments diminish accuracy. Journal of the International Neuropsychological Society 2010;16(4):679‐86. - PMC - PubMed
Berndt 2008 {published data only}
    1. Berndt A, Clark M, May E. Dementia severity and on‐road assessment: briefly revisited. Australas Journal on Ageing 2008;27(3):157‐60. - PubMed
Breen 2007 {published data only}
    1. Breen DA, Breen DP, Moore J W, Breen P A, O'Neill D. Driving and dementia. BMJ 2007;334(7608):1365‐9. - PMC - PubMed
Brown 2005 {published data only}
    1. Brown LB, Ott BR, Papadonatos GD, Sui Y, Ready RE, Morris JC. Prediction of on‐road driving performance in patients with early Alzheimer's disease. Journal of the American Geriatrics Society 2005;53:94–8. - PMC - PubMed
Bylsma 1990 {published data only}
    1. Bylsma FW, Rebok GW, Keyl PM. The effects of Alzheimer's disease on driving related abilities. Neurobiology of Aging 1990;11(3):348.
Bylsma 1997 {published data only}
    1. Bylsma FW. Simulators for assessing driving skills in demented patients. Alzheimer's Disease and Associated Disorders 1997;11 Suppl 1:17‐20. - PubMed
Carr 2000 {published data only}
    1. Carr DB, Duchek J, Morris JC. Characteristics of motor vehicle crashes of drivers with dementia of the Alzheimer type. Journal of the American Geriatrics Society 2000;48(1):18‐22. - PubMed
Carr 2011 {published data only}
    1. Carr DB, Barco PP, Wallendorf MJ, Snellgrove CA, Ott BR. Predicting road test performance in drivers with dementia. Journal of the American Geriatrics Society 2011;59(11):2112‐7. - PMC - PubMed
Clark 2005 {published data only}
    1. Clark M, Hecker J, Cleland E, Field C, Berndt A, Crotty M, Snellgrove C. Dementia and Driving. Australian Transport Safety Bureau. CANBERRA ACT 2608, Australia, 2005.
Cooper 1993 {published data only}
    1. Cooper PJ, Tallman K, Tuokko H, Beattie BL. Vehicle crash involvement and cognitive deficit in older drivers. Journal of Safety Research 1993;24:9‐17.
Cotrell 1999 {published data only}
    1. Cotrell V, Wild K. Longitudinal study of self‐imposed driving restrictions and deficit awareness in patients with Alzheimers disease. Alzheimer Disease and Associated Disorders 1999;13(3):151‐6. - PubMed
Cox 1998 {published data only}
    1. Cox DJ, Quillian WC, Thorndike FP, Kovatchev BP, Hanna B. Evaluating driving performance of outpatients with Alzheimer disease. Journal of the American Board of Family Practice 1998;11(4):264‐71. - PubMed
Cushman 1992 {published data only}
    1. Cushman LA. The Impact of Cognitive Decline and Dementia on Driving in Older Adults. AAA Foundation for Traffic Safety. Washington DC: AAA Foundation for Traffic Safety, 1730 M Street, NW Suite 401 Washington DC, 20036, 1992.
Daiello 2010 {published data only}
    1. Daiello LA, Ott BR, Festa EK, Friedman M, Miller LA, Heindel WC. Effects of cholinesterase inhibitors on visual attention in drivers with Alzheimer disease. Journal of Clinical Psychopharmacology 2010;30(3):245‐51. - PMC - PubMed
Dawson 2009 {published data only}
    1. Dawson JD, Anderson SW, Uc EY, Dastrup E, Rizzo M. Predictors of driving safety in early Alzheimer disease. Neurology 2009;72(6):521‐7. - PMC - PubMed
de Simone 2007 {published data only}
    1. Simone V, Kaplan L, Patronas N, Wassermann EM, Grafman J. Driving abilities in frontotemporal dementia patients. Dementia and Geriatric Cognitive Disorders 2007;23(1):1‐7. - PubMed
Devos 2007 {published data only}
    1. Devos H, Vandenberghe W, Nieuwboer A, Tant M, Baten G, Weerdt W. Predictors of fitness to drive in people with Parkinsons disease. Neurology 2007;69(14):1434‐41. - PubMed
Dobbs 1997 {published data only}
    1. Dobbs AR. Evaluating the driving competence of dementia patients. Alzheimer Disease and Associated Disorders 1997;11 Suppl 1:8‐12. - PubMed
Drachman 1993 {published data only}
    1. Drachman DA, Swearer JM. Driving and Alzheimer's disease: the risk of crashes. Neurology 1993;43(12):2448‐56. - PubMed
Dubinsky 1992 {published data only}
    1. Dubinsky RM, Williamson A, Gray CS, Glatt SL. Driving in Alzheimer's disease. Journal of the American Geriatrics Society 1992;40(11):1112‐16. - PubMed
Duchek 2003 {published data only}
    1. Duchek JM, Carr DB, Hunt L, Roe CM, Xiong C, Shah K, et al. Longitudinal driving performance in early‐stage dementia of the Alzheimer type. Journal of the American Geriatrics Society 2003;51(10):1342‐7. - PubMed
Ernst 2010 {published data only}
    1. Ernst J, Krapp S, Schuster T, Förstl H, Kurz A, Diehl‐Schmid J. Car driving ability of patients with fronto‐temporal lobar degeneration and Alzheimer's disease. Nervenarzt 2010;81(1):79‐85. - PubMed
Fitten 1995 {published data only}
    1. Fitten LJ, Perryman KM, Wilkinson CJ, Little RJ, Burns MM, Pachana N, et al. Alzheimer and vascular dementias and driving. A prospective road and laboratory study. JAMA 1995;273:1360–5. - PubMed
Fox 1997 {published data only}
    1. Fox GK, Bowden SC, Bashford GM, Smith DS. Alzheimer’s disease and driving: prediction and assessment of driving performance. Journal of the American Geriatrics Society 1997;45:949–53. - PubMed
Friedland 1988 {published data only}
    1. Friedland RP, Koss E, Kumar A, Gaine S, Metzler D, Haxby JV, et al. Motor vehicle crashes in dementia of the Alzheimer type. Annals of Neurology 1988;24:782‐6. - PubMed
Frittelli 2009 {published data only}
    1. Frittelli C, Borghetti D, Iudice G, Bonanni E, Maestri M, Tognoni G, et al. Effects of Alzheimer's disease and mild cognitive impairment on driving ability: a controlled clinical study by simulated driving test. International Journal of Geriatric Psychiatry 2009;24(3):232‐8. - PubMed
Gilley 1991 {published data only}
    1. Gilley DW, Wilson RS, Bennett DA, Stebbins GT, Bernard BA, Whalen ME, et al. Cessation of driving and unsafe motor vehicle operation by dementia patients. Archives of Internal Medicine 1991;151(5):941‐6. - PubMed
Grace 2005 {published data only}
    1. Grace J, Amick MM, D'Abreu A, Festa EK, Heindel WC, Ott BR. Neuropsychological deficits associated with driving performance in Parkinson's and Alzheimer's disease. Journal of the International Neuropsychological Society 2005;11(6):766‐75. - PMC - PubMed
Hunt 1993 {published data only}
    1. Hunt L, Morris JC, Edwards D, Wilson BS. Driving performance in persons with mild senile dementia of the Alzheimer type. Journal of the American Geriatrics Society 1993;41:747–52. - PubMed
Hunt 1997 {published data only}
    1. Hunt LA, Murphy CF, Carr D, Duchek JM, Buckles V, Morris JC. Reliability of the Washington University Road Test. A performance‐based assessment for drivers with dementia of the Alzheimer type. Archives of Neurology 1997;54:707–12. - PubMed
Hunt 2010 {published data only}
    1. Hunt LA, Brown AE, Gilman IP. Drivers with dementia and outcomes of becoming lost while driving. American Journal of Occupational Therapy 2010;64(2):225‐32. - PubMed
Innes 2005 {published data only}
    1. Innes CR, Jones RD, Dalrymple‐Alford JC, Hayes S, Hollobon S, Severinsen J, et al. Sensory‐motor and cognitive tests predict driving ability of persons with brain disorders. Journal of Neurological Science 2007;260(1‐2):188‐98. - PubMed
    1. Innes CRH, Jones R, Anderson T, Dalrymple‐Alford J, Hayes S, Hollobon S, et al. Prediction of driving ability in persons with brain disorders using sensory‐motor and cognitive tests. Conference Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 2005; Vol. 5, issue 1:5439‐5442. - PubMed
Iverson 2010 {published data only}
    1. Iverson DJ, Gronseth GS, Reger MA, Classen S, Dubinsky RM, Rizzo M, Quality Standards Subcommittee of the American Academy of Neurology. Practice parameter update: evaluation and management of driving risk in dementia. Neurology 2010;74(16):1316‐24. - PMC - PubMed
Johansson 1997 {published data only}
    1. Johansson K, Lundberg C. The 1994 International Consensus Conference on Dementia and Driving: a brief report. Alzheimer Disease and Associated Disorders 1997;11:62‐9. - PubMed
Kamimura 2009 {published data only}
    1. Kamimura N. Dementia and automobile driving. Seishin Shinkeigaku Zasshi. 2009;111(8):960‐6. - PubMed
Kawano 2009 {published data only}
    1. Kawano N, Makino T, Suzuki Y, Umegaki H. Impact of driving cessation on daily transportation utility in elderly people with cognitive decline: a survey of patients in the memory clinic of an urban university hospital. Nihon Ronen Igakkai Zasshi 2009;46(5):420‐7. - PubMed
Kay 2009 {published data only}
    1. Kay LG, Bundy AC, Clemson LM. Predicting fitness to drive in people with cognitive impairments by using DriveSafe and DriveAware. Archives of Physical Medicine and Rehabilitation 2009;90(9):1514‐22. - PubMed
Lafont 2010 {published data only}
    1. Lafont S, Marin‐Lamellet C, Paire‐Ficout L, Thomas‐Anterion C, Laurent B, Fabrigoule C. The Wechsler Digit Symbol Substitution Test as the best indicator of the risk of impaired driving in Alzheimer disease and normal aging. Dementia and Geriatric Cognitive Disorders 2010;29(2):154‐63. - PubMed
Laks 1999 {published data only}
    1. Laks J, Marinho VM, Rozenthal M, Engelhardt E. Driving, cognitive impairment, and dementia [Direçäo, comprometimento cognitivo e dem?]. Revista Brasiliera de Neurologia 1999;35(5):131‐5.
Laks 2000 {published data only}
    1. Laks J, Munk M, Pessanha MR, Pinto SP, Engelhardt E. Elderly and driving: evaluation in a nursing home [Idosos com habilitaçäo para dirigir veículos automotores: avaliaçäo em um lar abrigado]. Jornal Brasiliero de Psiquiatria 2000;49(10):399‐404. [ISSN: 0047‐2085.]
Leproust 2008 {published data only}
    1. Leproust S, Lagarde E, Salmi LR. Risks and advantages of detecting individuals unfit to drive: a Markov decision analysis. Journal of General Internal Medicine 2008;23(11):1796‐803. - PMC - PubMed
Lincoln 2006 {published data only}
    1. Lincoln NB, Radford KA, Lee E, Reay AC. The assessment of fitness to drive in people with dementia. International Journal of Geriatric Psychiatry 2006;21(11):1044‐51. - PubMed
Lincoln 2010 {published data only}
    1. Lincoln NB, Taylor JL, Vella K, Bouman WP, Radford KA. A prospective study of cognitive tests to predict performance on a standardised road test in people with dementia. International Journal of Geriatric Psychiatry 2010;25(5):489‐96. - PubMed
Love 2007 {published data only}
    1. Love CM. Cognitive impairment and dangerous driving: a decision‐making model for the psychologist to balance confidentiality with safety. Dissertation Abstracts International: Section B: The Sciences and Engineering 2007;68(3‐B):1933. [ISSN: 0419‐4217.]
Lucas‐Blaustein 1988 {published data only}
    1. Lucas‐Blaustein MJ, Filipp L, Dungan C, Tune L. Driving in patients with dementia. Journal of the American Geriatrics Society 1988;36(12):1087‐91. - PubMed
Lukas 2009 {published data only}
    1. Lukas A, Nikolaus T. Driving ability and dementia. Zeitschrift für Gerontologie und Geriatrie 2009;42(3):205‐11. - PubMed
Man‐Son‐Hing 2007 {published data only}
    1. Man‐Son‐Hing M, Marshall SC, Molnar FJ, Wilson KG. Systematic review of driving risk and the efficacy of compensatory strategies in persons with dementia. Journal of the American Geriatrics Society 2007;55(6):878‐84. [ISSN:0002‐8614] - PubMed
Meuser 2006 {published data only}
    1. Meuser TM, Carr DB, Berg‐Weger M, Niewoehner P, Morris JC. Driving and dementia in older adults: implementation and evaluation of a continuing education project. Gerontologist 2006;46(5):680‐7. - PubMed
Meuser 2009 {published data only}
    1. Meuser TM, Carr DB, Ulfarsson GF. Motor‐vehicle crash history and licensing outcomes for older drivers reported as medically impaired in Missouri. Accident; Analysis and Prevention 2009;41(2):246‐52. - PMC - PubMed
Molnar 2006 {published data only}
    1. Molnar FJ, Patel A, Marshall SC, Man‐Son‐Hing M, Wilson KG. Clinical utility of office‐based cognitive predictors of fitness to drive in persons with dementia: a systematic review. Journal of the American Geriatrics Society 2006;54(12):1809‐24. - PubMed
Molnar 2007 {published data only}
    1. Molnar FJ, Marshall SC, Man‐Son‐Hing M, Wilson KG, Byszewski AM, Stiell I. Acceptability and concurrent validity of measures to predict older driver involvement in motor vehicle crashes: An Emergency Department pilot case‐control study. Accident; Analysis and Prevention 2007;39(5):1056‐63. - PubMed
Mosimann 2011 {published data only}
    1. Mosimann UP, Bächli‐Biétry J, Boll J, Bopp‐Kistler I, Donati F, Kressig RW, et al. Consensus recommendations for the assessment of fitness to drive in cognitively impaired patients. Praxis 2011;101(7):437. - PubMed
Neitch 2011 {published data only}
    1. Neitch SM, Madero G, Maynard S. Driving assessment results in patients with a diagnosis of Dementia. West Virginia Medical Journal 2011;107(3):54‐8. - PubMed
O'Connor 2010 {published data only}
    1. O'Connor ML, Edwards JD, Wadley VG, Crowe M. Changes in mobility among older adults with psychometrically defined mild cognitive impairment. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences 2010;65B(3):306‐16. - PMC - PubMed
Odenheimer 1994 {published data only}
    1. Odenheimer GJ, Beaudet M, Jette AM, Albert MS, Grande L, Minaker KL. Performance‐based evaluation of the elderly driver: safety, reliability and validity. Journal of Gerontology 1994;49(4):153‐9. - PubMed
Okonkwo 2009 {published data only}
    1. Okonkwo OC, Griffith HR, Vance DE, Marson DC, Ball KK, Wadley VG. Awareness of functional difficulties in mild cognitive impairment: a multidomain assessment approach. Journal of the American Geriatric Society 2009;57(6):978‐84. - PMC - PubMed
Oswanski 2007 {published data only}
    1. Oswanski MF, Sharma OP, Raj SS, Vassar LA, Woods KL, Sargent WM, et al. Evaluation of two assessment tools in predicting driving ability of senior drivers. American Journal of Physical Medicine and Rehabilitation 2007;86(3):190‐9. - PubMed
Ott 2005 {published data only}
    1. Ott B, Anthony D, Papandonatos GD, D’Abreu A, Burock J, Curtin A, et al. Clinician assessment of the driving competence of patients with dementia. Journal of the American Geriatrics Society 2005;53:829–33. - PMC - PubMed
Ott 2008 {published data only}
    1. Ott BR, Heindel WC, Papandonatos GD, Festa EK, Davis JD, Daiello LA, Morris JC. A longitudinal study of drivers with Alzheimers disease. Neurology 2008;70(14):1171‐8. - PMC - PubMed
Parker 2000 {published data only}
    1. Parker D, McDonald L, Rabbitt P, Sutcliffe P. Elderly drivers and their accidents: the Aging Driver Questionnaire. Accident; Analysis and Prevention 2000;32(6):751‐9. - PubMed
Patomella 2010 {published data only}
    1. Patomella AH, Tham K, Johansson K, Kottorp A. P‐drive on‐road: internal scale validity and reliability of an assessment of on‐road driving performance in people with neurological disorders. Scandinavian Journal of Occupational Therapy 2010;17(1):86‐93. - PubMed
Rapoport 2007 {published data only}
    1. Rapoport MJ, Herrmann N, Molnar FJ, Man‐Son‐Hing M, Marshall SC, Shulman K, et al. Sharing the responsibility for assessing the risk of the driver with dementia. CMAJ 2007;177(6):599‐601. - PMC - PubMed
Rebok 1994 {published data only}
    1. Rebok GW, Keyl PM. The effects of Alzheimer disease on driving‐related abilities. Alzheimer Disease and Associated Disorders 1994;8(4):228‐40. - PubMed
Reger 2004 {published data only}
    1. Reger MA, Welsh RK, Watson GS, Cholerton B, Baker LD, Craft S. The relationship between neuropsychological functioning and driving ability in dementia: a meta‐analysis. Neuropsychology 2004;18(1):85‐93. - PubMed
Regtuijt 2007 {published data only}
    1. Regtuijt EM, Kleinsman ACM, Slaets JPJ. Questioning the ability to drive in patients with cognitive disorders [Dutch]. Nederlands Tijdschrift Voor Geneeskunde 2007;151(36):1965‐9. [ISSN:0028‐2162] - PubMed
Rizzo 1997 {published data only}
    1. Rizzo M, Reinach S, McGehee D, Dawson J. Simulated car crashes and crash predictors in drivers with Alzheimer's disease. Archives of Neurology 1997;54:545‐53. - PubMed
Rizzo 2001 {published data only}
    1. Rizzo M, McGehee DV, Dawson JD, Anderson SN. Simulated car crashes at intersections in drivers with Alzheimer disease. Alzheimer Disease and Associated Disorders 2001;15(1):10‐20. - PubMed
Ross 2009 {published data only}
    1. Ross LA, Anstey KJ, Kiely KM, Windsor TD, Byles JE, Luszcz MA, Mitchell P. Older drivers in Australia: trends in driving status and cognitive and visual impairment. Journal of the American Geriatric Society 2009;57(10):1868‐73. - PubMed
Silva 2009 {published data only}
    1. Silva MT, Laks J, Engelhardt E. Neuropsychological tests and driving in dementia. Revista da Associação Médica Brasileira 2009;55(4):484‐8. - PubMed
Singh 2007 {published data only}
    1. Singh R, Pentland B, Hunter J, Provan F. Parkinson's disease and driving ability. Journal of Neurology, Neurosurgery and Psychiatry 2007;78(4):363‐6. [ISSN: 0022‐3050] - PMC - PubMed
Snellgrove 2005 {published data only}
    1. Snellgrove CA. Cognitive screening for the safe driving competence of older people with mild cognitive impairment or early dementia, 2000. www.infrastructure.gov.au/roads/safety/publications/2005/pdf/cog_screen_... (accessed 2 April 2013).
Snyder 2009 {published data only}
    1. Snyder KM, Ganzini L. Outcomes of Oregon's law mandating physician reporting of impaired drivers. Journal of Geriatric Psychiatry and Neurology 2009;22(3):161‐5. - PubMed
Soderstrom 2009 {published data only}
    1. Soderstrom CA, Scottino MA, Joyce JJ, Burch C, Ho SM, Kerns TJ. Police referral of drivers to the Maryland Motor Vehicle Administration's Medical Advisory Board. Annals of Advances in Automotive Medicine 2009;53:105‐16. - PMC - PubMed
Staplin 2003 {published data only}
    1. Staplin L, Gish KW, Wagner EK. MaryPODS revisited: updated crash analysis and implications for screening program implementation. Journal of Safety Research 2003;34(4):389‐97. - PubMed
Staplin 2003a {published data only}
    1. Staplin L, Lococo KH, Gish KW, Decina LE. Model driver screening and evaluation program final technical report: Vol. 2. Maryland Pilot Older Driver Study. www.nhtsa.gov/people/injury/olddrive/modeldriver/volume_ii.htm (accessed 2 April 2013).
Stutts 1998 {published data only}
    1. Stutts JC, Stewart JR, Martell C. Cognitive test performance and crash risk in an older driver population. Accident; Analysis and Prevention 1998;30(3):337‐46. - PubMed
Szlyk 2002 {published data only}
    1. Szlyk JP, Myers L, Zhang Y, Wetzel L, Shapiro R. Development and assessment of a neuropsychological battery to aid in predicting driving performance. Journal of Rehabilitation Research and Development 2002;39(4):483‐96. - PubMed
Taylor 2001 {published data only}
    1. Taylor BD, Tripodes S. The effects of driving cessation on the elderly with dementia and their caregivers. Accident; Analysis and Prevention 2001;33(4):519‐28. - PubMed
Trilling 2001 {published data only}
    1. Trilling JS. Selections from current literature assessment of older drivers. Family Practice 2001;18(3):339‐42. - PubMed
Trobe 1996 {published data only}
    1. Trobe JD, Waller PF, Cook‐Flanagan CA, Teshima SM, Bieliauskas LA. Crashes and violations among drivers with Alzheimer disease. Archives of Neurology 1996;53(5):411‐6. - PubMed
Tuokko 1995 {published data only}
    1. Tuokko H, Tallman K, Beattie BL, Cooper P, Weir J. An examination of driving records in a dementia clinic. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences 1995;50(3):S173‐81. - PubMed
Uc 2005 {published data only}
    1. Uc EY, Rizzo M, Anderson SW, Shi Q, Dawson JD. Driver landmark and traffic sign identification in early Alzheimer’s disease. Journal of Neurology, Neurosurgery and Psychiatry 2005;76:764–8. - PMC - PubMed
Uc 2006 {published data only}
    1. Uc EY, Rizzo M, Anderson SW, Shi Q, Dawson JD. Unsafe rear‐end collision avoidance in Alzheimer's disease. Journal of the Neurological Sciences 2006;251(1‐2):35‐43. - PubMed
Uc 2008 {published data only}
    1. Uc EY, Rizzo M. Driving and neurodegenerative diseases. Current Neurology and Neuroscience Reports 2008;8(5):377‐83. - PMC - PubMed
Vaux 2010 {published data only}
    1. Vaux LM, Ni R, Rizzo M, Uc EY, Andersen GJ. Detection of imminent collisions by drivers with Alzheimer's disease and Parkinson's disease: a preliminary study. Accident; Analysis and Prevention 2010;42(3):852‐8. - PMC - PubMed
Wadley 2009 {published data only}
    1. Wadley VG, Okonkwo O, Crowe M, Vance DE, Elgin JM, Ball KK, et al. Mild cognitive impairment and everyday function: an investigation of driving performance. Journal of Geriatric Psychiatry and Neurology 2009;22(2):87‐94. - PMC - PubMed
Wild 2003 {published data only}
    1. Wild K, Cotrell V. Identifying driving impairment in Alzheimer disease: a comparison of self and observer reports versus driving evaluation. Alzheimer Disease and Associated Disorders 2003;17:27–34. - PubMed
Withaar 2000 {published data only}
    1. Withaar FK, Brouwer WH, Zomeren AH. Fitness to drive in older drivers with cognitive impairment. Journal of the International Neuropsychological Society 2000;6(4):480‐90. - PubMed
Woolf 2006 {published data only}
    1. Woolf C, Heng K, Pan S, Layde MP, Zhu S. The elderly and motor vehicle crashes. Chinese Journal of Emergency Medicine 2006;15(1):6‐12. [ISSN: 1671‐0282]
Zuin 2002 {published data only}
    1. Zuin D, Ortiz H, Boromei D, Lopez OL. Motor vehicle crashes and abnormal driving behaviours in patients with dementia in Mendoza, Argentina. European Journal of Neurology 2002;9(1):29‐34. - PubMed

Additional references

Archer 2007
    1. Archer HA, McFarlane F, Frost C, Cutler D, Fox NC, Rossor MN. Symptoms of memory loss as predictors of cognitive impairment: the use and reliability of memory ratings in a clinic population. Alzheimer Disease and Associated Disorders 2007;21(2):101‐6. - PubMed
de Raedt 2000
    1. Raedt R, Ponjaert‐Kristoffersen I. Can strategic and tactical compensation reduce crash risk in older drivers?. Age and Ageing 2000;29(6):517‐21. - PubMed
Dobbs 1998
    1. Dobbs AR, Heller RB. A comparative approach to identify unsafe older drivers. Accident; Analysis and Prevention 1998;30(3):363‐70. - PubMed
Edwards 2003
    1. Edwards CJ, Creaser JI, Caird JK, Lamsdale AM, Chisholm SL. Older and younger driver performance at complex intersections: implications for using perception‐response time and driving simulation. Proceedings of the Second International Driving Symposium on Human Factors in Driver Assessment, Training, and Vehicle Design, Park City, Utah. 2003:7‐12.
Freeman 2006
    1. Freeman EE, Gange SJ, Munoz B, West SK. Driving status and risk of entry into long‐term care in older adults. American Journal of Public Health 2006;96(7):1254‐9. - PMC - PubMed
Fuller 2005
    1. Fuller R. Towards a general theory of driver behaviour. Accident; Analysis and Prevention 2005;37(3):461‐72. - PubMed
George 2007
    1. George S, Clark M, Crotty M. Development of the Adelaide driving self‐efficacy scale. Clinical Rehabilitation 2007;21(1):56‐61. - PubMed
Giuliano 2003
    1. Giuliano G, Hu H, Lee K. Travel Patterns in the Elderly: the Role of Land Usage. Los Angeles, CA: METRANS Transportation Center, 2003. [METRANS project 00‐8]
Hakamies‐Blomqvist 1996
    1. Hakamies‐Blomqvist L, Johansson K, Lundberg C. Medical screening of older drivers as a traffic safety measure ‐ a comparative Finnish‐Swedish evaluation study. Journal of the American Geriatrics Society 1996;44(6):650‐3. - PubMed
Hakamies‐Blomqvist 1998
    1. Hakamies‐Blomqvist L. Older drivers' accident risk: conceptual and methodological issues. Accident; Analysis and Prevention 1998;30(3):293‐7. - PubMed
Herrmann 2006
    1. Herrmann N, Rapoport MJ, Sambrook R, Hébert R, McCracken P, Robillard A. Predictors of driving cessation in mild‐to‐moderate dementia. CMAJ 2006;175(6):591‐5. - PMC - PubMed
Langford 2004
    1. Langford J, Fitzharris M, Newstead S, Koppel S. Some consequences of different older driver licensing procedures in Australia. Accident; Analysis and Prevention 2004;36(6):993‐1001. - PubMed
Lundberg 2003
    1. Lundberg C, Caneman G, Samuelsson SM, Hakamies‐Blomqvist L, Almkvist O. The assessment of fitness to drive after a stroke: the Nordic Stroke Driver Screening Assessment. Scandinavian Journal of Psychology 2003;44(1):23‐30. - PubMed
Marottoli 1997
    1. Marottoli RA, Mendes de Leon CF, Glass TA, Williams CS, Cooney LM Jr, Berkman LF, et al. Driving cessation and increased depressive symptoms: prospective evidence from the New Haven EPESE. Established Populations for Epidemiologic Studies of the Elderly. Journal of the American Geriatrics Society 1997;45(2):202‐6. - PubMed
Marottoli 2000
    1. Marottoli RA, Leon CFM, Glass TA, Williams CS, Cooney LM Jr, Berkman LF. Consequences of driving cessation: decreased out‐of‐home activity levels. Journals of Gerontology: Series B, Psychological Sciences and Social Sciences 2000;55(6):S334‐40. - PubMed
Martin 2005
    1. Martin A, Balding L, O'Neill D. Are the media running elderly drivers off the road?. BMJ 2005;330:368.
Metz 2000
    1. Metz DH. Mobility of older people and their quality of life. Transport Policy 2000;7(2):149‐52.
Metz 2004
    1. Metz D. Human mobility and transport policy. Ingenia 2004;18:37‐42.
Michon 1985
    1. Michon JA. A critical review of driver behaviour models: what do we know, what should we do?. In: Evans L, Schwing RC editor(s). Human Behaviour and Traffic Safety. New York: Plenum, 1985:487‐525.
Morris 1994
    1. Morris JC. The Clinical Dementia Rating (CDR). Current version and scoring rules. Neurology 1994;44:1983–4. - PubMed
Nouri 1992
    1. Nouri FM, Lincoln NB. Validation of a cognitive assessment: predicting driving performance after stroke. Clinical Rehabilitation 1992;6:275–81.
Radford 2004
    1. Radford KA, Lincoln NB, Murray‐Leslie C. Validation of the stroke drivers screening assessment for people with traumatic brain injury. Brain Injury 2004;18(8):775‐86. - PubMed
Ragland 2005
    1. Ragland DR, Satariano WA, MacLeod KE. Driving cessation and increased depressive symptoms. Journals of Gerontology: Series A, Biological Sciences and Medical Science 2005;60A:399‐403. - PubMed
Ranney 1994
    1. Ranney TA. Models of driving behavior: a review of their evolution. Accident; Analysis and Prevention 1994;26(6):733‐50. - PubMed
RevMan 2011 [Computer program]
    1. The Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan). Version 5.. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2011.
Robinson 2004
    1. Robinson D, O'Neill D. Ethics of driving assessment in dementia care, competence and communication. In: Rai GS editor(s). Medical Ethics and the Elderly. Oxford: Radcliffe Publications, 2004:103‐12.
Rosenbloom 1993
    1. Rosenbloom S. Transportation needs of the elderly population. Clinics in Geriatric Medicine 1993;9(2):297‐310. - PubMed
Rosenbloom 2003
    1. Rosenbloom S, Ståhl A. Automobility among the elderly; the convergence of environmental, safety, mobility and community design issues. European Journal of Transport and Infrastructure Research 2003;2(3‐4):197‐214.
Satariano 2012
    1. Satariano WA, Guralnik JM, Jackson RJ, Marottoli RA, Phelan EA, Prohaska TR. Mobility and aging: new directions for public health action. American Journal of Public Health 2012;102(8):1508‐15. - PMC - PubMed
Selander 2010
    1. Selander H, Johansson K, Lundberg C, Falkmer T. The Nordic stroke driver screening assessment as predictor for the outcome of an on‐road test. Scandinavian Journal of Occupational Therapy 2010;17(1):10‐7. - PubMed
Siren 2012
    1. Siren A, Meng A. Cognitive screening of older drivers does not produce safety benefits. Accident; Analysis and Prevention 2012;45:634‐8. - PubMed
Spinney 2009
    1. Spinney JEL, Scott DM, Newbold KB. Transport mobility benefits and quality of life: a time‐use perspective of elderly Canadians. Transport Policy 2009;16(1):1‐11.
Stalvey 1999
    1. Stalvey BT, Owsley C, Sloane ME, Ball K. The Life Space Questionnaire: a measure of the extent of mobility of older adults. Journal of Applied Gerontology 1999;18:460.
Stutts 2003
    1. Stutts JC, Wilkins JW. On‐road driving evaluations: a potential tool for helping older adults drive safely longer. Safety Research 2003;34(4):431‐9. - PubMed
Tant 2002
    1. Tant MLM, Brouwer WH, Cornelissen FW, Kooijman AC. Driving and visuospatial performance in people with hemianopia. Neuropsychological Rehabilitation 2002;5:419‐37.
Vernon 2002
    1. Vernon DD, Diller EM, Cook LJ, Reading JC, Suruda AJ, Dean JM. Evaluating the crash and citation rates of Utah drivers licensed with medical conditions, 1992‐1996. Accident; Analysis and Prevention 2002;34(2):237‐46. - PubMed
Zanetti 1999
    1. Zanetti O, Geroldi C, Frisoni GB, Bianchetti A, Trabucchi M. Contrasting results between caregiver's report and direct assessment of activities of daily living in patients affected by mild and very mild dementia: the contribution of the caregiver's personal characteristics. Journal of the American Geriatrics Society 1999;47(2):196‐202. - PubMed

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