Back to Search
Start Over
Comorbidity in Drivers with Parkinson's Disease.
- Source :
-
Journal of the American Geriatrics Society . Feb2016, Vol. 64 Issue 2, p342-346. 5p. 3 Charts. - Publication Year :
- 2016
-
Abstract
- Objectives To determine the effect of comorbidity on fitness-to-drive recommendations that physicians and on-road driving assessors make and to investigate the agreement in fitness-to-drive recommendations between physicians and on-road driving assessors. Design Retrospective. Setting Data on comorbidities associated with Parkinson's disease ( PD) and fitness-to-drive recommendations were investigated. Participants Individuals with PD who underwent an official on-road test in Belgium (N = 72). Measurements Correlations between comorbidity and fitness-to-drive recommendations were calculated. Stepwise logistic regression models were used to investigate whether comorbidity was an independent predictor of fitness-to-drive recommendations (pass/fail) that the physicians or the on-road assessors made. The percentage of agreement and the prevalence and bias-adjusted kappa ( PABAK) were used to investigate agreement between the physicians and the on-road assessors. Results Moderate correlations were found between comorbidity and fitness-to-drive recommendations that the physicians ( ρ = 0.34, P = .004) and the on-road assessors ( ρ = 0.30, P = .01) made. Comorbidity was the most important determinant (coefficient of determination = 0.16, P = .005) of the physicians fitness-to-drive recommendations. No significant effect of comorbidity on the on-road recommendations was found. The physicians and the on-road assessors agreed in 46 (64%) of the cases ( PABAK = 0.46, P < .001). Conclusion Comorbidity plays a role in physicians' recommendations of fitness to drive that may explain, in part, inconsistencies between physicians and on-road assessors' fitness-to-drive recommendations. This study indicates the need for an interdisciplinary dialogue between physicians and on-road assessors to reach a comprehensive fitness-to-drive decision. [ABSTRACT FROM AUTHOR]
- Subjects :
- *AUTOMOBILE driving
*CHI-squared test
*FISHER exact test
*GOODNESS-of-fit tests
*MULTIVARIATE analysis
*PARKINSON'S disease
*STATISTICS
*T-test (Statistics)
*VISUAL acuity
*COMORBIDITY
*LOGISTIC regression analysis
*DATA analysis
*RETROSPECTIVE studies
*DATA analysis software
*DESCRIPTIVE statistics
*MANN Whitney U Test
Subjects
Details
- Language :
- English
- ISSN :
- 00028614
- Volume :
- 64
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Journal of the American Geriatrics Society
- Publication Type :
- Academic Journal
- Accession number :
- 113137145
- Full Text :
- https://doi.org/10.1111/jgs.13942