Bilateral cataract, crash risk, driving performance, and self-regulation practices among older drivers

Agramunt, Seraina; Meuleners, Lynn; Fraser, Michelle; Morlet, Nigel; Chow, Kyle; Ng, Jonathon Q

doi:10.1016/j.jcrs.2016.02.023

Cited by 19 publications

(22 citation statements)

References 50 publications

(97 reference statements)

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“…Angina, myocardial infarction or coronary disease were associated with the avoidance of driving in heavy traffic, a potentially stressful situation. Consistently with our results, associations with driving self-regulation have been already reported for cataract26 27 and glaucoma 28. People suffering from nephritic colic and urinary stones reported to avoid driving at night, a time when the symptoms of kidney stone emergencies typically begin 29.…”

Section: Discussionsupporting

confidence: 93%

Chronic medical conditions and their association with crash risk and changes in driving habits: a prospective study of the GAZEL cohort

et al. 2020

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ObjectivesTo assess crash risk and driving habits associated with chronic medical conditions among drivers entering old age.DesignProspective cohort study.SettingFrench cohort GAZEL.Participants12 460 drivers in the analysis of road traffic crash, among whom 11 670 completed the follow-up period (2007–2014). We assessed driving cessation among 11 633 participants over the same period, and mileage and driving avoidance among the 4973 participants who returned a road safety questionnaire in 2015.Main outcome measuresYearly occurrence of at least one road crash as a driver; time to driving cessation; mileage; driving avoidance: at night, with bad weather, in heavy traffic, with glare conditions, over long distances.ResultsSeveral potentially risky conditions (angina, myocardial infarction, coronary disease; stroke; nephritic colic, urinary stones; glaucoma) were associated with lower mileage and/or driving avoidance and did not increase crash risk. Neither driving avoidance nor lower mileage was found for other conditions associated with an increased crash risk: hearing difficulties (adjusted OR 1.19, 95% CI 1.06 to 1.34); joint disorders (1.17, 95% CI 1.06 to 1.30). Depression, anxietyandstress was associated with an increased crash risk (1.23, 95% CI 1.01 to 1.49) despite increased driving avoidance. Parkinson’s disease was associated with driving cessation (adjusted HR 32.61, 95% CI 14.21 to 65.17).ConclusionsDepending on their condition, and probably on the associated risk perception, drivers entering old age report diverse driving habits. For example, hearing difficulties is a frequent condition, rarely considered a threat to road safety, and nonetheless associated with an increased crash risk.

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Section: Discussionsupporting

confidence: 93%

Chronic medical conditions and their association with crash risk and changes in driving habits: a prospective study of the GAZEL cohort

et al. 2020

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“…As mentioned above, crash rates have been shown to decline in those who have had cataract surgery 1,2,3 , although it is not clear what the objective driving exposure was for the participants examined. If older drivers drive more following surgery, this suggests that their risk for crashing should be increased because their overall exposure is increased.…”

Section: Discussionmentioning

confidence: 99%

“…These findings suggest that they were possibly restricting their driving less after surgery. Previous research has found that older drivers with cataracts self-report at least partly restricting their driving, and several studies have found that drivers self-report fewer difficulties with driving after cataract surgery 1,13 . However, we are not aware of any other studies that have objectively measured driving patterns before and after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…indicate in their systematic review, there are many gaps in the literature on cataract surgery and driving 1 . This includes what are the effects by each type of surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Cataract surgery has many benefits for older adults. One possible benefit is a decreased crash risk when driving 1,2,3 . What is not clear from the literature is how driving patterns change after an older driver has cataract surgery.…”

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Naturalistic driving patterns of older adults before and after cataract surgery

Porter

Cull

2018

Canadian Journal of Ophthalmology

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Background. Cataract surgery can have many benefits for older adults, including enabling continued driving. However, it is not known how objectively measured driving patterns change after cataract surgery. Objective. The purpose of this study was to examine how participants from the Winnipeg site of Candrive (a longitudinal study of older drivers in Canada) drove before and after cataract surgery. Methods. An in-vehicle device monitored all trips taken at 1 second intervals allowing for the analysis of distances driven, number of trips, time of trips, speeding, excessive braking/accelerating, as well as the types of roadways. Hypotheses. It was hypothesized that after cataract surgery participants would drive further. Secondarily it was also hypothesized that participants would make more trips, drive further from home on different roadway types, drive in the dark more, speed more, and have fewer episodes of hard brakes and accelerations. Results. Over the four years of data collection, there were 16 cases of participants having cataract surgery, whereby there was also suitable driving data for analyses. Participants drove 28% further distances after surgery (p = 0.022). They also had drove further from home, more on primary roads (p < 0.05), and had fewer episodes of hard braking per distance travelled (p < 0.001). No other variables significantly changed. Conclusions. This study suggests that older drivers changed some of their driving patterns after cataract surgery. Future studies could explore the effects of increased driving exposure, in conjunction with potentially safer driving behaviors, on overall driving safety after cataract surgery.

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Association Between Young-Onset Dementia and Risk of Hospitalization for Motor Vehicle Crash Injury in Taiwan

Liu

Chang

et al. 2022

JAMA Netw Open

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Bilateral cataract, crash risk, driving performance, and self-regulation practices among older drivers

Abstract: No author has a financial or proprietary interest in any material or method mentioned.

Cited by 19 publications

References 50 publications

Chronic medical conditions and their association with crash risk and changes in driving habits: a prospective study of the GAZEL cohort

Chronic medical conditions and their association with crash risk and changes in driving habits: a prospective study of the GAZEL cohort

Naturalistic driving patterns of older adults before and after cataract surgery

Association Between Young-Onset Dementia and Risk of Hospitalization for Motor Vehicle Crash Injury in Taiwan

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