What is the motor vehicle crash risk for drivers with epilepsy? A systematic review

Koppel, Sjaan; Stefano, Marilyn Di; Dimech-Betancourt, Bleydy; Aburumman, Mohammed; Osborne, Rachel; Peiris, Sujanie; Williams, G.; McInnes, Aaron; Stephens, Amanda; Odell, Morris; Dārziņš, Pēteris; Carney, Patrick; Cook, Mark; Berkovic, Samuel F.; Rapoport, Mark J.; Dow, Jamie; O’Neill, Desmond; Charlton, Judith Lynne

doi:10.1016/j.jth.2021.101286

Cited by 2 publications

(2 citation statements)

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“…The conclusions of past research on the effectiveness of physician reporting have been mixed. Some studies have found that mandatory physician reporting laws do not have a significant association with hospitalizations due to motor vehicle crashes, while others report that physician reporting is associated with reduced road crashes and traffic violations . Another often-cited concern with physician reporting is that it could result in inherently safe drivers losing their driving privileges .…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have found that mandatory physician reporting laws do not have a significant association with hospitalizations due to motor vehicle crashes, 8 while others report that physician reporting is associated with reduced road crashes and traffic violations. 15 , 16 , 17 , 18 Another often-cited concern with physician reporting is that it could result in inherently safe drivers losing their driving privileges. 15 , 19 Physicians may consider the similarities of mandated reporting of communicable diseases with the reporting of medically impaired drivers.…”

Section: Discussionmentioning

confidence: 99%

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Reporting Requirements, Confidentiality, and Legal Immunity for Physicians Who Report Medically Impaired Drivers

Tran,

Lee

2024

JAMA Netw Open

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ImportancePhysicians play an important role in assessing patients’ ability to drive. There is a dearth of peer-reviewed information on policies regarding physician reporting of medically impaired drivers.ObjectiveTo investigate state reporting requirements and the availability of confidentiality and legal immunity for physicians who report medically impaired drivers.Design, Setting, and ParticipantsThis cross-sectional study was conducted from November 1 to 30, 2022, in 3 rounds. First, all 50 US states’ Department of Motor Vehicle (DMV) websites were systematically reviewed. Second, DMV staff from each state were surveyed via telephone. Third, each state’s legal codes for driver licensing were reviewed.Main Outcomes and MeasuresOutcome measures included the percentage of states with mandatory and voluntary reporting policies, reporting instructions on DMV websites, anonymous reporting options, and legal immunity for reporting physicians, in addition to characteristics of states’ mandatory reporting policies (ie, types of medical conditions that require reporting) and policies surrounding the confidentiality of reports. The data were analyzed using descriptive statistics.ResultsOne-third of state DMV websites (17 [34%]) lacked instructions regarding physician reporting. Six states had mandatory reporting requirements; 4 of these states only required reporting of conditions characterized by lapses of consciousness. Only 3 states (6%) accepted anonymous reports, and 7 states (14%) deemed physician reports of medically impaired drivers confidential without exception. Nearly one-third of states (15 [30%]) deemed reports by physicians confidential, with the exception that reported drivers could find out who reported them if they asked for a copy of the reporting form. Most states (37 [74%]) had statutes that protected physicians from liability related to reporting medically impaired drivers.Conclusions and RelevanceThis cross-sectional study of state reporting requirements regarding medically impaired drivers found many differences in state policies regarding mandatory reporting and the conditions that require reporting. There was also limited availability of online reporting instructions, anonymous reporting options, and legal protections for reporting physicians.

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Section: Discussionmentioning

confidence: 99%