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Thursday

 

Agreement between physician’s recommendation and fitness-to-drive decision in multiple sclerosis: STUDY



























Image source: GRASSCLOTHWALLPAPER

Abstract

Objectives:
To investigate the agreement of fitness-to-drive decisions made by the referring physician and by the on-road assessor in individuals with multiple sclerosis (iwMS).

Design:
Retrospective analysis of fitness-to-drive decisions made by the referring physician and the on-road assessor in iwMS.

Participants:
A sample of iwMS (N = 218) who completed the medical and driving questionnaire and performed an official on-road test.

Intervention:
Not applicable.

Main outcome measure:
fitness-to-drive decision made by the on-road assessor.

Results:
The referring physician and on-road assessor agreed on the fitness-to-drive in 191 (88%) of the cases (Prevalence and Bias Adjusted Kappa (PABAK) = 0.81, p < 0.0001). When compared to the on-road assessor’s judgments, the physician’s recommendation of fitness-to-drive was overestimated in 16 iwMS and underestimated in 11 iwMS. Patients with poor binocular acuity were more likely to be inaccurately classified by the physician (p = 0.001).

Conclusions:
This study showed a high level of agreement between the fitness-to-drive decisions made by physicians and on-road assessors in iwMS. Visual functions should be assessed in the doctor’s office for more accurate referrals.

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