Comorbidity in drivers with Parkinson's disease

Maud Ranchet, Mark Tant, Abiodun Emmanuel Akinwuntan, Erin Neal, Hannes Devos

Research output: Contribution to journalArticle

5 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)342-346
Number of pages5
JournalJournal of the American Geriatrics Society
Volume64
Issue number2
DOIs
Publication statusPublished - Feb 1 2016

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Keywords

  • Parkinson's disease
  • comorbidity
  • fitness-to-drive recommendation
  • on-road assessor
  • physician

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Ranchet, M., Tant, M., Akinwuntan, A. E., Neal, E., & Devos, H. (2016). Comorbidity in drivers with Parkinson's disease. Journal of the American Geriatrics Society, 64(2), 342-346. https://doi.org/10.1111/jgs.13942