Impaired Driving From Medical Conditions: A 70-Year-Old Man Trying to Decide if He Should Continue Driving
Open accessAbstract
Some medical disorders can impair performance, increasing the risk of driving safety errors that can lead to vehicle crashes. The causal pathway often involves a concatenation of factors or events, some of which can be prevented or controlled. Effective interventions can operate before, during, or after a crash occurs at the levels of driver capacity, vehicle and road design, and public policy. A variety of systemic, neurological, psychiatric, and developmental disorders put drivers at potential increased risk of a car crash in the short or long term. Medical diagnosis and age alone are usually insufficient criteria for determining fitness to drive. Strategies are needed for determining what types and levels of reduced function provide a threshold for disqualification in drivers with medical disorders. Evidence of decreased mileage, self-restriction to driving in certain situations, collisions, moving violations, aggressive driving, sleepiness, alcohol abuse, metabolic disorders, and multiple medications may trigger considerations of driver safety. A general framework for evaluating driver fitness relies on a functional evaluation of multiple domains (cognitive, motor, perceptual, and psychiatric) that are important for safe driving and can be applied across many disorders, including conditions that have rarely been studied with respect to driving, and in patients with multiple conditions and medications. Neurocognitive tests, driving simulation, and road tests provide complementary sources of evidence to evaluate driver safety. No single test is sufficient to determine who should drive and who should not.
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Only two published studies have investigated the lived experiences of persons with PD as they relate to driving, and both focused on driving cessation.
“To our knowledge, these are the only two published studies that have investigated the lived experiences of persons with PD as they relate to driving, and both focused on exploring questions around driving cessation.”
From Driving with Parkinson's Disease: Exploring Lived Experience (2019) · cites this paper as [7]
The Abstract describes one man with Parkinson disease deciding whether to continue driving, and Recommendations for Mr P discusses preparing for driving cessation (page unavailable in our copy). Neither section identifies two published studies of lived driving experiences or says both focused on cessation. Searches for lived experiences and qualitative studies returned no passage establishing that claim. (LLM, conf=0.78)
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Vision, attention, and driving
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Self-citationPilot Results on Forward Collision Warning System Effectiveness in Older Drivers
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Sugar and stops in drivers with insulin-dependent type 1 diabetes
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Self-citationAn Intelligent Multi-Sourced Sensing System to Study Driver’s Visual Behaviors
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Driving with Parkinson's Disease: Exploring Lived Experience
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A Meta-Analysis of Cognitive Screening Tools for Drivers Aged 80 and Over
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Digital health technologies, diabetes, and driving (meet your new backseat driver)
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Civil Commitment Among Patients With Alcohol and Drug Abuse
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Applied Perception and Neuroergonomics
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SIDEROSE IDIOPÁTICA DO SNC: UM RELATO E REVISÃO
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- Authors
- Rizzo, M.
- Affiliations
- University of Iowa (US)
- Corresponding author
- Rizzo, Matthew
- ORCID
- Rizzo, Matthew
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2011-03-09
- Volume
- 305
- Issue
- 10
- Pages
- 1018
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- PMC
- PMC3289256
- OpenAlex
- W1972720580
- Cited by
- 78
- References
- 63
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 7 · 2020: 3 · 2019: 7 · 2018: 2 · 2017: 5 · 2016: 6 · 2015: 9 · 2014: 8 · 2013: 7 · 2012: 8
- FWCI
- 24.23
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (R01 AG 17707, R01 AG 15071, R01AG015071, R01AG026027, R01AG017177)
- National Heart, Lung, and Blood Institute (R01HL091917)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Older Adults Driving Studies
- Physical Sciences › Engineering › Safety, Risk, Reliability and Quality › Traffic and Road Safety
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- impaired driving, health conditions, driving fitness, driving safety, traffic accidents, neurocognitive testing, driving simulation, road testing, sleepiness, alcohol abuse, multiple drugs, metabolic disorders, mental illness, developmental disorders, public policy
- MeSH terms
- Accidents, Traffic, Aged, Aging, Automobile Driver Examination, Automobile Driving, Cognition Disorders, Decision Making, Disease, Humans, Male, Motor Skills, Parkinson Disease, Reaction Time, Safety, Causality
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