Diabetes and collision risk. A meta-analysis and meta-regression
Open accessAbstract
AIMS: The main objective of this study was to see whether diabetes is associated with an increased collision risk and to test the effect of age and gender on the overall collision risk for diabetes drivers. MATERIALS AND METHODS: Twenty-eight studies were included in meta-analysis, using mean age, gender, continent and the prevalence of fatal road incidents as covariates. RESULTS: The collision risk for diabetes drivers was small and not statistically significant - RR = 1.11 (1.01-1.23) with a prediction interval (PI) or 0.77-1.65. Age and gender were not associated with an increased overall risk. Insulin-dependent diabetes patients had a slightly increased effect size compared with the overall diabetes population, but the effect was not statistically significant. European diabetes drivers had a lower collision risk compared with their North American counterparts, the main cause being the difference of collision risk in the countries in which the studies were performed. CONCLUSIONS: Overall, diabetes patients do not have a statistically significant increased risk for unfavourable traffic events. Old age and insulin-dependent patients tend to have a higher risk. Advances in diabetes care, associated with advances in road safety regulations, and automotive industry have not decreased significantly the collision risk in the last 50 years for drivers with diabetes.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Telehealth permits integration of a multidisciplinary team, such as nurses, pharmacists, dieticians, and other health professionals, into an individual's care.
“Telehealth also allows for integration of a multidisciplinary team, which could include nurses, pharmacists, dieticians, and other health care professionals, for an individual’s health care.1684–1686”
From American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. (2022) · cites this paper as [1686]
The Introduction and Abstract discuss diabetes and motor-vehicle collision risk, not telehealth or multidisciplinary care. Searches for telehealth, multidisciplinary teams, and integration of health professionals found no passage addressing the claim; the available passages have no page labels. (LLM, conf=0.76)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009) · doi:10.1002/9780470743386 · Cited by 14,225 · see citing works
Standards of Medical Care in Diabetes
Power, D. V. (2006) · Diabetes Care · doi:10.2337/diacare.29.02.06.dc05-1593 · Cited by 8,672 · see citing works
Standards of medical care in diabetes—2014
American Diabetes Association (2014) · Diabetes Care · doi:10.2337/dc14-s014 · Cited by 4,572 · see citing works
Danaei, G., Finucane, M. M., Lu, Y., Singh, G. M., Cowan, M. J., Paciorek, C. J., Lin, J. K., Farzadfar, F., Khang, Y.-H., Stevens, G. A., et al. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60679-x · Cited by 3,568 · see citing works
Seaquist, E. R., Anderson, J., Childs, B., Cryer, P., Dagogo-Jack, S., Fish, L., Heller, S. R., Rodriguez, H., Rosenzweig, J., & Vigersky, R. (2013) · Diabetes Care · doi:10.2337/dc12-2480 · Cited by 1,389 · see citing works
Changes in collision rates among novice drivers during the first months of driving
Mayhew, D. R., Simpson, H. M., & Pak, A. (2003) · Accident Analysis & Prevention · doi:10.1016/s0001-4575(02)00047-7 · Cited by 557 · see citing works
Chronic Medical Conditions and Traffic Safety
Waller, J. A. (1965) · New England Journal of Medicine · doi:10.1056/nejm196512232732605 · Cited by 273 · see citing works
The Effect of Epilepsy or Diabetes Mellitus on the Risk of Automobile Accidents
Hansotia, P. L., & Broste, S. K. (1991) · New England Journal of Medicine · doi:10.1056/nejm199101033240105 · Cited by 258 · see citing works
Cox, D. J., Gonder-Frederick, L. A., Kovatchev, B. P., Julian, D. M., & Clarke, W. L. (2000) · Diabetes Care · doi:10.2337/diacare.23.2.163 · Cited by 226 · see citing works
Medical conditions and motor vehicle collision injuries in older adults
Koepsell, T. D., Wolf, M. E., McCloskey, L., Buchner, D. M., Louie, D., Wagner, E. H., & Thompson, R. S. (1994) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1994.tb06526.x · Cited by 157 · see citing works
Cox, D. J., Penberthy, J. K., Zrebiec, J. F., Weinger, K., Aikens, J. E., Frier, B. M., Stetson, B. A., de Groot, M., Trief, P. M., Schaechinger, H., et al. (2003) · Diabetes Care · doi:10.2337/diacare.26.8.2329 · Cited by 150 · see citing works
Driver health and crash involvement: A case-control study
Sagberg, F. (2005) · Accident Analysis & Prevention · doi:10.1016/j.aap.2005.06.018 · Cited by 145 · see citing works
Sims, R. V., Owsley, C. J., Allman, R. M., Ball, K., & Smoot, T. M. (1998) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1998.tb01070.x · Cited by 142 · see citing works
Robb, G., Sultana, S., Ameratunga, S. N., & Jackson, R. (2008) · Injury Prevention · doi:10.1136/ip.2007.016766 · Cited by 135 · see citing works
Inkster, B., & Frier, B. M. (2013) · Diabetes Obesity and Metabolism · doi:10.1111/dom.12071 · Cited by 129 · see citing works
Visual and medical risk factors for motor vehicle collision involvement among older drivers
Cross, J. M., McGwin, G. G., Rubin, G. S., Ball, K., West, S. K., Roenker, D. L., & Owsley, C. J. (2008) · British Journal of Ophthalmology · doi:10.1136/bjo.2008.144584 · Cited by 107 · see citing works
Driving Mishaps Among Individuals With Type 1 Diabetes
Cox, D. J., Ford, D., Gonder-Frederick, L. A., Clarke, W. L., Mazze, R., Weinger, K., & Ritterband, L. M. (2009) · Diabetes Care · doi:10.2337/dc08-1510 · Cited by 97 · see citing works
Evaluating the crash and citation rates of Utah drivers licensed with medical conditions, 1992–1996
Vernon, D. D., Diller, E., Cook, L. J., et al. (2002) · Accident Analysis & Prevention · doi:10.1016/s0001-4575(01)00019-7 · Cited by 97 · see citing works
Accident and Violation Rates of Washington's Medically Restricted Drivers
Crancer, A. (1968) · JAMA · doi:10.1001/jama.1968.03140310030006 · Cited by 75 · see citing works
Motor Vehicle Accidents and IDDM
Songer, T. J., LaPorte, R. E., Dorman, J. S., et al. (1988) · Diabetes Care · doi:10.2337/diacare.11.9.701 · Cited by 72 · see citing works
Kennedy, R. L., Henry, J., Chapman, A. J., Nayar, R., Grant, P. T., & Morris, A. D. (2002) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/00005373-200204000-00008 · Cited by 68 · see citing works
Impact of diabetes on crash risks of truck-permit holders and commercial drivers.
Laberge-Nadeau, C., Dionne, G., Ékoé, J.-M., Hamet, P., Desjardins, D., Messier, S., & Maag, U. R. (2000) · Diabetes Care · doi:10.2337/diacare.23.5.612 · Cited by 66 · see citing works
Type 1 diabetes and driving experience: an eight-year cohort study
Eadington, D. W., & Frier, B. M. (1989) · Diabetic Medicine · doi:10.1111/j.1464-5491.1989.tb02101.x · Cited by 63 · see citing works
DRIVING AND INSULIN-DEPENDENT DIABETES
Frier, B. M., Steel, J., Matthews, D. M., et al. (1980) · The Lancet · doi:10.1016/s0140-6736(80)91690-6 · Cited by 63 · see citing works
Motor vehicle driving among diabetics taking insulin and non-diabetics.
Stevens, A. B., Roberts, M., McKane, R., Atkinson, A. B., Bell, P. M., & Hayes, J. R. (1989) · BMJ · doi:10.1136/bmj.299.6699.591 · Cited by 61 · see citing works
Road traffic accidents and diabetes: insulin use does not determine risk
Lonnen, K., Powell, R. J., Taylor, D., Shore, A. C., & MacLeod, K. M. (2008) · Diabetic Medicine · doi:10.1111/j.1464-5491.2008.02409.x · Cited by 53 · see citing works
Risk of automobile accidents among elderly drivers with impairments or chronic diseases.
Gresset, J. A., & Meyer, F. (1995) · PubMed · Cited by 52 · see citing works
Diabetes and automobile crashes in the elderly. A population-based case-control study
McGwin, G., Sims, R. V., Pulley, L., & Roseman, J. M. (1999) · Diabetes Care · doi:10.2337/diacare.22.2.220 · Cited by 50 · see citing works
Stork, A. D. M., van Haeften, T. W., & Veneman, T. F. (2006) · Diabetes Care · doi:10.2337/dc05-2232 · Cited by 46 · see citing works
Health assessment of commercial drivers: a meta-narrative systematic review
Dabrh, A. M. A., Firwana, B., Cowl, C. T., Steinkraus, L. W., Prokop, L. J., & Murad, M. H. (2014) · BMJ Open · doi:10.1136/bmjopen-2013-003434 · Cited by 45 · see citing works
Skurtveit, S. O., Strøm, H., Skrivarhaug, T., Mørland, J. G., Bramness, J. G., & Engeland, A. (2009) · Diabetic Medicine · doi:10.1111/j.1464-5491.2009.02699.x · Cited by 43 · see citing works
The Safety of Drivers with Chronic Disease
Ysander, L. (1966) · Occupational and Environmental Medicine · doi:10.1136/oem.23.1.28 · Cited by 42 · see citing works
Lorber, D., Anderson, J., Arent, S., Daniel, J., Frier, B. M., Greene, M. A., Griffin, J. W., Gross, G., Hathaway, K., Hirsch, I. B., et al. (2011) · Diabetes Care · doi:10.2337/dc12-s081 · Cited by 40 · see citing works
High risk characteristics for motor vehicle crashes in persons with diabetes by age.
Songer, T. J., & Dorsey, R. R. (2006) · PubMed Central · Cited by 38 · see citing works
(2006) · PubMed · Cited by 35 · see citing works
Vingilis, E. R., & Wilk, P. (2012) · Traffic Injury Prevention · doi:10.1080/15389588.2012.654411 · Cited by 30 · see citing works
Admission to hospital for road trauma in patients with diabetes mellitus.
de Klerk, N. H., & Armstrong, B. K. (1983) · Journal of Epidemiology & Community Health · doi:10.1136/jech.37.3.232 · Cited by 27 · see citing works
Oklahoma's medically restricted drivers. A study of selected medical conditions.
Tg, D., Eh, W., & Rl, C. (1973) · PubMed · Cited by 26 · see citing works
Campbell, L. K., Gonder-Frederick, L. A., Broshek, D. K., Kovatchev, B. P., Anderson, S. M., Clarke, W. L., & Cox, D. J. (2010) · International Journal of Diabetes Mellitus · doi:10.1016/j.ijdm.2010.05.014 · Cited by 25 · see citing works
Diabetes Fitness to Drive: A Systematic Review of the Evidence with a Focus on Older Drivers
Kagan, A., Hashemi, G., & Korner-Bitensky, N. A. (2010) · Canadian Journal of Diabetes · doi:10.1016/s1499-2671(10)43012-9 · Cited by 15 · see citing works
Leproust, S., Lagarde, E., Suissa, S., et al. (2007) · Injury Prevention · doi:10.1136/ip.2007.016477 · Cited by 14 · see citing works
Low blood sugar and motor vehicle crashes in persons with type 1 diabetes.
Songer, T. J. (2002) · PubMed · Cited by 10 · see citing works
Driving and diabetes: DVLA response to Lonnen et al.
Major, H., Rees, S. D., & Frier, B. M. (2008) · Diabetic Medicine · doi:10.1111/j.1464-5491.2008.02586.x · Cited by 7 · see citing works
CHRONIC MEDICAL CONDITIONS AND TRAFFIC VIOLATION AND ACCIDENT EXPERIENCE OF DIABETIC DRIVERS
Campbell, E., & Ellis, K. (1969) · Cited by 3 · see citing works
Flagged first, then by citations
Research works printed but not linked: 7
- [1]1. IDF DIabetes Atlas, 7th edition, http:// www.idf.org/diabetesatlas (accessed 1 October 2015).
- [2]2. American Diabetes Association. Diabetes and driv- ing. Diabetes Care 2012; 35: S81-6.
- [4]4. Ekoe JM, Labergenadeau C, Ghadirian P, Hamet P. Impact of diabetes-mellitus on road safety. Diabetes Metab 1991; 17: 61-7.
- [20]20. WHO. Global Status Report on Road Safety 2013: Supporting a Decade of Action, Luxembourg: WHO Press, 2013.
- [22]22. Stork ADM, Van Haeften TW, Veneman TF. Dia- betes and Driving Desired data, research methods and their pitfalls, current knowledge, and future research. Diabetes Care 2006; 29: 1942-9.
- [28]28. Ysander L. Diabetic motor-vehicle drivers without driving-license restrictions. Acta Chir Scand Suppl 1970; 409: 45-53.
- [50]50. Paper received January 2016, accepted April 2016 ª 2016 John Wiley & Sons Ltd Int J Clin Pract, July 2016, 70, 7, 554-568 568 Diabetes and collision risk
Cited by
Sorted by citations
Blonde, L., Umpierrez, G. E., Reddy, S. S., McGill, J. B., Berga, S. L., Bush, M., Chandrasekaran, S., DeFronzo, R. A., Einhorn, D., Galindo, R. J., et al. (2022) · Endocrine Practice · doi:10.1016/j.eprac.2022.08.002 · Cited by 507 · see citing works
- Authors
- Hostiuc, S., Negoi, I., & Hostiuc, M.
- Affiliations
- Carol Davila University of Medicine and Pharmacy (RO)
- Corresponding author
- Hostiuc, S.
- Venue
- International Journal of Clinical Practice
- Publisher
- Wiley
- Published
- 2016-06-29
- Volume
- 70
- Issue
- 7
- Pages
- 554-568
- ISSN
- 1368-5031 (ISSN-L)
- OpenAlex
- W2466195849
- Cited by
- 21
- References
- 44
- Citations by year
- 2025: 3 · 2024: 1 · 2022: 7 · 2021: 3 · 2020: 1 · 2019: 1 · 2018: 5
- FWCI
- 0.46
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Carol Davila University of Medicine and Pharmacy (33887/11.11.2014)
- Topics
- Physical Sciences › Engineering › Safety, Risk, Reliability and Quality › Traffic and Road Safety
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Older Adults Driving Studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- diabetes mellitus, collision risk, traffic accidents, type 1 diabetes, age and gender differences, road safety, road safety regulations
- MeSH terms
- Accidents, Traffic, Adult, Age Factors, Aged, Automobile Driving, Diabetes Mellitus, Female, Humans, Male, Middle Aged, Risk Factors, Sex Factors, Prevalence, Diabetes Complications
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review