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Journal Article

Citation

Ranchet M, Akinwuntan A, Tant M, Neal E, Devos H. Arch. Phys. Med. Rehabil. 2015; 96(10): 1840-1844.

Affiliation

Department of Physical Therapy, College of Allied Health Sciences, Georgia Regents University, Augusta, GA, USA.

Copyright

(Copyright © 2015, Elsevier Publishing)

DOI

10.1016/j.apmr.2015.06.010

PMID

26143053

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.


Language: en

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