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Journal Article

Citation

Subzwari S, Desapriya EBR, Scime G, Babul S, Jivani K, Pike I. Inj. Prev. 2008; 14(5): 324-328.

Affiliation

British Columbia Injury Research and Prevention Unit, Centre for Community Child Health Research, Child and Family Research Institute, Vancouver, Canada.

Copyright

(Copyright © 2008, BMJ Publishing Group)

DOI

10.1136/ip.2007.017830

PMID

18836050

Abstract

OBJECTIVES: To assess the effects of cataract surgery in improving vision and driving performance while reducing driving-related difficulties. DESIGN: Systematic review and meta-analysis. DATA SOURCES: Twelve electronic databases were searched from the date of inception of each database to May 2007. Other sources of potentially relevant information were also identified and examined. REVIEW METHODS: Eligible study designs included randomized controlled trials (RCT), non-RCT, quasi-experimental, case-control, controlled-before-and-after, and cohort studies that examined driving-related indicators in patients undergoing cataract surgery. MAIN OUTCOME MEASURES: The outcome measures included any type of driving-related indicator. A secondary outcome measure was motor vehicle (MV) crash involvement. RESULTS: Seven studies were included in the review and five in the meta-analysis. The overall pooled odds ratio (OR) was 0.12 (95% CI 0.10 to 0.16). Results suggest that the risk of driving-related difficulties was reduced by 88% following cataract surgery. CONCLUSIONS: Cataract surgery is associated with an 88% reduction in the risk of driving-related difficulties. This supports the efficacy of cataract surgery to improve driving in older people, as well as positive implications for a reduction in MV crashes, overall traffic safety, and individual well-being.


Language: en

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