@article{ref1,
title="Agreement between physician's recommendation and fitness-to-drive decision in multiple sclerosis",
journal="Archives of physical medicine and rehabilitation",
year="2015",
author="Ranchet, Maud and Akinwuntan, Abiodun and Tant, Mark and Neal, Erin and Devos, Hannes",
volume="96",
number="10",
pages="1840-1844",
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). <br><br>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. <br><br>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). <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="0003-9993",
doi="10.1016/j.apmr.2015.06.010",
url="http://dx.doi.org/10.1016/j.apmr.2015.06.010"
}