TY - JOUR PY - 2008// TI - Effectiveness of cataract surgery in reducing driving-related difficulties: a systematic review and meta-analysis JO - Injury prevention A1 - Subzwari, S. A1 - Desapriya, Ediriweera B. R. A1 - Scime, Giulia A1 - Babul, Shelina A1 - Jivani, K. A1 - Pike, Ian SP - 324 EP - 328 VL - 14 IS - 5 N2 - 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
LA - en SN - 1353-8047 UR - http://dx.doi.org/10.1136/ip.2007.017830 ID - ref1 ER -