Associations between vision impairment and vision-related interventions on crash risk and driving cessation: systematic review and meta-analysis.


Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
11 08 2023
Historique:
medline: 14 8 2023
pubmed: 12 8 2023
entrez: 11 8 2023
Statut: epublish

Résumé

To systematically investigate the associations between vision impairment and risk of motor vehicle crash (MVC) involvement, and evaluate vision-related interventions to reduce MVCs. Medline (Ovid), EMBASE and Global Health electronic databases were systematically searched from inception to March 2022 for observational and interventional English-language studies. Screening, data extraction and appraisals using the Joanna Briggs Institute appraisal tools were completed by two reviewers independently. Where appropriate, measures of association were converted into risk ratios (RRs) or ORs for meta-analysis. Drivers of four-wheeled vehicles of all ages with no cognitive declines. MVC involvement (primary) and driving cessation (secondary). 101 studies (n=778 052) were included after full-text review. 57 studies only involved older drivers (≥65 years) and 85 were in high-income settings. Heterogeneity in the data meant that most meta-analyses were underpowered as only 25 studies, further split into different groups of eye diseases and measures of vision, could be meta-analysed. The limited evidence from the meta-analyses suggests that visual field defects (four studies; RR 1.51 (95% CI 1.23, 1.85); p<0.001; I Impaired vision identified through a variety of measures is associated with both increased MVC involvement and cessation. Cataract surgery can reduce MVC risk. Despite literature being highly heterogeneous, this review shows that detection of vision problems and appropriate treatment are critical to road safety. CRD42020172153.

Identifiants

pubmed: 37567751
pii: bmjopen-2022-065210
doi: 10.1136/bmjopen-2022-065210
pmc: PMC10423787
doi:

Substances chimiques

Ranibizumab ZL1R02VT79

Types de publication

Meta-Analysis Systematic Review Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e065210

Subventions

Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : Wellcome Trust
ID : 207472/Z/17/Z
Pays : United Kingdom
Organisme : Wellcome Trust
ID : 20190426_PH2
Pays : United Kingdom

Informations de copyright

© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Helen Nguyen (H)

School of Optometry and Vision Science, University of New South Wales, Sydney, New South Wales, Australia.

Gian Luca Di Tanna (GL)

George Institute for Global Health, The University of New South Wales, Sydney, New South Wales, Australia.
Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland.

Kristy Coxon (K)

School of Health Sciences, and the Translational Health Research Institute, Western Sydney University-Campbelltown Campus, Campbelltown, New South Wales, Australia.

Julie Brown (J)

George Institute for Global Health, The University of New South Wales, Sydney, New South Wales, Australia.

Kerrie Ren (K)

School of Optometry and Vision Science, University of New South Wales, Sydney, New South Wales, Australia.

Jacqueline Ramke (J)

International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK.
School of Optometry and Vision Science, University of Auckland, Auckland, New Zealand.

Matthew J Burton (MJ)

International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK.
National Institute for Health Research Biomedical Research Centre for Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK.

Iris Gordon (I)

International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK.

Justine H Zhang (JH)

International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK.

João Furtado (J)

Division of Ophthalmology, Universidade de São Paulo Faculdade de Medicina de Ribeirão Preto, Ribeirao Preto, São Paulo, Brazil.

Shaffi Mdala (S)

Ophthalmology Department, Queen Elizabeth Central Hospital, Blantyre, Southern Region, Malawi.

Gatera Fiston Kitema (GF)

Ophthalmology Department, University of Rwanda College of Medicine and Health Sciences, Kigali, Rwanda.

Lisa Keay (L)

School of Optometry and Vision Science, University of New South Wales, Sydney, New South Wales, Australia l.keay@unsw.edu.au.
George Institute for Global Health, The University of New South Wales, Sydney, New South Wales, Australia.

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