Predictors of driving assessment outcome in Parkinson's disease.
Identifieur interne : 002B57 ( PubMed/Checkpoint ); précédent : 002B56; suivant : 002B58Predictors of driving assessment outcome in Parkinson's disease.
Auteurs : Charles J. Worringham [Australie] ; Joanne M. Wood ; Graham K. Kerr ; Peter A. SilburnSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2006.
English descriptors
- KwdEn :
- Activities of Daily Living (classification), Aged, Automobile Driver Examination (statistics & numerical data), Cognition Disorders (diagnosis), Cognition Disorders (epidemiology), Female, Humans, Male, Middle Aged, Neurologic Examination (statistics & numerical data), Neuropsychological Tests (statistics & numerical data), Outcome Assessment (Health Care) (statistics & numerical data), Parkinson Disease (diagnosis), Parkinson Disease (epidemiology), Psychomotor Disorders (diagnosis), Psychomotor Disorders (epidemiology), Reference Values, Reproducibility of Results, Vision Disorders (diagnosis), Vision Disorders (epidemiology).
- MESH :
- classification : Activities of Daily Living.
- diagnosis : Cognition Disorders, Parkinson Disease, Psychomotor Disorders, Vision Disorders.
- epidemiology : Cognition Disorders, Parkinson Disease, Psychomotor Disorders, Vision Disorders.
- statistics & numerical data : Automobile Driver Examination, Neurologic Examination, Neuropsychological Tests, Outcome Assessment (Health Care).
- Aged, Female, Humans, Male, Middle Aged, Reference Values, Reproducibility of Results.
Abstract
This study evaluated selected clinical and functional tests as predictors of driving safety outcomes in Parkinson's disease (PD) patients. A total of 25 PD patients and 21 age-matched controls, all regular drivers, underwent neurological evaluation and assessment of cognitive, visual, and motor function and a standardized, on-road driving assessment. The capacity of the tests to predict pass/fail driving outcomes was determined by selecting a subset with the highest predictive value from each domain and then subjecting these subsets to discriminant function analysis. Accuracy, sensitivity, specificity, and positive and negative predictive values were determined. Three relatively simple tests from the larger battery predicted passes with relatively high sensitivity (PD, 72.7%; controls, 93.8%; both combined, 85.2%); and moderate specificity (PD, 64.3%; controls, 60.0%; both combined. 63.2%). These tests assessed motor performance (Purdue Pegboard test), contrast sensitivity (Pelli-Robson test), and cognitive function (verbal version of Symbol Digit Modalities test). Adding time since diagnosis for the PD group increased sensitivity to 90.9% and specificity to 71.4%. These simple tests confer more objectivity and predictive power to clinical recommendations for driving, they reflect distinct functions that are necessary for safe driving, and they may be especially useful when on-road assessments are not feasible.
DOI: 10.1002/mds.20709
PubMed: 16161149
Affiliations:
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Kerr</name></author><author><name sortKey="Silburn, Peter A" sort="Silburn, Peter A" uniqKey="Silburn P" first="Peter A" last="Silburn">Peter A. Silburn</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2006">2006</date><idno type="doi">10.1002/mds.20709</idno><idno type="RBID">pubmed:16161149</idno><idno type="pmid">16161149</idno><idno type="wicri:Area/PubMed/Corpus">002E71</idno><idno type="wicri:Area/PubMed/Curation">002E71</idno><idno type="wicri:Area/PubMed/Checkpoint">002B57</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Predictors of driving assessment outcome in Parkinson's disease.</title><author><name sortKey="Worringham, Charles J" sort="Worringham, Charles J" uniqKey="Worringham C" first="Charles J" last="Worringham">Charles J. Worringham</name><affiliation wicri:level="1"><nlm:affiliation>School of Human Movement Studies, Queensland University of Technology, Queensland, Australia. c.worringham@qut.edu.au</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Human Movement Studies, Queensland University of Technology, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Wood, Joanne M" sort="Wood, Joanne M" uniqKey="Wood J" first="Joanne M" last="Wood">Joanne M. Wood</name></author><author><name sortKey="Kerr, Graham K" sort="Kerr, Graham K" uniqKey="Kerr G" first="Graham K" last="Kerr">Graham K. Kerr</name></author><author><name sortKey="Silburn, Peter A" sort="Silburn, Peter A" uniqKey="Silburn P" first="Peter A" last="Silburn">Peter A. Silburn</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living (classification)</term><term>Aged</term><term>Automobile Driver Examination (statistics & numerical data)</term><term>Cognition Disorders (diagnosis)</term><term>Cognition Disorders (epidemiology)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neurologic Examination (statistics & numerical data)</term><term>Neuropsychological Tests (statistics & numerical data)</term><term>Outcome Assessment (Health Care) (statistics & numerical data)</term><term>Parkinson Disease (diagnosis)</term><term>Parkinson Disease (epidemiology)</term><term>Psychomotor Disorders (diagnosis)</term><term>Psychomotor Disorders (epidemiology)</term><term>Reference Values</term><term>Reproducibility of Results</term><term>Vision Disorders (diagnosis)</term><term>Vision Disorders (epidemiology)</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Activities of Daily Living</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Cognition Disorders</term><term>Parkinson Disease</term><term>Psychomotor Disorders</term><term>Vision Disorders</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Cognition Disorders</term><term>Parkinson Disease</term><term>Psychomotor Disorders</term><term>Vision Disorders</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Automobile Driver Examination</term><term>Neurologic Examination</term><term>Neuropsychological Tests</term><term>Outcome Assessment (Health Care)</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Reference Values</term><term>Reproducibility of Results</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This study evaluated selected clinical and functional tests as predictors of driving safety outcomes in Parkinson's disease (PD) patients. A total of 25 PD patients and 21 age-matched controls, all regular drivers, underwent neurological evaluation and assessment of cognitive, visual, and motor function and a standardized, on-road driving assessment. The capacity of the tests to predict pass/fail driving outcomes was determined by selecting a subset with the highest predictive value from each domain and then subjecting these subsets to discriminant function analysis. Accuracy, sensitivity, specificity, and positive and negative predictive values were determined. Three relatively simple tests from the larger battery predicted passes with relatively high sensitivity (PD, 72.7%; controls, 93.8%; both combined, 85.2%); and moderate specificity (PD, 64.3%; controls, 60.0%; both combined. 63.2%). These tests assessed motor performance (Purdue Pegboard test), contrast sensitivity (Pelli-Robson test), and cognitive function (verbal version of Symbol Digit Modalities test). Adding time since diagnosis for the PD group increased sensitivity to 90.9% and specificity to 71.4%. These simple tests confer more objectivity and predictive power to clinical recommendations for driving, they reflect distinct functions that are necessary for safe driving, and they may be especially useful when on-road assessments are not feasible.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">16161149</PMID><DateCreated><Year>2006</Year><Month>02</Month><Day>16</Day></DateCreated><DateCompleted><Year>2006</Year><Month>09</Month><Day>25</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0885-3185</ISSN><JournalIssue CitedMedium="Print"><Volume>21</Volume><Issue>2</Issue><PubDate><Year>2006</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>Predictors of driving assessment outcome in Parkinson's disease.</ArticleTitle><Pagination><MedlinePgn>230-5</MedlinePgn></Pagination><Abstract><AbstractText>This study evaluated selected clinical and functional tests as predictors of driving safety outcomes in Parkinson's disease (PD) patients. A total of 25 PD patients and 21 age-matched controls, all regular drivers, underwent neurological evaluation and assessment of cognitive, visual, and motor function and a standardized, on-road driving assessment. The capacity of the tests to predict pass/fail driving outcomes was determined by selecting a subset with the highest predictive value from each domain and then subjecting these subsets to discriminant function analysis. Accuracy, sensitivity, specificity, and positive and negative predictive values were determined. Three relatively simple tests from the larger battery predicted passes with relatively high sensitivity (PD, 72.7%; controls, 93.8%; both combined, 85.2%); and moderate specificity (PD, 64.3%; controls, 60.0%; both combined. 63.2%). These tests assessed motor performance (Purdue Pegboard test), contrast sensitivity (Pelli-Robson test), and cognitive function (verbal version of Symbol Digit Modalities test). Adding time since diagnosis for the PD group increased sensitivity to 90.9% and specificity to 71.4%. These simple tests confer more objectivity and predictive power to clinical recommendations for driving, they reflect distinct functions that are necessary for safe driving, and they may be especially useful when on-road assessments are not feasible.</AbstractText><CopyrightInformation>Copyright (c) 2005 Movement Disorder Society.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Worringham</LastName><ForeName>Charles J</ForeName><Initials>CJ</Initials><AffiliationInfo><Affiliation>School of Human Movement Studies, Queensland University of Technology, Queensland, Australia. c.worringham@qut.edu.au</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wood</LastName><ForeName>Joanne M</ForeName><Initials>JM</Initials></Author><Author ValidYN="Y"><LastName>Kerr</LastName><ForeName>Graham K</ForeName><Initials>GK</Initials></Author><Author ValidYN="Y"><LastName>Silburn</LastName><ForeName>Peter A</ForeName><Initials>PA</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Mov Disord</MedlineTA><NlmUniqueID>8610688</NlmUniqueID><ISSNLinking>0885-3185</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000203">Activities of Daily Living</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000145">classification</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D001333">Automobile Driver Examination</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000706">statistics & numerical 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MajorTopicYN="N" UI="Q000706">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D017063">Outcome Assessment (Health Care)</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000706">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010300">Parkinson Disease</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="N" UI="Q000453">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011596">Psychomotor Disorders</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="N" UI="Q000453">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012016">Reference Values</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D015203">Reproducibility of Results</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014786">Vision Disorders</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="N" UI="Q000453">epidemiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2005</Year><Month>9</Month><Day>15</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2006</Year><Month>9</Month><Day>26</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2005</Year><Month>9</Month><Day>15</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1002/mds.20709</ArticleId><ArticleId IdType="pubmed">16161149</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Kerr, Graham K" sort="Kerr, Graham K" uniqKey="Kerr G" first="Graham K" last="Kerr">Graham K. Kerr</name><name sortKey="Silburn, Peter A" sort="Silburn, Peter A" uniqKey="Silburn P" first="Peter A" last="Silburn">Peter A. Silburn</name><name sortKey="Wood, Joanne M" sort="Wood, Joanne M" uniqKey="Wood J" first="Joanne M" last="Wood">Joanne M. Wood</name></noCountry><country name="Australie"><noRegion><name sortKey="Worringham, Charles J" sort="Worringham, Charles J" uniqKey="Worringham C" first="Charles J" last="Worringham">Charles J. Worringham</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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