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Associations between vision impairment and driving and the effectiveness of vision-related interventions: protocol for a systematic review and meta-analysis.
Nguyen, Helen; Di Tanna, Gian Luca; Coxon, Kristy; Brown, Julie; Ren, Kerrie; Ramke, Jacqueline; Burton, Matthew J; Gordon, Iris; Zhang, Justine H; Furtado, João M; Mdala, Shaffi; Kitema, Gatera Fiston; Keay, Lisa.
  • Nguyen H; School of Optometry and Vision Science, Faculty of Science, University of New South Wales, Sydney, New South Wales, Australia.
  • Di Tanna GL; The George Institute for Global Health, Faculty of Medicine, The University of New South Wales, Sydney, New South Wales, Australia.
  • Coxon K; School of Health Sciences, and the Translational Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia.
  • Brown J; The George Institute for Global Health, Faculty of Medicine, The University of New South Wales, Sydney, New South Wales, Australia.
  • Ren K; School of Optometry and Vision Science, Faculty of Science, University of New South Wales, Sydney, New South Wales, Australia.
  • Ramke J; International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.
  • Burton MJ; School of Optometry and Vision Science, University of Auckland, Auckland, New Zealand.
  • Gordon I; International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.
  • Zhang JH; Moorfields Eye Hospital, London, United Kingdom.
  • Furtado JM; International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.
  • Mdala S; International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.
  • Kitema GF; Manchester Royal Eye Hospital, Manchester, United Kingdom.
  • Keay L; Division of Ophthalmology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
BMJ Open ; 10(11): e040881, 2020 11 05.
Article in English | MEDLINE | ID: covidwho-1455706
ABSTRACT

INTRODUCTION:

Driving is one of the main modes of transport with safe driving requiring a combination of visual, cognitive and physical skills. With population ageing, the number of people living with vision impairment is set to increase in the decades ahead. Vision impairment may negatively impact an individual's ability to safely drive. The association between vision impairment and motor vehicle crash involvement or driving participation has yet to be systematically investigated. Further, the evidence for the effectiveness of vision-related interventions aimed at decreasing crashes and driving errors has not been synthesised. METHODS AND

ANALYSIS:

A search will be conducted for relevant studies on Medline (Ovid), EMBASE and Global Health from their inception to March 2020 without date or geographical restrictions. Two investigators will independently screen abstracts and full texts using Covidence software with conflicts resolved by a third investigator. Data extraction will be conducted on all included studies, and their quality assessed to determine the risk of bias using the Joanna Briggs Institute Critical Appraisal Tools. Outcome measures include crash risk, driving cessation and surrogate measures of driving safety (eg, driving errors and performance). The results of this review will be reported using the Preferred Reporting Items for Systematic Review and Meta-Analysis guideline. Meta-analysis will be undertaken for outcomes with sufficient data and reported following the Meta-analyses of Observational Studies in Epidemiology guideline. Where statistical pooling is not feasible or appropriate, narrative summaries will be presented following the Synthesis Without Meta-analysis in systematic reviews guideline. ETHICS AND DISSEMINATION This review will only report on published data thus no ethics approval is required. Results will be included in the Lancet Global Health Commission on Global Eye Health, published in a peer-reviewed journal and presented at relevant conferences. PROSPERO REGISTRATION NUMBER CRD42020172153.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Automobile Driving Type of study: Randomized controlled trials / Reviews / Risk factors Limits: Humans Language: English Journal: BMJ Open Year: 2020 Document Type: Article Affiliation country: Bmjopen-2020-040881

Full text: Available Collection: International databases Database: MEDLINE Main subject: Automobile Driving Type of study: Randomized controlled trials / Reviews / Risk factors Limits: Humans Language: English Journal: BMJ Open Year: 2020 Document Type: Article Affiliation country: Bmjopen-2020-040881