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GPs' awareness of car driving among oldest patients - exploratory results from a primary care cohort

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GPs' awareness of car driving among oldest patients - exploratory results from a primary care cohort. / Leve, Verena; Pentzek, Michael; Fuchs, Angela; Bickel, Horst; Weeg, Dagmar; Weyerer, Siegfried; Werle, Jochen; König, Hans-Helmut; Hajek, Andre; Luhmann, Dagmar; van den Bussche, Hendrik; Wiese, Birgitt; Oey, Anke; Heser, Katrin; Wagner, Michael; Luppa, Melanie; Röhr, Susanne; Maier, Wolfgang; Scherer, Martin; Kaduszkiewicz, Hanna; Riedel-Heller, Steffi.

In: BJGP open, Vol. 5, No. 2, BJGPO.2020.0145, 04.2021.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Leve, V, Pentzek, M, Fuchs, A, Bickel, H, Weeg, D, Weyerer, S, Werle, J, König, H-H, Hajek, A, Luhmann, D, van den Bussche, H, Wiese, B, Oey, A, Heser, K, Wagner, M, Luppa, M, Röhr, S, Maier, W, Scherer, M, Kaduszkiewicz, H & Riedel-Heller, S 2021, 'GPs' awareness of car driving among oldest patients - exploratory results from a primary care cohort', BJGP open, vol. 5, no. 2, BJGPO.2020.0145. https://doi.org/10.3399/BJGPO.2020.0145

APA

Leve, V., Pentzek, M., Fuchs, A., Bickel, H., Weeg, D., Weyerer, S., Werle, J., König, H-H., Hajek, A., Luhmann, D., van den Bussche, H., Wiese, B., Oey, A., Heser, K., Wagner, M., Luppa, M., Röhr, S., Maier, W., Scherer, M., ... Riedel-Heller, S. (2021). GPs' awareness of car driving among oldest patients - exploratory results from a primary care cohort. BJGP open, 5(2), [BJGPO.2020.0145]. https://doi.org/10.3399/BJGPO.2020.0145

Vancouver

Leve V, Pentzek M, Fuchs A, Bickel H, Weeg D, Weyerer S et al. GPs' awareness of car driving among oldest patients - exploratory results from a primary care cohort. BJGP open. 2021 Apr;5(2). BJGPO.2020.0145. https://doi.org/10.3399/BJGPO.2020.0145

Bibtex

@article{6256804b6a044268b61d23dd5ce4b905,
title = "GPs' awareness of car driving among oldest patients - exploratory results from a primary care cohort",
abstract = "BACKGROUND: Increasingly more very old people are active drivers. Sensory, motor and cognitive limitations, and medication can increase safety risks. Timely attention to driving safety in the patient-doctor relationship can promote patient-centred solutions.AIM: To explore the following questions: do GPs know which patients drive a car? Is fitness to drive addressed with patients?DESIGN & SETTING: Cross-sectional data from patient interviews and GP survey in the ninth follow-up phase of a prospective primary care cohort (the German Study on Ageing, Cognition and Dementia in Primary Care Patients (AgeCoDe) and the Study on Needs, Health Service Use, Costs and Health-Related Quality of Life in a large sample of 'oldest-old' primary care patients (≥85 years; AgeQualiDe)) .METHOD: The sample consisted of patients in the age group ≥85 years and their GPs. Independent reports were gathered on driving activity from the GP and the patient, and information was gained from GPs on whether driving ability was discussed with the patient. Statistical analyses included validity parameters and bivariate characterisation of subgroups (non-parametric significance tests, effect size).RESULTS: Self-reports of 553 patients were available (69.5% female; mean age 90.5 years; 15.9% drive a car). For 427 patients, GP data were also available: GPs recognised 67.1% correctly as drivers and 94.9% as non-drivers. GPs said that they had discussed fitness to drive with 32.1% of potentially driving patients. Among drivers who were not recognised and with whom driving had not been discussed, there were more patients with a low educational level.CONCLUSION: The GP's assessment of driving activity among very old patients showed moderate sensitivity and good specificity. Driving ability was seldom discussed. Asking an appropriate question during assessment could increase GPs' awareness of older patients' automobility.",
author = "Verena Leve and Michael Pentzek and Angela Fuchs and Horst Bickel and Dagmar Weeg and Siegfried Weyerer and Jochen Werle and Hans-Helmut K{\"o}nig and Andre Hajek and Dagmar Luhmann and {van den Bussche}, Hendrik and Birgitt Wiese and Anke Oey and Katrin Heser and Michael Wagner and Melanie Luppa and Susanne R{\"o}hr and Wolfgang Maier and Martin Scherer and Hanna Kaduszkiewicz and Steffi Riedel-Heller",
note = "Copyright {\textcopyright} 2021, The Authors.",
year = "2021",
month = apr,
doi = "10.3399/BJGPO.2020.0145",
language = "English",
volume = "5",
journal = "BJGP open",
issn = "2398-3795",
publisher = "Royal College of General Practitioners",
number = "2",

}

RIS

TY - JOUR

T1 - GPs' awareness of car driving among oldest patients - exploratory results from a primary care cohort

AU - Leve, Verena

AU - Pentzek, Michael

AU - Fuchs, Angela

AU - Bickel, Horst

AU - Weeg, Dagmar

AU - Weyerer, Siegfried

AU - Werle, Jochen

AU - König, Hans-Helmut

AU - Hajek, Andre

AU - Luhmann, Dagmar

AU - van den Bussche, Hendrik

AU - Wiese, Birgitt

AU - Oey, Anke

AU - Heser, Katrin

AU - Wagner, Michael

AU - Luppa, Melanie

AU - Röhr, Susanne

AU - Maier, Wolfgang

AU - Scherer, Martin

AU - Kaduszkiewicz, Hanna

AU - Riedel-Heller, Steffi

N1 - Copyright © 2021, The Authors.

PY - 2021/4

Y1 - 2021/4

N2 - BACKGROUND: Increasingly more very old people are active drivers. Sensory, motor and cognitive limitations, and medication can increase safety risks. Timely attention to driving safety in the patient-doctor relationship can promote patient-centred solutions.AIM: To explore the following questions: do GPs know which patients drive a car? Is fitness to drive addressed with patients?DESIGN & SETTING: Cross-sectional data from patient interviews and GP survey in the ninth follow-up phase of a prospective primary care cohort (the German Study on Ageing, Cognition and Dementia in Primary Care Patients (AgeCoDe) and the Study on Needs, Health Service Use, Costs and Health-Related Quality of Life in a large sample of 'oldest-old' primary care patients (≥85 years; AgeQualiDe)) .METHOD: The sample consisted of patients in the age group ≥85 years and their GPs. Independent reports were gathered on driving activity from the GP and the patient, and information was gained from GPs on whether driving ability was discussed with the patient. Statistical analyses included validity parameters and bivariate characterisation of subgroups (non-parametric significance tests, effect size).RESULTS: Self-reports of 553 patients were available (69.5% female; mean age 90.5 years; 15.9% drive a car). For 427 patients, GP data were also available: GPs recognised 67.1% correctly as drivers and 94.9% as non-drivers. GPs said that they had discussed fitness to drive with 32.1% of potentially driving patients. Among drivers who were not recognised and with whom driving had not been discussed, there were more patients with a low educational level.CONCLUSION: The GP's assessment of driving activity among very old patients showed moderate sensitivity and good specificity. Driving ability was seldom discussed. Asking an appropriate question during assessment could increase GPs' awareness of older patients' automobility.

AB - BACKGROUND: Increasingly more very old people are active drivers. Sensory, motor and cognitive limitations, and medication can increase safety risks. Timely attention to driving safety in the patient-doctor relationship can promote patient-centred solutions.AIM: To explore the following questions: do GPs know which patients drive a car? Is fitness to drive addressed with patients?DESIGN & SETTING: Cross-sectional data from patient interviews and GP survey in the ninth follow-up phase of a prospective primary care cohort (the German Study on Ageing, Cognition and Dementia in Primary Care Patients (AgeCoDe) and the Study on Needs, Health Service Use, Costs and Health-Related Quality of Life in a large sample of 'oldest-old' primary care patients (≥85 years; AgeQualiDe)) .METHOD: The sample consisted of patients in the age group ≥85 years and their GPs. Independent reports were gathered on driving activity from the GP and the patient, and information was gained from GPs on whether driving ability was discussed with the patient. Statistical analyses included validity parameters and bivariate characterisation of subgroups (non-parametric significance tests, effect size).RESULTS: Self-reports of 553 patients were available (69.5% female; mean age 90.5 years; 15.9% drive a car). For 427 patients, GP data were also available: GPs recognised 67.1% correctly as drivers and 94.9% as non-drivers. GPs said that they had discussed fitness to drive with 32.1% of potentially driving patients. Among drivers who were not recognised and with whom driving had not been discussed, there were more patients with a low educational level.CONCLUSION: The GP's assessment of driving activity among very old patients showed moderate sensitivity and good specificity. Driving ability was seldom discussed. Asking an appropriate question during assessment could increase GPs' awareness of older patients' automobility.

U2 - 10.3399/BJGPO.2020.0145

DO - 10.3399/BJGPO.2020.0145

M3 - SCORING: Journal article

C2 - 33495163

VL - 5

JO - BJGP open

JF - BJGP open

SN - 2398-3795

IS - 2

M1 - BJGPO.2020.0145

ER -