Evidence map›Paper›PMID 38840227›Full record

ArticleInjury epidemiology2024

Diabetes mellitus and hard braking events in older adult drivers.

Difei Liu, Stanford Chihuri, Howard F Andrews, Marian E Betz, Carolyn DiGuiseppi, David W Eby, Linda L Hill, Vanya Jones, Thelma J Mielenz, Lisa J Molnar and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Injury epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Difei LiuDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, 10032, USA.
Stanford ChihuriDepartment of Anesthesiology, Vagelos College of Physicians and Surgeons, Columbia University, 622 West 168th Street, New York, NY, PH5-534, 10032, USA.
Howard F AndrewsDepartment of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, 10032, USA.
Marian E BetzDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, 80045, USA.
Carolyn DiGuiseppiDepartment of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA.
David W EbyCollege of Engineering, University of Michigan Transportation Research Institute, Ann Arbor, MI, 48109, USA.
Linda L HillSchool of Public Health, University of California San Diego, La Jolla, San Diego, CA, 92093, USA.
Vanya JonesDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.
Thelma J MielenzDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, 10032, USA.
Lisa J MolnarCollege of Engineering, University of Michigan Transportation Research Institute, Ann Arbor, MI, 48109, USA.
David StrogatzBassett Research Institute, Bassett Healthcare Network, Cooperstown, NY, 13326, USA.
Barbara H LangDepartment of Anesthesiology, Vagelos College of Physicians and Surgeons, Columbia University, 622 West 168th Street, New York, NY, PH5-534, 10032, USA.
Guohua LiDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, 10032, USA. GL2240@cumc.columbia.edu.ORCID http://orcid.org/0000-0003-4732-2448

Funding

AAA Foundation for Traffic Safety AAA Foundation for Traffic Safety
6 · The paper itself

Abstract

backgroundDiabetes mellitus (DM) can impair driving safety due to hypoglycemia, hyperglycemia, diabetic peripheral neuropathy, and diabetic eye diseases. However, few studies have examined the association between DM and driving safety in older adults based on naturalistic driving data.

methodsData for this study came from a multisite naturalistic driving study of drivers aged 65-79 years at baseline. Driving data for the study participants were recorded by in-vehicle recording devices for up to 44 months. We used multivariable negative binomial modeling to estimate adjusted incidence rate ratios (aIRRs) and 95% confidence intervals (CIs) of hard braking events (HBEs, defined as maneuvers with deceleration rates ≥ 0.4 g) associated with DM.

resultsOf the 2856 study participants eligible for this analysis, 482 (16.9%) reported having DM at baseline, including 354 (12.4%) insulin non-users and 128 (4.5%) insulin users. The incidence rates of HBEs per 1000 miles were 1.13 for drivers without DM, 1.15 for drivers with DM not using insulin, and 1.77 for drivers with DM using insulin. Compared to drivers without DM, the risk of HBEs was 48% higher for drivers with DM using insulin (aIRR 1.48; 95% CI: 1.43, 1.53).

conclusionOlder adult drivers with DM using insulin appear to be at increased proneness to vehicular crashes. Driving safety should be taken into consideration in DM care and management.

Indexed as

AgingCohort studyDiabetesDriving safetyHard braking eventMotor vehicle accidentOlder adults

Identifiers

PMID38840227
PMCPMC11151638

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.