Ranchet M, Akinwuntan A, Tant M, Neal E, Devos H. Agreement between physician's recommendation and fitness-to-drive decision in multiple sclerosis.Arch Phys Med Rehabil. 2015 Jul 1. pii: S0003-9993(15)00490-6. doi: 10.1016/j.apmr.2015.06.010. [Epub ahead of print]
OBJECTIVES:To investigate the agreement of fitness-to-drive decisions made by the referring physician and by the on-road assessor in individuals with multiple sclerosis (iwMS).
PARTICIPANTS:A sample of iwMS (N = 218) who completed the medical and driving questionnaire and performed an official on-road test.
RESULTS:The referring physician and on-road assessor agreed on the fitness-to-drive in 191 (88%) of the cases (p < 0.0001). When compared to the on-road assessor's judgments, the physician's recommendation of fitness-to-drive was overestimated in 16 iwMS and underestimated in 11 iwMS. Patients with poor binocular acuity were more likely to be inaccurately classified by the physician (p = 0.001).
CONCLUSIONS:This study showed a high level of agreement between the fitness-to-drive decisions made by physicians and on-road assessors in iwMS. Visual functions should be assessed in the doctor's office for more accurate referrals.
You doc is not a bad judge of your capability to drive safety, but ensure you have your eyes are checked out.