@article{ref1,
title="Response letter to Drs. O'Callaghan and O'Neill, Comments on article on older drivers in Australia",
journal="Journal of the American Geriatrics Society",
year="2010",
author="Ross, Lesley A. and Anstey, Kaarin J. and Kiely, Kim M. and Luszcz, Mary A. and Byles, Julie E. and Mitchell, Paul",
volume="58",
number="6",
pages="1213-1214",
abstract="We appreciate the important issues detailed by O'Callaghan and O'Neill, although our reading of the evidence is that, despite the majority of safe older drivers, there is a proportion of older drivers who may be unsafe because of cognitive impairment. Given population aging, the size of this subgroup will increase. Persons classified as cognitively impaired (including those with a mean Mini-Mental State Examination (MMSE) score of 26.5 or MMSE scores of ≤26) have demonstrated poorer driving performance in on-road driving assessments, crashes, driving simulators, and other performance measures. Although many older adults may begin to modify their driving behaviors, reducing their exposure to higher-risk situations, such modifications may not be sufficient for drivers who are at greater risk of crashing. Our study identifies a large proportion of older drivers with MMSE scores of 26 or lower. Additionally, the sample is likely to be biased toward higher-functioning older adults because of selection effects at entry to the studies, hence underestimating the numbers with possible cognitive impairment.<p />",
language="",
issn="0002-8614",
doi="10.1111/j.1532-5415.2010.02894.x",
url="http://dx.doi.org/10.1111/j.1532-5415.2010.02894.x"
}