Sunnybrook Health Sciences Centre, FG37-2075 Bayview Ave, Toronto, ON, M4N 3M5, Canada.
University of Toronto, Toronto, ON, Canada.
Curr Psychiatry Rep. 2018 Mar 12;20(3):16. doi: 10.1007/s11920-018-0879-x.
The purpose of this study was to update a national guideline on assessing drivers with dementia, addressing limitations of previous versions which included a lack of developmental rigor and stakeholder involvement.
An international multidisciplinary team reviewed 104 different recommendations from 12 previous guidelines on assessing drivers with dementia in light of a recent review of the literature. Revised guideline recommendations were drafted by consensus. A preliminary draft was sent to specialist physician and occupational therapy groups for feedback, using an a priori definition of 90% agreement as consensus.
The research team drafted 23 guideline recommendations, and responses were received from 145 stakeholders. No recommendation was endorsed by less than 80% of respondents, and 14 (61%) of the recommendations were endorsed by more than 90%.The recommendations are presented in the manuscript. The revised guideline incorporates the perspectives of consensus of an expert group as well as front-line clinicians who regularly assess drivers with dementia. The majority of the recommendations were based on evidence at the level of expert opinion, revealing gaps in the evidence and future directions for research.
本研究旨在更新一项关于评估痴呆症驾驶员的国家指南，以解决之前版本的局限性，包括缺乏发展严谨性和利益相关者的参与。
一个国际多学科团队根据最近对文献的综述，审查了 12 个之前关于评估痴呆症驾驶员的指南中的 104 条不同建议。修订后的指南建议通过共识起草。将初步草案发送给专门的医生和职业治疗小组征求反馈意见，使用事先定义的 90%的一致性作为共识。
研究团队起草了 23 条指南建议，并收到了 145 名利益相关者的回复。没有一条建议得到的支持率低于 80%，14 条（61%）建议得到了超过 90%的支持。这些建议在本文中提出。修订后的指南纳入了专家组共识以及经常评估痴呆症驾驶员的一线临床医生的观点。大多数建议都是基于专家意见级别的证据，揭示了证据中的差距和未来的研究方向。
