视力损害与驾驶之间的关联以及视力相关干预措施的有效性：一项系统评价和荟萃分析方案
Associations between vision impairment and driving and the effectiveness of vision-related interventions: protocol for a systematic review and meta-analysis.
作者信息
Nguyen Helen, Di Tanna Gian Luca, Coxon Kristy, Brown Julie, Ren Kerrie, Ramke Jacqueline, Burton Matthew J, Gordon Iris, Zhang Justine H, Furtado João M, Mdala Shaffi, Kitema Gatera Fiston, Keay Lisa
机构信息
School of Optometry and Vision Science, Faculty of Science, University of New South Wales, Sydney, New South Wales, Australia.
The George Institute for Global Health, Faculty of Medicine, The University of New South Wales, Sydney, New South Wales, Australia.
出版信息
BMJ Open. 2020 Nov 5;10(11):e040881. doi: 10.1136/bmjopen-2020-040881.
INTRODUCTION
Driving is one of the main modes of transport with safe driving requiring a combination of visual, cognitive and physical skills. With population ageing, the number of people living with vision impairment is set to increase in the decades ahead. Vision impairment may negatively impact an individual's ability to safely drive. The association between vision impairment and motor vehicle crash involvement or driving participation has yet to be systematically investigated. Further, the evidence for the effectiveness of vision-related interventions aimed at decreasing crashes and driving errors has not been synthesised.
METHODS AND ANALYSIS
A search will be conducted for relevant studies on Medline (Ovid), EMBASE and Global Health from their inception to March 2020 without date or geographical restrictions. Two investigators will independently screen abstracts and full texts using Covidence software with conflicts resolved by a third investigator. Data extraction will be conducted on all included studies, and their quality assessed to determine the risk of bias using the Joanna Briggs Institute Critical Appraisal Tools. Outcome measures include crash risk, driving cessation and surrogate measures of driving safety (eg, driving errors and performance). The results of this review will be reported using the Preferred Reporting Items for Systematic Review and Meta-Analysis guideline. Meta-analysis will be undertaken for outcomes with sufficient data and reported following the Meta-analyses of Observational Studies in Epidemiology guideline. Where statistical pooling is not feasible or appropriate, narrative summaries will be presented following the Synthesis Without Meta-analysis in systematic reviews guideline.
ETHICS AND DISSEMINATION
This review will only report on published data thus no ethics approval is required. Results will be included in the Commission on Global Eye Health, published in a peer-reviewed journal and presented at relevant conferences.
PROSPERO REGISTRATION NUMBER
CRD42020172153.
引言
驾驶是主要的交通方式之一，安全驾驶需要视觉、认知和身体技能的综合运用。随着人口老龄化，在未来几十年中，视力受损人群的数量将会增加。视力受损可能会对个人安全驾驶的能力产生负面影响。视力受损与机动车碰撞事故或驾驶参与之间的关联尚未得到系统研究。此外，旨在减少碰撞事故和驾驶失误的视力相关干预措施的有效性证据也未得到综合分析。
方法与分析
将对Medline（Ovid）、EMBASE和Global Health数据库从建库至2020年3月的相关研究进行检索，无日期或地理限制。两名研究人员将使用Covidence软件独立筛选摘要和全文，如有冲突由第三名研究人员解决。将对所有纳入研究进行数据提取，并使用乔安娜·布里格斯研究所的批判性评价工具评估其质量，以确定偏倚风险。结局指标包括碰撞风险、停止驾驶以及驾驶安全性的替代指标（如驾驶失误和表现）。本综述的结果将按照系统评价和Meta分析的首选报告项目指南进行报告。对于有足够数据的结局指标将进行Meta分析，并按照流行病学观察性研究的Meta分析指南进行报告。如果无法或不适合进行统计合并，将按照系统评价中无Meta分析的综合报告指南进行叙述性总结。
伦理与传播
本综述仅报告已发表的数据，因此无需伦理批准。结果将纳入全球眼健康委员会，发表在同行评审期刊上，并在相关会议上展示。
PROSPERO注册号：CRD42020172153。
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