Centre for Applied Health Research, St. Joseph's Care Group, Thunder Bay, Ontario, Canada.
Centre for Research on Safe Driving, Lakehead University, Thunder Bay, Ontario, Canada.
Diabet Med. 2023 Oct;40(10):e15175. doi: 10.1111/dme.15175. Epub 2023 Jul 17.
We conducted this review to characterize the quality of evidence about associations between diabetes and safe driving and to evaluate how these findings are reflected within current guidelines available to support clinicians and their patients with diabetes.
The first stage entailed a systematic search and review of the literature. Evidence surrounding harms associated with diabetes and driving was identified, screened, extracted and appraised for quality utilizing the Newcastle Ottawa Scales (NOS). Next, relevant guidelines regarding driving and diabetes were sourced and summarized. Finally, the identified guidelines were cross-referenced with the results of the systematic search and review.
The systematic search yielded 12,461 unique citations; 52 met the criteria for appraisal. Fourteen studies were rated as 'high', two as 'medium' and 36 as 'low'. Studies with ratings of 'high' or 'medium' were extracted, revealing a body of inconsistent methods and findings. These results, cross-referenced with the guidelines, suggest a lack of agreement and a limited evidence base to justify recommendations.
The results presented emphasize the need for a better understanding of the impacts of diabetes on safe driving to inform evidence-based guidelines.
本研究旨在描述糖尿病与安全驾驶之间关联的证据质量，并评估这些发现如何反映在当前支持临床医生及其糖尿病患者的指南中。
第一阶段包括系统搜索和文献综述。确定了与糖尿病和驾驶相关的危害相关证据，利用纽卡斯尔-渥太华量表（NOS）对其进行筛选、提取和质量评估。接下来，查找并总结了与驾驶和糖尿病相关的相关指南。最后，将确定的指南与系统搜索和综述的结果进行交叉参考。
系统搜索产生了 12461 条独特的引文；52 条符合评估标准。有 14 项研究被评为“高”，2 项评为“中”，36 项评为“低”。对评分“高”或“中”的研究进行了提取，揭示了方法和发现不一致的情况。这些结果与指南交叉引用表明，缺乏共识和有限的证据基础来支持建议。
提出的结果强调需要更好地了解糖尿病对安全驾驶的影响，以制定基于证据的指南。
