Stamatelos P., Economou A., Stefanis L., Yannis G., Papageorgiou S., “Driving and Alzheimer’s Dementia or Mild Cognitive Impairment: A systematic review of the existing guidelines emphasizing on the neurologist’s role.”, Neurological Sciences, Vol. 41, Issue 9, September 2021.

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wpml-ls-first-item menu-item-wpml-ls-9-en"><a href="https://www.nrso.ntua.gr/geyannis/pub/pj204-driving-and-alzheimers-dementia-or-mild-cognitive-impairment-a-systematic-review-of-the-existing-guidelines/"><img class="wpml-ls-flag" src="https://www.nrso.ntua.gr/geyannis/wp-content/plugins/sitepress-multilingual-cms/res/flags/en.png" alt="en" title="English"></a> <ul class="sub-menu"> <li id="menu-item-wpml-ls-9-el" class="menu-item-language menu-item wpml-ls-slot-9 wpml-ls-item wpml-ls-item-el wpml-ls-menu-item wpml-ls-last-item menu-item-wpml-ls-9-el"><a href="https://www.nrso.ntua.gr/geyannis/el/pub/stamatelos-p-economou-a-stefanis-l-yannis-g-papageorgiou-s-driving-and-alzheimers-dementia-or-mild-cognitive-impairment-a-systematic-review-of-the-existing-guidelines-emphasizing-on-the-n/"><img class="wpml-ls-flag" src="https://www.nrso.ntua.gr/geyannis/wp-content/plugins/sitepress-multilingual-cms/res/flags/el.png" alt="el" title="Ελληνικα"></a></li> </ul> </li> </ul> </nav> <div id="et_mobile_nav_menu"> <div class="mobile_nav closed"> <span class="select_page">Select Page</span> <span class="mobile_menu_bar mobile_menu_bar_toggle"></span> </div> </div> </div>  </div>  <div class="et_search_outer"> <div class="container et_search_form_container"> <form role="search" method="get" class="et-search-form" action="https://www.nrso.ntua.gr/geyannis/"> <input type="search" class="et-search-field" placeholder="Search …" value="" name="s" title="Search for:" /> </form> <span class="et_close_search_field"></span> </div> </div> </header>  <div id="et-main-area"> <div id="main-content"> <div class="container"> <div id="content-area" class="clearfix"> <div id="left-area"> <article id="post-17007" class="et_pb_post post-17007 publication type-publication status-publish has-post-thumbnail hentry tag-cognitive-impairment tag-driver-behaviour tag-older-drivers publication-category-journals"> <div class="et_post_meta_wrapper"> <h1 class="entry-title">Stamatelos P., Economou A., Stefanis L., Yannis G., Papageorgiou S., “Driving and Alzheimer’s Dementia or Mild Cognitive Impairment: A systematic review of the existing guidelines emphasizing on the neurologist’s role.”, Neurological Sciences, Vol. 41, Issue 9, September 2021.</h1> </div>  <div class="entry-content"> <img src="https://www.nrso.ntua.gr/geyannis/wp-content/uploads/neurological-sciences.jpg" class="nrso-featured-image" border="0" /><p><strong class="sub-title">Background: </strong>Driving is a complex task requiring the integrity and the cooperation of cognition, motor, and somatosensory skills, all of which are impacted by neurological diseases. <strong class="sub-title">Objective: </strong>Identification of neurologist’s role when assessing fitness to drive of cognitively impaired individuals. <strong class="sub-title">Methods: </strong>We performed a systematic review of the guidelines/recommendations (G/Rs) regarding the evaluation of driving fitness of patients with mild cognitive impairment (MCI) and/or dementia. Emphasis was put on the neurological and neuropsychological aspects of the evaluation. <strong class="sub-title">Results: </strong>Eighteen G/Rs were included in the review (9 national guidelines, 5 recommendation papers, 3 consensus statements, and 1 position paper). All G/Rs referred to drivers with dementia and 9/18 referred to drivers with MCI. A common approach among G/Rs is the initial trichotomization of patients in safe to drive, unsafe to drive, and undetermined cases, which are referred to a second-line evaluator. First-line evaluators are general practitioners in 10/18 G/Rs; second-line evaluators are neurologists in 7/18 G/Rs. Specific neuropsychological tests are proposed in 11/18 G/Rs and relative cut-off values in 7/18. The most commonly used tests are the MMSE, TMT, and CDT. A thorough neurological examination is proposed in only 1/18 G/R. <strong class="sub-title">Conclusion: </strong>Although extensive multi-disciplinary research has provided useful information for driving behavior of cognitively impaired individuals, we are still far from a widely accepted approach of driving ability evaluation in this increasing population. A comprehensive assessment from a multi-disciplinary team in which the neurologist plays a critical role seems to be required, although this has not yet been implemented in any G/Rs.</p> <br/> <table class="nrso-metadata-table"> <tr> <td class="first-col">ID</td> <td>pj204</td> </tr> <tr> <td class="first-col">DOI</td> <td><a href="https://pubmed.ncbi.nlm.nih.gov/34581880/" target="_blank" class="listview-doi"><i class="fa fa-external-link" aria-hidden="true"></i></a></td> </tr> <tr> <td class="first-col">Tags</td> <td> <a href="https://www.nrso.ntua.gr/geyannis/tag/cognitive-impairment/">cognitive impairment</a>, <a href="https://www.nrso.ntua.gr/geyannis/tag/driver-behaviour/">driver behaviour</a>, <a href="https://www.nrso.ntua.gr/geyannis/tag/older-drivers/">older drivers</a> </td> </tr> </table> </div>  <div class="et_post_meta_wrapper"> </div>  </article>  </div>  <div id="sidebar"> <div id="search-2" class="et_pb_widget widget_search"><h4 class="widgettitle">Search</h4><form 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