Validation of a short cognitive battery to screen for fitness‐to‐drive of people with multiple sclerosis.

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Title: Validation of a short cognitive battery to screen for fitness‐to‐drive of people with multiple sclerosis.
Authors: Akinwuntan, A. E., Backus, D., Grayson, J., Devos, H.
Source: European Journal of Neurology. Oct2018, Vol. 25 Issue 10, p1250-1254. 5p. 3 Charts.
Subjects: Cognitive balance, Multiple sclerosis, Neurological disorders, Parkinson's disease, Dementia, Patients
Abstract: Background and purpose: Some symptoms of multiple sclerosis (MS) affect driving. In a recent study, performance on five cognitive tests predicted the on‐road test performance of individuals with relapsing‐remitting MS with 91% accuracy, 70% sensitivity and 97% specificity. However, the accuracy with which the battery will predict the driving performance of a different cohort that includes all types of MS is unknown. Methods: Participants (n = 118; 48 ± 9 years of age; 97 females) performed a comprehensive off‐road evaluation that lasted about 3 h and a standardized on‐road test that lasted approximately 45 min over a 2‐day period within the same week. Performance on the five cognitive tests was used to predict participants’ performance on the standardized on‐road test. Results: Performance on the five tests together predicted outcome of the on‐road test with 82% accuracy, 42% sensitivity and 90% specificity. Conclusions: The accuracy of predicting the on‐road performance of a new MS cohort using performance on the battery of five cognitive tests remained very high (82%). The battery, which was administrable in <45 min and cost ~$150, was better at identifying those who actually passed the on‐road test (90% specificity). The sensitivity (42%) of the battery indicated that it should not be used as the sole determinant of poor driving‐related cognitive skills. A fail performance on the battery should only imply that more comprehensive testing is warranted. [ABSTRACT FROM AUTHOR]
Copyright of European Journal of Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Validation of a short cognitive battery to screen for fitness‐to‐drive of people with multiple sclerosis.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22European+Journal+of+Neurology%22&quot;&gt;European Journal of Neurology&lt;/searchLink&gt;. Oct2018, Vol. 25 Issue 10, p1250-1254. 5p. 3 Charts.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cognitive+balance%22&quot;&gt;Cognitive balance&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Multiple+sclerosis%22&quot;&gt;Multiple sclerosis&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Neurological+disorders%22&quot;&gt;Neurological disorders&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Parkinson&#39;s+disease%22&quot;&gt;Parkinson&#39;s disease&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Dementia%22&quot;&gt;Dementia&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Patients%22&quot;&gt;Patients&lt;/searchLink&gt;
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  Data: Background and purpose: Some symptoms of multiple sclerosis (MS) affect driving. In a recent study, performance on five cognitive tests predicted the on‐road test performance of individuals with relapsing‐remitting MS with 91% accuracy, 70% sensitivity and 97% specificity. However, the accuracy with which the battery will predict the driving performance of a different cohort that includes all types of MS is unknown. Methods: Participants (n = 118; 48 &#177; 9 years of age; 97 females) performed a comprehensive off‐road evaluation that lasted about 3 h and a standardized on‐road test that lasted approximately 45 min over a 2‐day period within the same week. Performance on the five cognitive tests was used to predict participants’ performance on the standardized on‐road test. Results: Performance on the five tests together predicted outcome of the on‐road test with 82% accuracy, 42% sensitivity and 90% specificity. Conclusions: The accuracy of predicting the on‐road performance of a new MS cohort using performance on the battery of five cognitive tests remained very high (82%). The battery, which was administrable in &lt;45 min and cost ~$150, was better at identifying those who actually passed the on‐road test (90% specificity). The sensitivity (42%) of the battery indicated that it should not be used as the sole determinant of poor driving‐related cognitive skills. A fail performance on the battery should only imply that more comprehensive testing is warranted. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of European Journal of Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1111/ene.13690
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        Text: English
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      – SubjectFull: Cognitive balance
        Type: general
      – SubjectFull: Multiple sclerosis
        Type: general
      – SubjectFull: Neurological disorders
        Type: general
      – SubjectFull: Parkinson's disease
        Type: general
      – SubjectFull: Dementia
        Type: general
      – SubjectFull: Patients
        Type: general
    Titles:
      – TitleFull: Validation of a short cognitive battery to screen for fitness‐to‐drive of people with multiple sclerosis.
        Type: main
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            NameFull: Akinwuntan, A. E.
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            NameFull: Backus, D.
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            NameFull: Grayson, J.
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              M: 10
              Text: Oct2018
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              Y: 2018
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