Evid Based Med doi:10.1136/eb-2012-101116
  • Prognosis
  • Cohort study

Medical warnings reduce older drivers’ risk of motor vehicle injury while adversely affecting mental health and physician relationship

  1. Thelma J Mielenz
  1. Departments of Anesthesiology and Epidemiology, Columbia University, New York, New York, USA
  1. Correspondence to : Guohua Li, MD, DrPH
    Center for Injury Epidemiology and Prevention at Columbia University Medical Center, 722 West 168th Street, Rm 524, New York, NY 10032, USA; gl2240{at}

Commentary on:


Driving is an important indicator of mobility in industrialised nations. Over 80% of individuals aged 65 years and older in the USA continue to drive. Research indicates that driving confers significant health benefit to older people, including increased social engagement, increased functional independence, decreased risk of depression and decreased use of long-term care.1 Unfortunately, driving is not free of risk. Older drivers tend to have higher per capita mortality from motor vehicle crashes and higher crash involvement per mile driven than drivers aged 35–64.2 The excess mortality from motor vehicle crashes for older adults is due largely to their depleted ability to survive …

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