Impact of gender on first eye cataract surgery and motor vehicle crash risk for older drivers

Background: No study to date has examined gender differences in crash risk after cataract surgery. Therefore, this study aimed to determine gender-related differences in the effectiveness of first eye cataract surgery in reducing crash risk for older drivers. Design: This retrospective before and af...

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Main Authors: Meuleners, Helen, Ng, Jonathon, Fraser, Michelle, Hendrie, Delia, Morlet, Nigel
Format: Journal Article
Published: Wiley-Blackwell Publishing Asia 2012
Online Access:http://hdl.handle.net/20.500.11937/11010
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author Meuleners, Helen
Ng, Jonathon
Fraser, Michelle
Hendrie, Delia
Morlet, Nigel
author_facet Meuleners, Helen
Ng, Jonathon
Fraser, Michelle
Hendrie, Delia
Morlet, Nigel
author_sort Meuleners, Helen
building Curtin Institutional Repository
collection Online Access
description Background: No study to date has examined gender differences in crash risk after cataract surgery. Therefore, this study aimed to determine gender-related differences in the effectiveness of first eye cataract surgery in reducing crash risk for older drivers. Design: This retrospective before and after study used whole population linked data to compare the frequency of police reported crashes 1 year before and 1 year after first eye cataract surgery for the years 1997–2006. Participants: All patients aged 60–85 years who had first eye cataract surgery between 1997 and 2006 in Western Australia and were involved in a motor vehicle crash 12 months before and/ or after surgery. Methods: Two separate generalized estimating equation Poisson models were undertaken for males and females to compare crash frequency before and after surgery. Main Outcome Measures: Police-reported crashes before and after cataract surgery. Results: A large proportion of the cohort involved in a crash either 1 year before or 1 year after first eye cataract surgery were male (n = 1091, 63.6%) compared with female (n = 624, 36.3%). Results from the generalized estimating equation Poisson models showed a significant reduction of 15.3% (P = 0.040) in all police reported crash frequency for males 1 year after cataract surgery. However, there was no significant change in crash frequency after surgery for females. Conclusions: The results of this study suggest that clinicians may need to take gender into account when advising patients on driving safety before and after cataract surgery.
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spelling curtin-20.500.11937-110102017-09-13T16:01:59Z Impact of gender on first eye cataract surgery and motor vehicle crash risk for older drivers Meuleners, Helen Ng, Jonathon Fraser, Michelle Hendrie, Delia Morlet, Nigel Background: No study to date has examined gender differences in crash risk after cataract surgery. Therefore, this study aimed to determine gender-related differences in the effectiveness of first eye cataract surgery in reducing crash risk for older drivers. Design: This retrospective before and after study used whole population linked data to compare the frequency of police reported crashes 1 year before and 1 year after first eye cataract surgery for the years 1997–2006. Participants: All patients aged 60–85 years who had first eye cataract surgery between 1997 and 2006 in Western Australia and were involved in a motor vehicle crash 12 months before and/ or after surgery. Methods: Two separate generalized estimating equation Poisson models were undertaken for males and females to compare crash frequency before and after surgery. Main Outcome Measures: Police-reported crashes before and after cataract surgery. Results: A large proportion of the cohort involved in a crash either 1 year before or 1 year after first eye cataract surgery were male (n = 1091, 63.6%) compared with female (n = 624, 36.3%). Results from the generalized estimating equation Poisson models showed a significant reduction of 15.3% (P = 0.040) in all police reported crash frequency for males 1 year after cataract surgery. However, there was no significant change in crash frequency after surgery for females. Conclusions: The results of this study suggest that clinicians may need to take gender into account when advising patients on driving safety before and after cataract surgery. 2012 Journal Article http://hdl.handle.net/20.500.11937/11010 10.1111/j.1442-9071.2011.02751.x Wiley-Blackwell Publishing Asia restricted
spellingShingle Meuleners, Helen
Ng, Jonathon
Fraser, Michelle
Hendrie, Delia
Morlet, Nigel
Impact of gender on first eye cataract surgery and motor vehicle crash risk for older drivers
title Impact of gender on first eye cataract surgery and motor vehicle crash risk for older drivers
title_full Impact of gender on first eye cataract surgery and motor vehicle crash risk for older drivers
title_fullStr Impact of gender on first eye cataract surgery and motor vehicle crash risk for older drivers
title_full_unstemmed Impact of gender on first eye cataract surgery and motor vehicle crash risk for older drivers
title_short Impact of gender on first eye cataract surgery and motor vehicle crash risk for older drivers
title_sort impact of gender on first eye cataract surgery and motor vehicle crash risk for older drivers
url http://hdl.handle.net/20.500.11937/11010