Opinions, attitudes and practices of Australian neurologists with regard to epilepsy and driving

Abstract

Respondents supplied predictable answers regarding ideal circumstances; yet most did not report recalcitrant patients. Most claimed to adhere to the guidelines and yet advocated more lenient driving restrictions that may allow preventable accidents. There was agreement between neurologists and guidelines for more rigorous restrictions for commercial drivers although again neurologists were more lenient. There is need for prospective research on epilepsy and driving.

Patients' Risk of Causing Traffic Violations and Traffic Accidents While Driving

“…The most frequent cause for referral for treatment by the SMC is epilepsy. In the literature, there are completely contradictory data on the risk of drivers with epilepsy causing accidents and violations (11,16). Our findings show that drivers with epilepsy cause violations 60% more frequently than the controls and that these patients are twice as likely to cause an accident.…”

“…It showed that deaths of drivers due to epileptic seizures in the US are half as likely as deaths of patients with cardiovascular disorders and diabetes (10). Nonetheless, Australian neurologists, for instance, favour greater restrictions for professional drivers with epilepsy (11).…”

Analysis of the latest Austroads guidelines for fitness to drive as promulgated in March 2012

“…Acknowledging the doctor–patient relationship and confidentiality, the guidelines dictate notification of recalcitrant patients, irrespective of consent. While mandatory in Northern Territory and South Australia, despite reluctance to report, professionals must report where applicable and appreciate ‘doctor‐shopping’, especially for commercial drivers.…”

“…Previous guidelines were unclear, created ambiguity and possible confusion . Consultants may overtly support guidelines while acting contrary to them . Case law has generated concern .…”

“…3 Consultants may overtly support guidelines while acting contrary to them. 4 Case law has generated concern. 5 Without mandatory reporting, ' .…”