@article {LeveBJGPO.2020.0145, author = {Verena Leve and Michael Pentzek and Angela Fuchs and Horst Bickel and Dagmar Weeg and Siegfried Weyerer and Jochen Werle and Hans-Helmut K{\"o}nig and Andre Hajek and Dagmar Luhmann and Hendrik van den Bussche and Birgitt Wiese and Anke Oey and Katrin Heser and Michael Wagner and Melanie Luppa and Susanne R{\"o}hr and Wolfgang Maier and Martin Scherer and Hanna Kaduszkiewicz and Steffi Riedel-Heller}, title = {GPs{\textquoteright} awareness of car driving among oldest patients {\textendash} exploratory results from a primary care cohort}, elocation-id = {BJGPO.2020.0145}, year = {2021}, doi = {10.3399/BJGPO.2020.0145}, publisher = {Royal College of General Practitioners}, abstract = {Background Increasingly more very old people are active drivers. Sensory, motor and cognitive limitations or medication can increase safety risks. Timely attention to driving safety in the patient-doctor relationship can promote patient-centred solutions.Aim Do general practitioners (GPs) know which patients drive a car? Is fitness to drive addressed with patients?Design \& Setting Cross-sectional data from patient interviews and GP survey in the ninth follow-up phase of the German AgeCoDe/AgeQualiDe prospective primary care cohort study.Method Sample: Patients in the age group 85+ and their GPs; independent reports on driving activity from GP and patient; information from GPs on whether driving ability was discussed with the patient; validity parameters, bivariate characterisation of subgroups (non-parametric significance tests, effect size)Results Self-reports of 553 patients are available (69.5\% female; mean age 90.5 years; 15.9\% drive a car), for 427 patients GP data are also available: GPs recognise 67.1\% correctly as drivers and 94.9\% as non-drivers. GPs say that they have discussed fitness to drive with 32.1\% of potentially driving patients. Among drivers who are not recognised and with whom driving has not been discussed, there are more patients with a low educational level.Conclusion The GP{\textquoteright}s assessment of driving activity among very old patients shows moderate sensitivity and good specificity. Driving ability is discussed seldom. An appropriate question could increase GPs{\textquoteright} awareness of older patients{\textquoteright} automobility.}, URL = {https://bjgpopen.org/content/early/2021/01/20/BJGPO.2020.0145}, eprint = {https://bjgpopen.org/content/early/2021/01/20/BJGPO.2020.0145.full.pdf}, journal = {BJGP Open} }