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Current Oncology
Volume 19
Issue 3
10.3747/co.19.916
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Current Oncology is published by MDPI from Volume 28 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Multimed Inc..
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Article

Fitness to Drive in Patients with Brain Tumours: The Influence of Mandatory Reporting Legislation on Radiation Oncologists in Canada

by
A.V. Louie
1,
D.P. D’Souza
1,
D.A. Palma
1,
G.S. Bauman
1,
M. Lock
1,
B. Fisher
1,
N. Patil
1 and
G.B. Rodrigues
1,2,*
1
Department of Radiation Oncology, London Regional Cancer Program, London, ON, Canada
2
Department of Epidemiology and Biostatistics, University of Western Ontario, London, ON, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2012, 19(3), 117-122; https://doi.org/10.3747/co.19.916
Submission received: 2 March 2012 / Revised: 4 April 2012 / Accepted: 6 May 2012 / Published: 1 June 2012

Abstract

Certain jurisdictions in Canada legally require that physicians report unfit drivers. Physician attitudes and patterns of practice have yet to be evaluated in Canada for patients with brain tumours. We conducted a survey of 97 radiation oncologists, eliciting demographics, knowledge of reporting laws, and attitudes on reporting guidelines for unfit drivers. Eight scenarios with varying disability levels were presented to determine the likelihood of a patient being reported as unfit to drive. Statistical comparisons were made using the Fisher exact test. Of physicians approached, 99% responded, and 97 physicians participated. Most respondents (87%) felt that laws in their province governing the reporting of medically unfit drivers were unclear. Of the responding physicians, 23 (24%) were unable to correctly identify whether their province had mandatory reporting legislation. Physicians from provinces without mandatory reporting legislation were significantly less likely to consider reporting patients to provincial authorities (p = 0.001), and for all clinical scenarios, the likelihood of reporting significantly depended on the physician’s provincial legal obligations. The presence of provincial legislation is of primary importance in determining whether physicians will report brain tumour patients to drivers’ licensing authorities. In Canada, clear guidelines have to be developed to help in the assessment of whether brain tumour patients should drive.
Keywords: driving; brain tumour; canadian health system; guidelines driving; brain tumour; canadian health system; guidelines

Share and Cite

MDPI and ACS Style

Louie, A.V.; D’Souza, D.P.; Palma, D.A.; Bauman, G.S.; Lock, M.; Fisher, B.; Patil, N.; Rodrigues, G.B. Fitness to Drive in Patients with Brain Tumours: The Influence of Mandatory Reporting Legislation on Radiation Oncologists in Canada. Curr. Oncol. 2012, 19, 117-122. https://doi.org/10.3747/co.19.916

AMA Style

Louie AV, D’Souza DP, Palma DA, Bauman GS, Lock M, Fisher B, Patil N, Rodrigues GB. Fitness to Drive in Patients with Brain Tumours: The Influence of Mandatory Reporting Legislation on Radiation Oncologists in Canada. Current Oncology. 2012; 19(3):117-122. https://doi.org/10.3747/co.19.916

Chicago/Turabian Style

Louie, A.V., D.P. D’Souza, D.A. Palma, G.S. Bauman, M. Lock, B. Fisher, N. Patil, and G.B. Rodrigues. 2012. "Fitness to Drive in Patients with Brain Tumours: The Influence of Mandatory Reporting Legislation on Radiation Oncologists in Canada" Current Oncology 19, no. 3: 117-122. https://doi.org/10.3747/co.19.916

APA Style

Louie, A. V., D’Souza, D. P., Palma, D. A., Bauman, G. S., Lock, M., Fisher, B., Patil, N., & Rodrigues, G. B. (2012). Fitness to Drive in Patients with Brain Tumours: The Influence of Mandatory Reporting Legislation on Radiation Oncologists in Canada. Current Oncology, 19(3), 117-122. https://doi.org/10.3747/co.19.916

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