Dementia May Be Underdiagnosed in States With Motor Vehicle Reporting Mandates

Dementia May Be Underdiagnosed in States With Motor Vehicle Reporting Mandates

Mandating clinicians to report drivers with dementia may be associated with missed or delayed dementia diagnoses.Four states have clinician reporting mandates; 14 have mandates requiring drivers to self-report dementia diagnoses, and the rest do not have explicit requirements.The probability of underdiagnosing dementia was higher in states that required clinicians to report dementia diagnoses than in other states.

Mandating clinicians to report drivers with dementia may be associated with missed or delayed dementia diagnoses, a cross-sectional study of primary care providers suggested.

Clinicians in states that required them to report drivers had an adjusted 12.4% probability of underdiagnosing dementia, according to Soeren Mattke, MD, DSc, of the University of Southern California in Los Angeles, and co-authors.

This was higher than the probability of underdiagnosis in states that required drivers to self-report dementia (7.8%) or states with no reporting mandates (7.7%) by about 4 percentage points (P
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