title: Diabetes and collision risk. A meta-analysis and meta-regression.
abstract: OBJECTIVE
  The main objective of this study was to see whether diabetes is associated with an increased collision risk and to test the effect of age and gender on the overall collision risk for diabetes drivers.
  
  
  METHODS
  Twenty-eight studies were included in meta-analysis, using mean age, gender, continent and the prevalence of fatal road incidents as covariates.
  
  
  RESULTS
  The collision risk for diabetes drivers was small and not statistically significant - RR = 1.11 (1.01-1.23) with a prediction interval (PI) or 0.77-1.65. Age and gender were not associated with an increased overall risk. Insulin-dependent diabetes patients had a slightly increased effect size compared with the overall diabetes population, but the effect was not statistically significant. European diabetes drivers had a lower collision risk compared with their North American counterparts, the main cause being the difference of collision risk in the countries in which the studies were performed.
  
  
  CONCLUSIONS
  Overall, diabetes patients do not have a statistically significant increased risk for unfavourable traffic events. Old age and insulin-dependent patients tend to have a higher risk. Advances in diabetes care, associated with advances in road safety regulations, and automotive industry have not decreased significantly the collision risk in the last 50 years for drivers with diabetes.
authors.affiliation: Department of Legal Medicine and Bioethics, Carol Davila University, Bucharest, Romania.|National Institute of Legal Medicine, Bucharest, Romania.
authors.forename: S
authors.initials: S
authors.lastname: Hostiuc
authors.affiliation: Department of Surgery, Carol Davila University, Bucharest, Romania.
authors.forename: I
authors.initials: I
authors.lastname: Negoi
authors.affiliation: Department of Internal Medicine and Gastroenterology, Carol Davila University, Bucharest, Romania.
authors.forename: M
authors.initials: M
authors.lastname: Hostiuc
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data*; D000328:Adult; D000367:Age Factors; D000368:Aged; D001334:Automobile Driving / Q000523:psychology; D048909:Diabetes Complications / Q000150:complications / Q000523:psychology; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D012737:Sex Factors