Physicians may not always report brain cancer patients unfit to drive

June 4, 2012

Ontario doctors are legally required to report patients they consider medically unfit to drive to the Ministry of Transportation (MTO) – yet they may not be doing it. A new study from Lawson Health Research Institute shows doctors treating patients with brain cancer are unclear about how and when to assess and report a patient's ability to drive.

Brain tumours can compromise a patient's ability to safely operate a motor vehicle. The Canadian Medical Association has drafted guidelines to help physicians assess these risks. But according to Dr. Alex Louie, a Scientist at Lawson, 76% of Southwestern Ontario physicians caring for patients with feel reporting guidelines are unclear.

In a recent survey led by Dr. Louie, only three quarters of doctors in this group said they consider reporting brain tumour patients at all. When they do consider reporting, it is usually motivated by legal obligations – even though almost a quarter of the respondents could not clearly define these laws and how they are impacted by them.

In a review of actual clinical practice, Dr. Louie's group looked at the driving assessments for patients receiving brain radiotherapy at London Health Sciences Centre's (LHSC) London Regional Cancer Program (LRCP) between January and June 2009. Results show only 41% of patients were advised not to drive, and only 30% were reported to MTO. Of the patients who experienced seizures – automatic grounds for revoking a license – only 68% discussed driving with their doctor, and only 56% were reported to the licensing authority.

Research from other countries, and in other medical conditions like heart disease and diabetes, suggests inconsistent assessment and reporting are widespread concerns. Further research is required to determine the extent of the issue and to provide an appropriate solution.

"Our overarching goal is to make Canadians aware that this is an issue," Dr. Louie says. "We need more clear and precise guidelines, and more education of physicians, to protect both the safety of our and our society."

Dr. Louie presented the results of this study last night at the Novartis Oncology Young Canadian Investigator Awards (NOYCIA) Dinner in Chicago, where he was honored for the second year in a row.

Related Stories

Recommended for you

New treatment options for a fatal leukemia

July 27, 2015

In industrialized countries like in Europe, acute lymphoblastic leukemia is the most common form of cancer in children. An international research consortium lead by pediatric oncologists from the Universities of Zurich and ...

Exciting results from cancer immunoagent study

July 20, 2015

(Medical Xpress)—Cancer therapies have improved incrementally over the years, but cancer treatment largely remains analogous to forest fire suppression, in which the spread of fire is contained with deliberate controlled ...

Modified DNA building blocks are cancer's Achilles heel

July 22, 2015

In studying how cells recycle the building blocks of DNA, Ludwig Cancer Research scientists have discovered a potential therapeutic strategy for cancer. They found that normal cells have highly selective mechanisms to ensure ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.