{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:23:01Z","timestamp":1792783381195,"version":"4.5.0"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Royal College of Surgeons in Ireland","id":[{"id":"https:\/\/ror.org\/01hxy9878","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ir J Med Sci"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1007\/s11845-026-04402-2","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T07:36:00Z","timestamp":1777016160000},"page":"2483-2489","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Driving guidelines and abdominal aortic aneurysms: a comparative analysis of regulations in Ireland and the United Kingdom, and other countries"],"prefix":"10.1007","volume":"195","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6387-7200","authenticated-orcid":false,"given":"Morgan Thomas","family":"McLoughlin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nawar","family":"Masarani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Elkassaby","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gergely","family":"Gosi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"issue":"3","key":"4402_CR1","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1177\/003693307502000313","volume":"20","author":"JC McGregor","year":"1975","unstructured":"McGregor JC, Pollock JG, Anton HC (1975) The Value of Ultrasonography in the Diagnosis of Abdominal Aortic Aneurysm. Scot Med J 20(3):133\u2013137","journal-title":"Scot Med J"},{"issue":"3","key":"4402_CR2","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1016\/0022-4804(87)90073-4","volume":"43","author":"AV Sterpetti","year":"1987","unstructured":"Sterpetti AV, Schultz RD, Feldhaus RJ, Cheng SE, Peetz DJ (1987) Jr. Factors influencing enlargement rate of small abdominal aortic aneurysms. J Surg Res 43(3):211\u2013219","journal-title":"J Surg Res"},{"issue":"1","key":"4402_CR3","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1038\/s41572-018-0030-7","volume":"4","author":"N Sakalihasan","year":"2018","unstructured":"Sakalihasan N, Michel J-B, Katsargyris A, Kuivaniemi H, Defraigne J-O, Nchimi A et al (2018) Abdominal aortic aneurysms. Nat Reviews Disease Primers 4(1):34","journal-title":"Nat Reviews Disease Primers"},{"issue":"11","key":"4402_CR4","doi-asserted-by":"publisher","first-page":"1371","DOI":"10.1161\/CIRCULATIONAHA.118.036966","volume":"139","author":"C Oliver-Williams","year":"2019","unstructured":"Oliver-Williams C, Sweeting MJ, Jacomelli J, Summers L, Stevenson A, Lees T et al (2019) Safety of Men With Small and Medium Abdominal Aortic Aneurysms Under Surveillance in the NAAASP. Circulation 139(11):1371\u20131380","journal-title":"Circulation"},{"issue":"19","key":"4402_CR5","doi-asserted-by":"publisher","first-page":"1445","DOI":"10.1056\/NEJMoa013527","volume":"346","author":"JT Powell","year":"2002","unstructured":"Powell JT, Brady AR, Brown LC, Fowkes FG, Greenhalgh RM, Ruckley CV et al (2002) Long-term outcomes of immediate repair compared with surveillance of small abdominal aortic aneurysms. N Engl J Med 346(19):1445\u20131452","journal-title":"N Engl J Med"},{"issue":"19","key":"4402_CR6","doi-asserted-by":"publisher","first-page":"1437","DOI":"10.1056\/NEJMoa012573","volume":"346","author":"FA Lederle","year":"2002","unstructured":"Lederle FA, Wilson SE, Johnson GR, Reinke DB, Littooy FN, Acher CW et al (2002) Immediate repair compared with surveillance of small abdominal aortic aneurysms. N Engl J Med 346(19):1437\u20131444","journal-title":"N Engl J Med"},{"issue":"2","key":"4402_CR7","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1016\/j.ejvs.2023.11.002","volume":"67","author":"A Wanhainen","year":"2024","unstructured":"Wanhainen A, Van Herzeele I, Bastos Goncalves F, Bellmunt Montoya S, Berard X, Boyle JR et al (2024) Editor\u2019s Choice European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms. Eur J Vasc Endovasc Surg 67 2 192\u2013331","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"1","key":"4402_CR8","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1016\/j.jvs.2017.10.044","volume":"67","author":"EL Chaikof","year":"2018","unstructured":"Chaikof EL, Dalman RL, Eskandari MK, Jackson BM, Lee WA, Mansour MA et al (2018) The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg 67(1):2\u201377e2","journal-title":"J Vasc Surg"},{"key":"4402_CR9","unstructured":"Association CM (2023) CMA driver\u2019s guide: determining medical fitness to operate motor vehicles. \u2013 10th edition"},{"issue":"1","key":"4402_CR10","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1016\/j.ejvs.2010.09.005","volume":"41","author":"JT Powell","year":"2011","unstructured":"Powell JT, Gotensparre SM, Sweeting MJ, Brown LC, Fowkes FG, Thompson SG (2011) Rupture rates of small abdominal aortic aneurysms: a systematic review of the literature. Eur J Vasc Endovasc Surg 41(1):2\u201310","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"4402_CR11","doi-asserted-by":"crossref","unstructured":"Leone N, Broda MA, Eiberg JP, Resch TA (2023) Systematic Review and Meta-Analysis of the Incidence of Rupture, Repair, and Death of Small and Large Abdominal Aortic Aneurysms under Surveillance. J Clin Med 12(21):2\u201311","DOI":"10.3390\/jcm12216837"},{"issue":"3","key":"4402_CR12","doi-asserted-by":"publisher","first-page":"651","DOI":"10.1016\/j.jvs.2016.08.091","volume":"65","author":"SE Persson","year":"2017","unstructured":"Persson SE, Boman K, Wanhainen A, Carlberg B, Arnerl\u00f6v C (2017) Decreasing prevalence of abdominal aortic aneurysm and changes in cardiovascular risk factors. J Vasc Surg 65(3):651\u2013658","journal-title":"J Vasc Surg"},{"key":"4402_CR13","unstructured":"(NOTM) NOfTM (2025) Sl\u00e1inte agus Tiom\u00e1int Medical Fitness to Drive Guidelines (Group 1 and 2 Drivers). In: Authority RS, editor. https:\/\/www.ndls.ie"},{"key":"4402_CR14","unstructured":"Agency DVL Assessing fitness to drive \u2013 a guide for medical professional. In: DVLA, editor. www.GOV.UK2024"},{"key":"4402_CR15","unstructured":"Administration FMCS Recommended Changes to Cardiovascular Disease Guidelines www.fmcsa.dot.gov2015 [updated August 17 2015. Available from: https:\/\/www.fmcsa.dot.gov\/regulations\/medical\/recommended-changes-cardiovascular-disease-guidelines"},{"key":"4402_CR16","unstructured":"Administration FMCS (2002) Cardiovascular Advisory Panel Guidelines for the Medical Examination of Commercial Motor Vehicle Drivers In: Transportation USDO, editor"},{"key":"4402_CR17","unstructured":"Administrators CCoMT National Safety Code Standard 6: Determining Driver Fitness in Canada 2021"},{"key":"4402_CR18","unstructured":"Disease EWGoDaC (2013) New Standards for Driving and Cardiovascular Diseases Brussles. Driving Licence Committee of the European Union"},{"key":"4402_CR19","unstructured":"Austroads Assessing fitness to drive for commercial and private vehicle drivers (2022). Level 9, 570 George Street Sydney NSW 2000 Australia Austroads Ltd."},{"issue":"6","key":"4402_CR20","doi-asserted-by":"publisher","first-page":"1606","DOI":"10.1016\/j.jvs.2014.10.023","volume":"61","author":"F Parkinson","year":"2015","unstructured":"Parkinson F, Ferguson S, Lewis P, Williams IM, Twine CP (2015) Rupture rates of untreated large abdominal aortic aneurysms in patients unfit for elective repair. J Vasc Surg 61(6):1606\u20131612","journal-title":"J Vasc Surg"},{"issue":"9478","key":"4402_CR21","doi-asserted-by":"publisher","first-page":"2187","DOI":"10.1016\/S0140-6736(05)66628-7","volume":"365","author":"Endovascular aneurysm repair","year":"2005","unstructured":"Endovascular aneurysm repair (2005) and outcome in patients unfit for open repair of abdominal aortic aneurysm (EVAR trial 2): randomised controlled trial. Lancet 365(9478):2187\u20132192","journal-title":"Lancet"},{"issue":"5","key":"4402_CR22","doi-asserted-by":"publisher","first-page":"1069","DOI":"10.1016\/j.jvs.2024.01.017","volume":"79","author":"JA Columbo","year":"2024","unstructured":"Columbo JA, Scali ST, Jacobs BN, Scully RE, Suckow BD, Huber TS et al (2024) Size thresholds for repair of abdominal aortic aneurysms warrant reconsideration. J Vasc Surg 79(5):1069\u201378e8","journal-title":"J Vasc Surg"}],"container-title":["Irish Journal of Medical Science (1971 -)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11845-026-04402-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11845-026-04402-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11845-026-04402-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T02:12:17Z","timestamp":1789783937000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11845-026-04402-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,24]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["4402"],"URL":"https:\/\/doi.org\/10.1007\/s11845-026-04402-2","relation":{},"ISSN":["0021-1265","1863-4362"],"issn-type":[{"value":"0021-1265","type":"print"},{"value":"1863-4362","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,24]]},"assertion":[{"value":"25 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This article does not contain any studies with human participants or animals performed by any of the authors.","order":1,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The author declares no conflict of interest.","order":2,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}