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Baseline measurements consisted of demographics, visual status, and other health variables. At\u2010fault crashes and near\u2010crashes over 6\u2009months were identified through instrumentation placed in their personal vehicle that recorded vehicle kinematics and video. After 6\u2009months, a CDRS completed an on\u2010road assessment and provided a composite rating on specific driving behaviors and a global score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Rate ratios examining the association between older drivers with worse CDRS composite scores and rates of at\u2010fault crashes, at\u2010fault near\u2010crashes, and combined at\u2010fault crashes and near\u2010crashes were significantly higher compared to drivers with better scores. Results were similar for the CDRS global score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Motor vehicle administrations use CDRS ratings to make decisions about licensure, and in clinical programs such as those based at rehabilitation clinics use them to make recommendations about fitness to drive and rehabilitation. This study suggests that these decisions and recommendations are valid from a safety standpoint.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.17359","type":"journal-article","created":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T08:10:43Z","timestamp":1625904643000},"page":"3186-3193","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Driving specialist's ratings of\n                    <scp>on\u2010road<\/scp>\n                    performance and naturalistic driving crashes and\n                    <scp>near\u2010crashes<\/scp>"],"prefix":"10.1111","volume":"69","author":[{"given":"Thomas A.","family":"Swain","sequence":"first","affiliation":[{"name":"Department of Ophthalmology &amp; Visual Sciences, School of Medicine University of Alabama at Birmingham  Birmingham Alabama USA"},{"name":"Department of Epidemiology, School of Public Health University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Gerald","family":"McGwin","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology &amp; Visual Sciences, School of Medicine University of Alabama at Birmingham  Birmingham Alabama USA"},{"name":"Department of Epidemiology, School of Public Health University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan F.","family":"Antin","sequence":"additional","affiliation":[{"name":"Vulnerable Road User Safety Virginia Tech Transportation Institute  Blacksburg Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Owsley","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology &amp; Visual Sciences, School of Medicine University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,7,10]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"U.S. Department of Transportation.Older drivers set record for second year.https:\/\/www.transportation.gov\/briefing\u2010room\/fhwa2017#:~:text=WASHINGTON%20\u2013%20The%20Federal%20Highway%20Administration are%2065%20years%20or%20older. 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