Driving performance in patients with cancer in the head and neck region: A pilot study

Hon K. Yuen, M. Boyd Gillespie, Russell A. Barkley, Terry A. Day, Dipankar Bandyopadhyay, Anand K. Sharma

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Objective: To investigate actual driving performance in a group of patients with cancer in the head and neck region. Design: A nonrandomized controlled trial. Participants: Ten patients with cancer in the head and neck region participated in a driving evaluation using a virtual reality driving simulator. Driving performance from the simulator and observer ratings on participants' driving behaviors were compared between a group of patients with cancer in the head and neck region and a group of 50 community control subjects. Main Outcome Measures: Average speed, mean brake reaction time, steering variability, the total number of (fatal and nonfatal) collisions during the 12-minute evaluation course on the driving simulator, and the score of the 18-item Simulator Driving Performance Scale. Results: Using Mann-Whitney U tests, the brake reaction time and the steering variability in the cancer group were significantly longer and larger, respectively, than those in the control group (P=.04) and (P=.02). However, no significant differences were found between the 2 groups in the mean rank scores for average speed, total number of collisions, and Simulator Driving Performance Scale (P>.05 for all). Conclusions: This pilot study provides preliminary evidence indicating inferior driving performance in a group of patients with cancer in the head and neck region when compared with a community control group. Further study is needed to investigate factors attributing to the difference.

Original languageEnglish (US)
Pages (from-to)904-909
Number of pages6
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume133
Issue number9
DOIs
StatePublished - Sep 2007

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