A review of current guidance and evidence on driving in older age

Driving is seen as a necessary, rather than optional activity by many older adults, and is important in retaining mobility and independence. With advancing age, general health and fitness may decline, in conjunction with an increase in the number of both medical conditions and medications. Driving ability may therefore be compromised. Continued driving in those unsafe to do so can lead to adverse events for the driver and the public and driving cessation can have significant medical and psychological consequences for the individual. Clinicians are often involved in fitness to drive decisions, though few have been formally trained in this area. This article reviews the current evidence and guidance on driving with common medical conditions, and provides a practical guide for physicians.