[Assessing the cognitive ability of elderly drivers: challenges and options]

Evaluating the driving capabilities of elderly individuals is a multifaceted issue of significant societal importance. While traffic safety statistics generally worsen with age, advanced age is only a weak predictor of driving performance. Since the cognitive abilities of elderly individuals vary significantly, it is necessary to individually assess their functional status. According to literature recommendations, individuals who age at a physiological pace are typically considered fit for driving, provided that other chronic conditions do not pose contraindications. Regular cognitive evaluation is warranted in cases where cognitive decline is evident. Those living with Mild Cognitive Impairment or in the early stages of dementia may still be capable of safe driving under close medical supervision, but they should prepare for alternative transportation means over time. Numerous international examples show that periodic medical assessments targeting the elderly often fail to achieve their objectives due to the use of low-validity measurement methods, resulting in no improvement and sometimes exacerbation of traffic safety indicators. In our comprehensive study, we propose the use of neuropsychological assessment tools and novel data analysismethods that could also be implemented in primary care settings.