A meta-analysis of the crash risk of cannabis-positive drivers in culpability studies-Avoiding interpretational bias.

“Culpability studies, a common study design in the cannabis crash risk literature, typically report odds-ratios (OR) indicating the raised risks of a culpable accident. This parameter is of unclear policy relevance, and is frequently misinterpreted as an estimate of the increased crash risk, a practice that introduces a substantial “interpretational bias”.

RESULTS:

The model outperforms the culpability OR in bootstrap analyses. Used on actual study data, the average increase in crash risk is estimated at 1.28 (1.16-1.40). The pooled increased risk of a culpable crash is estimated as 1.42 (95% credibility interval 1.11-1.75), which is similar to pooled estimates using traditional ORs (1.46, 95% CI: 1.24-1.72). The attributable risk fraction of cannabis impaired driving is estimated to lie below 2% for all but two of the included studies.

CONCLUSIONS:

Culpability ORs exaggerate risk increases and parameter uncertainty when misinterpreted as total crash ORs. The increased crash risk associated with THC-positive drivers in culpability studies is low.” https://www.ncbi.nlm.nih.gov/pubmed/30468948 https://www.sciencedirect.com/science/article/pii/S0001457518304706?via%3Dihub]]>

The level of evidence of medical marijuana use for treating disabilities: a scoping review.

Publication Cover “There is sufficient evidence that medical marijuana is effective in treating epileptic seizures and chronic pain. Medical marijuana may improve the level of functioning and quality of life for individuals with certain disabilities.” https://www.ncbi.nlm.nih.gov/pubmed/30456993 https://www.tandfonline.com/doi/abs/10.1080/09638288.2018.1523952?journalCode=idre20
]]>