TY - JOUR
T1 - The Pre-Registry Commercial Driver Medical Examination
T2 - Screening Sensitivity and Certification Lengths for Two Safety-Related Medical Conditions
AU - Burks, Stephen Vincent
AU - Anderson, Jon Eugene
AU - Panda, Bibhudutta
AU - Haider, Humza Syed
AU - Haider, Rebecca
AU - Shi, Dongnan
AU - Li, Yutao
AU - Cagle, Michael
AU - Ostroushko, Denis
AU - Sun, Zhining
AU - Zaharick, John
AU - Hickman, Jeffrey
AU - Mabry, Erin
AU - Berger, Mark
AU - Czeisler, Charles
AU - Kales, Stefanos Nikolaos
N1 - Publisher Copyright:
© 2020 American College of Occupational and Environmental Medicine.
PY - 2020/3/1
Y1 - 2020/3/1
N2 - Objective:Use independent diagnostic data to analyze the screening effectiveness of the pre-Registry commercial driver medical examination (CDME) for obstructive sleep apnea (OSA), and its sensitivity for hypertension; analyze certification lengths where relevant.Methods:CDME screening results for 1668 drivers were compared to polysomnogram diagnostic test results, and CDME screening results were evaluated for 1155 drivers with at least one insurance claim with a hypertension diagnostic code. Any CDME documentation of the medical condition was considered as detection by screening.Results:CDME sensitivity was 20.7% for moderate OSA (AHI≥15). While sensitivity was 77.5% for hypertension, 93.3% of drivers with Stage 3 hypertension were certified, contrary to Federal Motor Carrier Safety Administration standards.Conclusions:The pre-Registry CDME was ineffective in screening commercial drivers for OSA. Screening was better for hypertension; incorrect certifications were given to many hypertensive drivers.
AB - Objective:Use independent diagnostic data to analyze the screening effectiveness of the pre-Registry commercial driver medical examination (CDME) for obstructive sleep apnea (OSA), and its sensitivity for hypertension; analyze certification lengths where relevant.Methods:CDME screening results for 1668 drivers were compared to polysomnogram diagnostic test results, and CDME screening results were evaluated for 1155 drivers with at least one insurance claim with a hypertension diagnostic code. Any CDME documentation of the medical condition was considered as detection by screening.Results:CDME sensitivity was 20.7% for moderate OSA (AHI≥15). While sensitivity was 77.5% for hypertension, 93.3% of drivers with Stage 3 hypertension were certified, contrary to Federal Motor Carrier Safety Administration standards.Conclusions:The pre-Registry CDME was ineffective in screening commercial drivers for OSA. Screening was better for hypertension; incorrect certifications were given to many hypertensive drivers.
KW - commercial driver medical exam
KW - commercial motor vehicle
KW - commercial motor vehicle operator
KW - hypertension
KW - motor carrier
KW - obstructive sleep apnea
KW - polysomnogram
KW - truck driver
KW - truckload
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U2 - 10.1097/JOM.0000000000001816
DO - 10.1097/JOM.0000000000001816
M3 - Article
C2 - 31977920
AN - SCOPUS:85081946184
SN - 1076-2752
VL - 62
SP - 237
EP - 245
JO - Journal of occupational and environmental medicine
JF - Journal of occupational and environmental medicine
IS - 3
ER -