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.
|Original language||English (US)|
|Number of pages||9|
|Journal||Journal of occupational and environmental medicine|
|State||Published - Mar 1 2020|
Bibliographical noteFunding Information:
Funding: The authors gratefully acknowledge the assistance of the executives and staff of the study firm in acquiring operational and medical data utilized. Financial assistance to the UMN Morris Truckers & Turnover Project has been received from the study firm, the Roadway Safety Institute (the USDOT Region 5 University Transportation Center, which is funded by the USDOT Office of the Assistant Secretary for Research and Tech-nology), and the University of Minnesota Morris. The research also received support from Harvard Catalyst, The Harvard Clinical and Trans-lational Science Center (NIH Award #UL1 RR 025758, financial contri-butions from Harvard University and its affiliated academic health care centers), and support from National Surface Transportation Safety Center for Excellence (Project# 12-UI-017). The content is solely the responsi-bility of the authors and does not necessarily represent the official views of any of the research sponsors.
© 2020 American College of Occupational and Environmental Medicine.
- commercial driver medical exam
- commercial motor vehicle
- commercial motor vehicle operator
- motor carrier
- obstructive sleep apnea
- truck driver
PubMed: MeSH publication types
- Journal Article
- Research Support, N.I.H., Extramural
- Research Support, Non-U.S. Gov't
- Research Support, U.S. Gov't, Non-P.H.S.