The Pre-Registry Commercial Driver Medical Examination: Screening Sensitivity and Certification Lengths for Two Safety-Related Medical Conditions.
Ontology highlight
ABSTRACT: 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.
SUBMITTER: Burks SV
PROVIDER: S-EPMC9307065 | biostudies-literature | 2020 Mar
REPOSITORIES: biostudies-literature
Publications
The Pre-Registry Commercial Driver Medical Examination: Screening Sensitivity and Certification Lengths for Two Safety-Related Medical Conditions.
Burks Stephen Vincent SV Anderson Jon Eugene JE Panda Bibhudutta B Haider Humza Syed HS Haider Rebecca R Shi Dongnan D Li Yutao Y Cagle Michael M Ostroushko Denis D Sun Zhining Z Zaharick John J Hickman Jeffrey J Mabry Erin E Berger Mark M Czeisler Charles C Kales Stefanos Nikolaos SN
Journal of occupational and environmental medicine 20200301 3
<h4>Objective</h4>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.<h4>Methods</h4>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 dia ...[more]
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