@article{ref1,
title="What medical conditions limit or medically disqualify truck drivers: a large cross sectional study",
journal="Journal of Occupational and Environmental Medicine",
year="2021",
author="Thiese, Matthew S. and Moffitt, Gary and Hanowski, Richard J. and Kales, Stefanos N. and Porter, Richard J. and Hartenbaum, Natalie and Hegmann, Kurt T.",
volume="63",
number="2",
pages="139-146",
abstract="Commercial Motor Vehicle drivers must be medically certified to obtain/maintain a commercial driver license. 88,246 exams from 2005 to 2012 were analyzed for relationships between health and certification length. Relationships were quantified using adjusted odds ratios (ORs). Most conditions and/or examination findings had statically significantly limited medical certification. Obesity > 35 kg/m2, hypertension and diabetes mellitus requiring medication were most common. Significant and meaningful relationships were found for opioid or benzodiazepine use (OR = 7.30), heart disease (OR = 5.19), musculoskeletal conditions (OR = 5.13), seizures (10.18), stroke (OR = 6.73), neurological (OR = 18.51) and vascular (OR = 11.83). Drivers with 2 or more of 13 medical conditions were statistically significantly more likely to have limited medical certification (OR = 122.35) or disqualification (OR = 4.91). Drivers with any condition are more likely to have limited medical certification. There is variability in medical certification lengths related to medical conditions and differences between examiners.<p /> <p>Language: en</p>",
language="en",
issn="1076-2752",
doi="10.1097/JOM.0000000000002101",
url="http://dx.doi.org/10.1097/JOM.0000000000002101"
}