Evidence map›Paper›PMID 34534065›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2022

Enhancing public health and safety by diagnosing and treating obstructive sleep apnea in the transportation industry: an American Academy of Sleep Medicine position statement.

Aneesa M Das, Judy L Chang, Michael Berneking, Natalie P Hartenbaum, Mark Rosekind, Kannan Ramar, Raman K Malhotra, Kelly A Carden, Jennifer L Martin, Fariha Abbasi-Feinberg and 8 more

Abstract readConsensus Statement
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Oral appliances for obstructive sleep apnoea in adults.The Cochrane database of systematic reviews · 2026
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Long-term health outcomes for patients with obstructive sleep apnea: placing the Agency for Healthcare Research and Quality report in context-a multisociety commentary.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Aneesa M DasDivision of Pulmonary, Critical Care and Sleep, The Ohio State University, Columbus, Ohio.
Judy L ChangSan Jose Military Entrance Processing Station, Mountain View, California.
Michael BernekingConcentra, Inc., Grand Rapids, Michigan.
Natalie P HartenbaumOccuMedix, Inc., Dresher, Pennsylvania.
Mark RosekindCenter for Injury Research and Policy, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Kannan RamarDivision of Pulmonary and Critical Care Medicine, Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota.
Raman K MalhotraSleep Medicine Center, Washington University School of Medicine, St. Louis, Missouri.
Kelly A CardenSaint Thomas Medical Partners-Sleep Specialists, Nashville, Tennessee.
Jennifer L MartinVeteran Affairs Greater Los Angeles Healthcare System, North Hills, California.
Fariha Abbasi-FeinbergSleep Medicine, Millennium Physician Group, Fort Myers, Florida.
R Nisha AuroraDepartment of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Vishesh K KapurDivision of Pulmonary Critical Care and Sleep Medicine, University of Washington, Seattle, Washington.
Eric J OlsonDivision of Pulmonary and Critical Care Medicine, Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota.
Carol L RosenDepartment of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, Ohio.
James A RowleyWayne State University, Detroit, Michigan.
Anita V ShelgikarUniversity of Michigan Sleep Disorders Center, University of Michigan, Ann Arbor, Michigan.
Lynn Marie TrottiEmory Sleep Center and Department of Neurology, Emory University School of Medicine, Atlanta, Georgia.
Indira GurubhagavatulaDivision of Sleep Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obstructive sleep apnea (OSA) may lead to serious health, safety, and financial implications-including sleepiness-related crashes and incidents-in workers who perform safety-sensitive functions in the transportation industry. Evidence and expert consensus support its identification and treatment in high-risk commercial operators. An Advanced Notice of Proposed Rulemaking regarding the diagnosis and treatment of OSA in commercial truck and rail operators was issued by the Federal Motor Carrier Safety Administration and Federal Railroad Administration, but it was later withdrawn. This reversal has led to questions about whether efforts to identify and treat OSA are warranted. In the absence of clear directives, we urge key stakeholders, including clinicians and patients, to engage in a collaborative approach to address OSA by following, at a minimum, the 2016 guidelines issued by a Medical Review Board of the Federal Motor Carrier Safety Administration, alone or in combination with 2006 guidance by a joint task force. The current standard of care demands action to mitigate the serious health and safety risks of OSA. CITATION: Das AM, Chang JL, Berneking M, et al. Enhancing public health and safety by diagnosing and treating obstructive sleep apnea in the transportation industry: an American Academy of Sleep Medicine position statement.

Indexed as

Public HealthSleep Apnea, ObstructiveAccidents, TrafficHumansMotor VehiclesSleepUnited States

Identifiers

PMID34534065
PMCPMC9516580

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.