A CMV driver has been diagnosed with Stage 3 chronic kidney disease (eGFR 30–59 mL/min/1.73m²) but is otherwise stable and asymptomatic. What is the most appropriate certification approach?
-
A
Permanent disqualification regardless of stability
-
B
Certify for up to 2 years with no follow-up needed
-
C
Evaluate overall functional status and consider shorter certification with monitoring
-
D
Immediate referral for dialysis before any certification