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Table 2 Patient 1: Recommended annual follow-up activity

From: Stroke follow-up in primary care: a Norwegian modelling study on the implications of multimorbidity for guideline adherence

 

Consultations with the GP

Consultations with specialists

Other recommended health care providers

Laboratory tests

Special Procedures

COPD

1–2

NR

Physiotherapist (limited to 40 annual treatments), two supervised work-outs a week

NR

Spirometry Vaccination

Colorectal cancer

2

NR

NR

yes

2 x CEUS and 1 x LDCT

Smoking

4

NR

NR

NR

NR

Driver’s licence

1

NR

NR

NR

NR

Stroke

1

1

NR

yes

NR

Total

9–10

1

yes

yes

5

  1. Minimum follow-up activity recommended for a period of 12 months, given that all conditions are clinically stable, and no new abnormalities are found in the tests
  2. Abbreviations: COPD Chronic obstructive pulmonary disease, CEUS Contrast-enhanced ultrasonography, LDCT Low-dose computed tomography, NR No recommendations