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The purpose of this study is to ensure the quality of the COPD treatment in primary care by implementing planned follow-up visits, where the disease condition is evaluated and optimised in accordance with the national COPD recommendations. If relevant the general practitioner (GP) will refer patients to COPD rehabilitation conducted by relevant municipality rehabilitation teams. Secondarily the purpose is to improve collaboration and communication between the local hospital pulmonologist, GPs and the municipality rehabilitation team
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| Measure | Description | Time Frame |
|---|---|---|
| Control visits at General practitioners | 6-12 months | |
| Lung function measured by spirometry | 6-12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Dyspnoea on MRC scale | 6-12 months | |
| Smoking status | 6-12 months | |
| Rehabilitation completed in the municipality rehabilitation team |
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Inclusion Criteria:
Exclusion Criteria:
-
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Diagnosed patients with COPD, verified by spirometry in general practise and/or municipalities.
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| Name | Affiliation | Role |
|---|---|---|
| Michael Skov Jensen, MD | Region Hospital Viborg, DK | Study Chair |
| Tina Brandt Sorensen, MD | Region Hospital Horsens, DK | Study Chair |
| Ove Grann | Aalborg | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Aarhus | Arhus | Denmark | |||
| Research Site |
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| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| D002908 | Chronic Disease |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D020969 | Disease Attributes |
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| 6-12 months |
| Bjerringbro |
| Viborg |
| Denmark |
| Research Site | Møldrup | Viborg | Denmark |
| Research Site | Skals | Viborg | Denmark |
| Research Site | Aalborg | Denmark |
| Research Site | Klarup | Denmark |
| Research Site | Skive | Denmark |
| Research Site | Spøttrup | Denmark |
| Research Site | Stoholm | Denmark |
| Research Site | Viborg | Denmark |
| Research Site | Ørum | Denmark |
| D010335 |
| Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |