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Table 12 Recommendations for follow up of patients based on their clinical conditions

From: The AIMAR recommendations for early diagnosis of chronic obstructive respiratory disease based on the WHO/GARD model*

Activities Follow up of chronic bronchitis (without obstruction) and of mild (obstruction + FEV1 > 80%) asymptomatic COPD Follow up of COPD with obstruction + FEV1 > 80%, exercise dyspnea and comorbidities Follow up of COPD with obstruction + FEV1 < 60%, exercise dyspnea, frequent exacerbations and comorbidities Follow up of COPD with obstruction + FEV1 < 50%, respiratory failure and comorbidities
  Every two years Once a year Once a year Once a year
Smoking cessation, if smoker All and/or anti-smoking center All and/or anti-smoking center All and/or anti-smoking center All and/or anti-smoking center
Clinical assessment (including dyspnea index, BMI, with eventual use of questionnaires) and of risk factors GP, specialist GP, specialist GP, specialist GP, specialist
Pulse oximetry GP, specialist GP, specialist GP, specialist GP, specialist
Simple spirometry GP, specialist GP, specialist GP, specialist GP, specialist
Pulmonologist consultation Pulmonary specialist in the case of diagnostic doubt Pulmonary specialist Pulmonary specialist Pulmonary specialist
  1. From[35].