Demography | Psychosocial context | Diagnoses |
Epidemiologically confirmed disease patterns 25 | ||
91 years, male (figure 1) | His wife suffered a stroke; the couple lives secluded | Depression, dementia, coronary heart disease (+ urinary incontinence and hearing loss) |
66 years, female (see online supplementary file 3) | Retired, no further information | Chronic back pain, osteoporosis, headaches |
82 years, female (see online supplementary file 4) | Immigrated, speaks no German | Chronic heart failure, chronic kidney failure, low blood pressure |
55 years, female (see online supplementary file 5) | Immigrated, familial problems, does not speak German well | High blood pressure, type 2 diabetes mellitus, metabolic syndrome |
Most frequently encountered disease combinations 26 | ||
82 years, male (see online supplementary file 6) | Widowed, lives alone, daughter visits every 4 weeks | High blood pressure, atrial fibrillation, depression |
60 years, male (see online supplementary file 7) | Dock worker, shift work, smoker | High blood pressure, coronary artery disease, chronic back pain |
84 years, female (see online supplementary file 8) | Lives alone, ambulatory care gives medications | Atrial fibrillation, heart failure, dementia, fatigue |
Highly complex real cases, reported by participating GPs | ||
76 years, male (see online supplementary file 9) | Lives alone, ex-wife cares for him, speech problems | High blood pressure, high cholesterol, stroke, peripheral arterial disease, combined mitral valve defect |
80 years, male (see online supplementary file 10) | Retired, no further information | High blood pressure, high cholesterol, atrial fibrillation, chronic heart failure, diabetes mellitus with kidney failure and cerebral microangiopathy, coronary heart disease, multicausal gait disturbance, sleep apnoea |
66 years, female (see online supplementary file 11) | Retired, lives alone, no further information | High blood pressure, high cholesterol, chronic back pain, type 2 diabetes mellitus, polymyalgia rheumatica with arteritis temporalis, osteoporosis |
GPs, general practitioners.