Could vary own diuretic dose Education of primary care physician in both arms min. 1 face-to-face, actual mean 9.6 contacts Primary care Northstar trial Schou Y Contact number given Extended follow-up est. 24 Primary care Could vary own diuretic dose Pharmacist discusses with pt's physician about optimising meds fixed 4 face-to-face Primary care (a) DMP = Disease management programme, usually consists of structured but individualised education about HF and self-help, often including topics such as daily weights and planning for deterioration 9.2.3.1 Clinical evidence summary tables 9.2.3.1.1 High risk, Short, Home-based MDT No studies were identified in this category. 9.2.3.1.2 High risk, Short, MDT clinic Table 103: Clinical evidence summary: Ledwidge 2003: Short MDT clinic (MDTc) versus Primary +/- secondary care for high risk HF Outcomes No of Participants (studies) Follow up Quality of the evidence (GRADE) Relative effect Anticipated absolute effects Risk with primary +/- secondary care Risk difference with MDTc (95% CI) LOWa, b due to risk of bias, rate ratio (from 79 fewer to 248 fewer) Referral and approach to care Chronic Heart Failure NICE 2018. All rights reserved. Subject to Notice of rights. 