9.2.3.2.5 Low risk, Long, Home-based MDT No studies were identified in this category. 9.2.3.2.6 Low risk, Long, MDT clinic Table 121: Clinical Evidence Summary: Northstar (Schou 2013): Extended follow-up in MDT clinic (MDTc) vs Primary care (1 control) >6 months for low risk HF (stable HFREF) Outcomes No of Participants (studies) Follow up Quality of the evidence (GRADE) Relative effect Anticipated absolute effects Risk with primary care Risk difference with MDTc (95% CI) HIGH rate ratio 0.94 (from 226 fewer to 75 more) LOWa due to imprecision (from 34 fewer to 62 more) Quality of life Minnesota LWHFQ (change score) lower=better. Scale MODERATEb, c The mean change in MLWHFQ in the control groups was The mean change in the intervention groups was 1 lower/better than change in the Referral and approach to care Chronic Heart Failure NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: Outcomes No of Participants (studies) Follow up Quality of the evidence (GRADE) Relative effect Anticipated absolute effects Risk with primary care Risk difference with MDTc (95% CI) from: 0 to 105. 