ISBN: Number of studies contributing to the finding Design Criteria Rating Overall assessment of confidence Avoiding discussions focus groups USA, 1 UK ICD recipients and healthcare professionals avoided discussions about deactivation Limitations Moderate concerns about methodological limitations LOW Coherence Minor concerns about coherence Relevance Moderate concerns about relevance Adequacy Minor concerns about adequacy Finding 3: Decision making Study design and sample size Finding Quality assessment Number of studies contributing to the finding Design Criteria Rating Overall assessment of confidence Healthcare professionals decide USA, 1 Canada People with ICDs felt that healthcare professionals should decide whether or not a device should be deactivated Limitations Moderate concerns about methodological limitations LOW Coherence Minor concerns about coherence Advanced heart failure and palliative care Chronic Heart Failure NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: Study design and sample size Finding Quality assessment Number of studies contributing to the finding Design Criteria Rating Overall assessment of confidence Relevance Moderate concerns about relevance Adequacy Minor concerns about adequacy Study design and sample size Finding Quality assessment Number of studies contributing to the finding Design Criteria Rating Overall assessment of confidence Patients decide focus groups Canada Healthcare professionals felt that patients should make the decision. Limitations Moderate concerns about methodological limitations VERY LOW Coherence Minor concerns about coherence Relevance Moderate concerns about relevance Adequacy Moderate concerns about adequacy Chronic Heart Failure Advanced heart failure and palliative care NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: 978-1-4731-3093-7 10.3.4 Economic evidence The committee agreed that health economic studies would not be relevant to this review question, and so health economic evidence relating to this question was not sought. Chronic Heart Failure Advanced heart failure and palliative care NICE 2018. All rights reserved. Subject to Notice of rights. 