MDT - consisting of a heart failure nurse, palliative care nurse, cardiologist, palliative care physician, physiotherapist and occupational therapist 6 month follow-up saving of QALYs (more effective and less costly) Uncertainty not reported for cost effectiveness Conclusions robust to sensitivity analyses. Abbreviations: QALY: quality-adjusted life years; RCT: randomised controlled trial (a) Single centre study from a county council hospital in V sterbotten County, Sweden and therefore resource use and 2012 costs may not reflect current UK NHS context. (b) Short time horizon may not capture full costs and effects of the intervention. EQ-5D reported differently to the clinical trial evidence. Only minimal sensitivity analyses were carried out to quantify uncertainty. Table 127: Health economic evidence profile: MDT clinic (long intervention) vs usual care in high risk patients Study Applicability Limitations Other comments Incremental cost Incremental effects Cost- effectiveness Uncertainty Atienza [Spain] Partially applicable (a) Potentially serious limitations Cost-consequence analysis (health outcomes: 1 year mortality rate, all-cause saving of See clinical review of same paper n/a None undertaken. Referral and approach to care Chronic Heart Failure NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: Study Applicability Limitations Other comments Incremental cost Incremental effects Cost- effectiveness Uncertainty (b) readmissions, quality of life as measured by the MLWHFQ) Within-trial analysis of same paper in clinical review Population: people discharged from cardiology wards with a primary diagnosis of heart failure. Interventions: 1. Usual care 2. MDT - consisting of a specialist cardiac nurse, primary care physician and cardiologist. 16 month follow up (mortality, all- cause hospitalisation, quality of life). 