What effects have been observed in studies of high risk patients exposed to a long MDT clinic intervention?
Five studies (n=338, n=173, n=240, n=234, n=197) with high risk populations exposed to a long MDT clinic intervention showed moderate to very low quality evidence of a clinically important reduction in hospitalisations or days in hospital. High to very low quality evidence from four of the studies also suggested a clinically important reduction in mortality or cardiac mortality in two studies, no clear effect in two studies and the fifth study suggested a clinically important increase. Low to very low quality evidence on quality of life reported in three of the studies (n=220, n=210, n=197) suggested a clinically important benefit.