What prognostic risk tools should not be used to determine whether to refer a person with heart failure to palliative care services?
NICE 2018 recommends that prognostic risk tools should not be used to determine whether to refer a person with heart failure to palliative care services. This is based on moderate quality evidence which showed that only a single study reported the sensitivity and specificity of two tools at the relevant mortality thresholds of interest. This evidence provides more accurate insight into the ability of the tool to adequately stratify peoples risk of mortality at 1 year. No relevant economic evaluations were identified.