How we made the decision

We check our guidelines regularly to ensure they remain up to date. We based the decision on surveillance 4 years after the publication of NICE's guideline on atrial fibrillation (NICE guideline CG180) in 2014.

For details of the process and update decisions that are available, see ensuring that published guidelines are current and accurate in developing NICE guidelines: the manual.


We found 238 studies in a search for RCTs and systematic reviews published between 3 October 2013 and 22 December 2016. We also included 7 relevant studies from a total of 32 identified by members of the guideline committee who originally worked on this guideline. A further 5 studies were identified through post-publication communications.

From all sources, we considered 250 studies to be relevant to the guideline.

We also checked for relevant ongoing research, which will be evaluated again at the next surveillance review of the guideline.

See appendix A: summary of evidence from surveillance for details of all evidence considered, and references.

Views of topic experts

We considered the views of topic experts, including those who helped to develop the guideline and other correspondence we have received since the publication of the guideline. This included a meeting with experts to discuss potential areas for update.

Views of stakeholders

Stakeholders are consulted only if we decide not to update the guideline following checks at 4 and 8 years after publication. Because this was a 4-year surveillance review, and the decision was to update, we did not consult on the decision.

See ensuring that published guidelines are current and accurate in developing NICE guidelines: the manual for more details on our consultation processes.

NICE Surveillance programme project team

Sarah Willett / Kay Nolan (from February 2017)
Associate Director

Philip Alderson
Consultant Clinical Adviser

Katrina Sparrow / Judith Thornton (from February 2017)
Technical Adviser

Stephen Sharp
Technical Analyst

The NICE project team would like to thank the topic experts who participated in the surveillance process.

ISBN: 978-1-4731-0787-8

This page was last updated: 12 September 2017