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Inappropriate medication use in the elderly.
Consult Pharm. 2012 Aug; 27(8):583-6.CP

Abstract

STOPP (Screening Tool of Older Persons' Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment) are relatively new, validated tools that increasingly are used together to identify prescribing errors in elderly patients. This article reviews two studies that have directly compared STOPP with the Beers criteria, which is the current standard tool used to identify potentially inappropriate medications (PIMs) in older patients. Both studies reveal greater correlations to adverse drug events (ADEs) with PIMs defined by STOPP than with those defined by the Beers criteria, suggesting STOPP may be more useful in practice. Additional studies are needed to confirm STOPP's greater sensitivity and to determine whether its use translates to improved patient outcomes such as decreased morbidity, mortality, and health care costs. If so, pharmacists should consider implementation of STOPP (with or without START) in practice to improve care for the elderly population.

Authors+Show Affiliations

University of Toledo College of Pharmacy and Pharmaceutical Sciences, Toledo, OH, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

22910178

Citation

Petrarca, Alicia M., et al. "Inappropriate Medication Use in the Elderly." The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists, vol. 27, no. 8, 2012, pp. 583-6.
Petrarca AM, Lengel AJ, Mangan MN. Inappropriate medication use in the elderly. Consult Pharm. 2012;27(8):583-6.
Petrarca, A. M., Lengel, A. J., & Mangan, M. N. (2012). Inappropriate medication use in the elderly. The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists, 27(8), 583-6. https://doi.org/10.4140/TCP.n.2012.583
Petrarca AM, Lengel AJ, Mangan MN. Inappropriate Medication Use in the Elderly. Consult Pharm. 2012;27(8):583-6. PubMed PMID: 22910178.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Inappropriate medication use in the elderly. AU - Petrarca,Alicia M, AU - Lengel,Aaron J, AU - Mangan,Michelle N, PY - 2012/8/23/entrez PY - 2012/8/23/pubmed PY - 2012/9/26/medline SP - 583 EP - 6 JF - The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists JO - Consult Pharm VL - 27 IS - 8 N2 - STOPP (Screening Tool of Older Persons' Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment) are relatively new, validated tools that increasingly are used together to identify prescribing errors in elderly patients. This article reviews two studies that have directly compared STOPP with the Beers criteria, which is the current standard tool used to identify potentially inappropriate medications (PIMs) in older patients. Both studies reveal greater correlations to adverse drug events (ADEs) with PIMs defined by STOPP than with those defined by the Beers criteria, suggesting STOPP may be more useful in practice. Additional studies are needed to confirm STOPP's greater sensitivity and to determine whether its use translates to improved patient outcomes such as decreased morbidity, mortality, and health care costs. If so, pharmacists should consider implementation of STOPP (with or without START) in practice to improve care for the elderly population. SN - 0888-5109 UR - https://www.unboundmedicine.com/medline/citation/22910178/Inappropriate_medication_use_in_the_elderly_ L2 - https://www.ingentaconnect.com/openurl?genre=article&issn=0888-5109&volume=27&issue=8&spage=583&aulast=Petrarca DB - PRIME DP - Unbound Medicine ER -