[Detecting inappropriate medication in older people: the revised STOPP/START criteria].
The use of potentially inappropriate medications (PIMs) by older people and potential prescribing omissions (PPOs) represent a serious problem. It increases the risk of adverse drug reactions (ADRs), however it is susceptible to influence in a substantial number of cases. Use of the STOPP/START criteria developed in Ireland to optimise pharmacotherapy of older people reduces the number of ADRs and medication errors. Licensing of new drugs, the increased number of potentially inappropriate drugs, and the availability of new literature were grounds for an update of the first version of the STOPP/START criteria which was published in 2008. In order to develop a screening tool with a broader application, a consensus panel of experts in the field of pharmacotherapy of older people was selected from 14 European countries for the second version of the STOPP/START criteria, including two from the Netherlands. The translation of the second version of the STOPP/START criteria has been adapted to the situation in the Netherlands, partly by omitting drugs that are not licensed in the Netherlands.
UMC Utrecht, afd. Geriatrie en Expertisecentrum Pharmacotherapie bij Ouderen (Ephor), Utrecht.
Wilma
W
Knol
Monique M
MM
Verduijn
A C A M Rian
AC
Lelie-van der Zande
Rob J
RJ
van Marum
J R B J Koos
JR
Brouwers
Tischa J M
TJ
van der Cammen
Mirko
M
Petrovic
Paul A F
PA
Jansen
D011307:Drug Prescriptions / Q000706:statistics & numerical data*; D064420:Drug-Related Side Effects and Adverse Reactions / Q000175:diagnosis* / Q000453:epidemiology; D005060:Europe; D006801:Humans; D057970:Inappropriate Prescribing / Q000706:statistics & numerical data*; D008508:Medication Errors / Q000517:prevention & control* / Q000706:statistics & numerical data*; D009426:Netherlands; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D015995:Prevalence