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Table 1 Characteristics of pharmacotherapy criteria for older adults

From: Identifying drug substances of screening tool for older persons’ appropriate prescriptions for Japanese

 

AGS Beer’s criteria 2015 1)

STOPP/START v2 2015 2)

JGS STOPP-J 2015 3)

Latest version Developed

AGS

Study group at University College Cork

JGS

Original version (year, developer)

1991, Dr. Beers

2008, Study group at University College Cork

2005, JGS

Target population

United States; 65 and older; Ambulatory, acute, and institutionalized settings

Europe-wide prescribing practices;65 and older; in most clinical settings

Japan; 75 and older; 74 and younger with frailty; 65 and older in need of nursing care; chronic treatment

Therapeutic category / drug

26 potentially inappropriate medication (PIM)

12 PIM due to drug-disease/ drug-syndrome interactions

5 PIM to be used with caution

10 PIM non-anti-infective drug-drug interactions that should be avoided in older adults

80 criteria in STOPP

34 criteria in START

29 groups for drugs to be prescribed with special caution

8 groups for drugs to consider starting

Remarks

Supplement information: “Quality of evidence” and “Strength of Recommendation”

For adverse drug events prevention and cost reduction

Supplement information: “Quality of evidence” and “Strength of Recommendation”

  1. Abbreviations:
  2. AGS: American Geriatric Society
  3. JGS: Japan Geriatric Society
  4. PIM: Potentially Inappropriate Medication use in older adults
  5. STOPP: Screening Tool of Older People’s potentially inappropriate Prescriptions
  6. START: Screening Tool to Alert doctors to Right Treatment
  7. STOPP-J: Screening Tool for Older Persons’ Appropriate Prescriptions for Japanese
  8. 1)American Geriatrics Society. 2015 Beers Criteria Update Expert Panel. American Geriatrics Society 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc. 2015;63:2227–2246
  9. 2)O’Mahony D, O’Sullivan D, Byrne S, O’Connor M, Ryan C, Gallagher P. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. Age Ageing. 2015;44:213–218
  10. 3)Kojima T, Mizukami K, Tomita N, Arai H, Ohrui T, Eto M, et al. Screening Tool for Older Persons’ Appropriate Prescriptions for Japanese: Report of the Japan Geriatrics Society Working Group on“Guidelines for medical treatment and its safety in the elderly.” Geriatrics Gerontology Int. 2016;16:983–1001