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Table 1 Types of modifications to criteria and related reasons

From: ‘Modified STOPP-START criteria for Sri Lanka’; translating to a resource limited healthcare setting by Delphi consensus

Type of modification

Reason for modification

Criteria (Original identification)

Number of criteria modified

STOPP criteria

Rewording by removing specific words

Medical documentation may not contain this information

B2, B13

6

Unnecessary

B6

Possible difficulty in assessing as an explicit criterion

B8

Some medicines not registered in Sri Lanka

B10, B13, D3

Reworded by addition of some words

To increase clarity

C10, D12, E4, G5, H1, H3

8

Medicine use justified in special cases

D5

Better treatment options are not available in Sri Lanka in state sector

D14

Reworded by changing specific words

To match tablet strength/s registered in Sri Lanka

C1

3

To match current treatment guidelines [13]

C8, C9

Removed

Medicine not registered in Sri Lanka

C7

10

Better medicine options are not available in Sri Lankan in state sector

D2, D7

Not commonly used in Sri Lanka – Simplify STOPP/START

D11

Not registered in Sri Lanka

E3, K4

Duplication with D5

K1

To increase clarity

K2, L2, L3

Duplication with START H2

L2

Better suited as a START criteria

L3

START criteria

Reworded by changing specific words

To match tablet strength/s registered in Sri Lanka

A2

2

To match current treatment guidelines [14, 15]

A4

Reworded by addition of some words

To increase clarity

A7, A8

2

Reworded by removing specific words

Medical documentation may not contain this information

B2, D1

4

Some medicines not registered in Sri Lanka

C4, E6

Removed

Possible difficulty in assessing as an explicit criterion

C3

1

Spilt in to two criteria

To increase clarity

B1

1

Newly added

To increase clarity

To avoid duplication

H group

1