Optimizing medication use in elderly people in primary care: Impact of STOPP criteria on inappropriate prescriptions
•GP used STOPP criteria on prescriptions of older patients during a consultation.•The intervention significantly reduced the prevalence of PIM and the number of PIM.•The intervention also significantly reduced the MAI score of all medications.•STOPP criteria help GPs to improve the quality of prescr...
Gespeichert in:
| Veröffentlicht in: | Archives of gerontology and geriatrics 2018-03, Vol.75, p.16-19 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 19 |
|---|---|
| container_issue | |
| container_start_page | 16 |
| container_title | Archives of gerontology and geriatrics |
| container_volume | 75 |
| creator | Gibert, Prudence Cabaret, Maud Moulis, Mélanie Bosson, Jean-Luc Boivin, Jean-Emmanuel Chanoine, Sebastien Allenet, Benoit Bedouch, Pierrick Gavazzi, Gaëtan |
| description | •GP used STOPP criteria on prescriptions of older patients during a consultation.•The intervention significantly reduced the prevalence of PIM and the number of PIM.•The intervention also significantly reduced the MAI score of all medications.•STOPP criteria help GPs to improve the quality of prescription in primary care.
STOPP (Screening Tool of Older Person’s Prescriptions) criteria have been used in acute care and nursing home settings as a screening tool to assess Potentially Inappropriate Medication (PIM) for elderly people. Furthermore, this tool could help General Practitioners (GPs) to lower PIM frequency in primary care.
The aim of the study was to measure the impact of STOPP criteria applied by the GP on prescriptions during a primary care consultation.
Twenty GPs were involved and trained to use STOPP criteria. GPs were asked to use STOPP criteria for elderly patients (>75years old) who were taking at least five different drugs, seen over a two-month period. The rate of PIM according to STOPP criteria was measured before and after training. Prescription quality was compared using the Medication Appropriateness Index (MAI) score.
Overall, 172 prescriptions were analyzed. A total of 170 PIM were identified according to STOPP criteria before the intervention. Fifty-seven percent of the population (n=98 patients) had at least one PIM. GP’s intervention decreased the number of PIM according to STOPP criteria to 106 and was beneficial for 44.9% of the patients (n=44). The mean MAI score of all medications and PIM decreased by 14.3% (p |
| doi_str_mv | 10.1016/j.archger.2017.10.022 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_02007335v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0167494317300730</els_id><sourcerecordid>1968445440</sourcerecordid><originalsourceid>FETCH-LOGICAL-c399t-48a7c997ac08869eb422b92e9723938b1811a66c6c2ff22ed40a35249da76713</originalsourceid><addsrcrecordid>eNqFkU9PGzEQxa2qVQnQj9DKx3LY1PZ67TUXhFALSJGCRO7WxDsLjvZfbQcJPn29Tcq1J0vPv_dmNI-Qr5wtOePqx24JwT0_YVgKxnXWlkyID2TBay0KZbT6SBaZ04U0sjwhpzHuGGOSCfWZnAjDlWGyWpC0npLv_ZsfnmiPjXeQ_DjQfUTqB4pdg6F7pROOU_dXmYLvIbxSBwEv6X0_gUt0bOnjZv3wQF3wCYMHmiP8ANMUxmyAhNmHMf9Oc3o8J59a6CJ-Ob5nZPPr5-bmrlitb-9vrleFK41JhaxBO2M0OFbXyuBWCrE1Ao0WpSnrLa85B6WccqJthcBGMigrIU0DWmlenpGLQ-wzdPa4uB3B27vrlZ01JhjTZVm9zOz3A5tX_r3HmGzvo8OugwHHfbTcqFrKSkqW0eqAujDGGLB9z-bMzt3YnT12Y-duZjl3k33fjiP223zqd9e_MjJwdQAw3-TFZ3t0HgeXawnokm1G_58RfwDaS6J-</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1968445440</pqid></control><display><type>article</type><title>Optimizing medication use in elderly people in primary care: Impact of STOPP criteria on inappropriate prescriptions</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Gibert, Prudence ; Cabaret, Maud ; Moulis, Mélanie ; Bosson, Jean-Luc ; Boivin, Jean-Emmanuel ; Chanoine, Sebastien ; Allenet, Benoit ; Bedouch, Pierrick ; Gavazzi, Gaëtan</creator><creatorcontrib>Gibert, Prudence ; Cabaret, Maud ; Moulis, Mélanie ; Bosson, Jean-Luc ; Boivin, Jean-Emmanuel ; Chanoine, Sebastien ; Allenet, Benoit ; Bedouch, Pierrick ; Gavazzi, Gaëtan</creatorcontrib><description>•GP used STOPP criteria on prescriptions of older patients during a consultation.•The intervention significantly reduced the prevalence of PIM and the number of PIM.•The intervention also significantly reduced the MAI score of all medications.•STOPP criteria help GPs to improve the quality of prescription in primary care.
STOPP (Screening Tool of Older Person’s Prescriptions) criteria have been used in acute care and nursing home settings as a screening tool to assess Potentially Inappropriate Medication (PIM) for elderly people. Furthermore, this tool could help General Practitioners (GPs) to lower PIM frequency in primary care.
The aim of the study was to measure the impact of STOPP criteria applied by the GP on prescriptions during a primary care consultation.
Twenty GPs were involved and trained to use STOPP criteria. GPs were asked to use STOPP criteria for elderly patients (>75years old) who were taking at least five different drugs, seen over a two-month period. The rate of PIM according to STOPP criteria was measured before and after training. Prescription quality was compared using the Medication Appropriateness Index (MAI) score.
Overall, 172 prescriptions were analyzed. A total of 170 PIM were identified according to STOPP criteria before the intervention. Fifty-seven percent of the population (n=98 patients) had at least one PIM. GP’s intervention decreased the number of PIM according to STOPP criteria to 106 and was beneficial for 44.9% of the patients (n=44). The mean MAI score of all medications and PIM decreased by 14.3% (p<0.001) and 39.1% (p<0.001) respectively.
Application of STOPP criteria by GPs is an effective tool to decrease PIM and MAI score in primary care. The generalization of the use of STOPP criteria during GP consultation should be fostered.</description><identifier>ISSN: 0167-4943</identifier><identifier>EISSN: 1872-6976</identifier><identifier>DOI: 10.1016/j.archger.2017.10.022</identifier><identifier>PMID: 29169045</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Aged ; Aged, 80 and over ; Education ; Female ; Follow-Up Studies ; General Practitioners - standards ; Humanities and Social Sciences ; Humans ; Inappropriate Prescribing - prevention & control ; Life Sciences ; Male ; Mass Screening - methods ; Medication ; Nursing Homes ; Older age people ; Pharmaceutical sciences ; Potentially inappropriate medication ; Potentially Inappropriate Medication List - statistics & numerical data ; Primary care ; Primary Health Care - standards ; Psychology ; Retrospective Studies ; Santé publique et épidémiologie ; STOPP criteria</subject><ispartof>Archives of gerontology and geriatrics, 2018-03, Vol.75, p.16-19</ispartof><rights>2017 Elsevier B.V.</rights><rights>Copyright © 2017 Elsevier B.V. All rights reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-48a7c997ac08869eb422b92e9723938b1811a66c6c2ff22ed40a35249da76713</citedby><cites>FETCH-LOGICAL-c399t-48a7c997ac08869eb422b92e9723938b1811a66c6c2ff22ed40a35249da76713</cites><orcidid>0000-0002-9989-5101 ; 0000-0003-2245-0160 ; 0000-0001-7708-9777</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.archger.2017.10.022$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29169045$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.univ-grenoble-alpes.fr/hal-02007335$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Gibert, Prudence</creatorcontrib><creatorcontrib>Cabaret, Maud</creatorcontrib><creatorcontrib>Moulis, Mélanie</creatorcontrib><creatorcontrib>Bosson, Jean-Luc</creatorcontrib><creatorcontrib>Boivin, Jean-Emmanuel</creatorcontrib><creatorcontrib>Chanoine, Sebastien</creatorcontrib><creatorcontrib>Allenet, Benoit</creatorcontrib><creatorcontrib>Bedouch, Pierrick</creatorcontrib><creatorcontrib>Gavazzi, Gaëtan</creatorcontrib><title>Optimizing medication use in elderly people in primary care: Impact of STOPP criteria on inappropriate prescriptions</title><title>Archives of gerontology and geriatrics</title><addtitle>Arch Gerontol Geriatr</addtitle><description>•GP used STOPP criteria on prescriptions of older patients during a consultation.•The intervention significantly reduced the prevalence of PIM and the number of PIM.•The intervention also significantly reduced the MAI score of all medications.•STOPP criteria help GPs to improve the quality of prescription in primary care.
STOPP (Screening Tool of Older Person’s Prescriptions) criteria have been used in acute care and nursing home settings as a screening tool to assess Potentially Inappropriate Medication (PIM) for elderly people. Furthermore, this tool could help General Practitioners (GPs) to lower PIM frequency in primary care.
The aim of the study was to measure the impact of STOPP criteria applied by the GP on prescriptions during a primary care consultation.
Twenty GPs were involved and trained to use STOPP criteria. GPs were asked to use STOPP criteria for elderly patients (>75years old) who were taking at least five different drugs, seen over a two-month period. The rate of PIM according to STOPP criteria was measured before and after training. Prescription quality was compared using the Medication Appropriateness Index (MAI) score.
Overall, 172 prescriptions were analyzed. A total of 170 PIM were identified according to STOPP criteria before the intervention. Fifty-seven percent of the population (n=98 patients) had at least one PIM. GP’s intervention decreased the number of PIM according to STOPP criteria to 106 and was beneficial for 44.9% of the patients (n=44). The mean MAI score of all medications and PIM decreased by 14.3% (p<0.001) and 39.1% (p<0.001) respectively.
Application of STOPP criteria by GPs is an effective tool to decrease PIM and MAI score in primary care. The generalization of the use of STOPP criteria during GP consultation should be fostered.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Education</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General Practitioners - standards</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Inappropriate Prescribing - prevention & control</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Mass Screening - methods</subject><subject>Medication</subject><subject>Nursing Homes</subject><subject>Older age people</subject><subject>Pharmaceutical sciences</subject><subject>Potentially inappropriate medication</subject><subject>Potentially Inappropriate Medication List - statistics & numerical data</subject><subject>Primary care</subject><subject>Primary Health Care - standards</subject><subject>Psychology</subject><subject>Retrospective Studies</subject><subject>Santé publique et épidémiologie</subject><subject>STOPP criteria</subject><issn>0167-4943</issn><issn>1872-6976</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU9PGzEQxa2qVQnQj9DKx3LY1PZ67TUXhFALSJGCRO7WxDsLjvZfbQcJPn29Tcq1J0vPv_dmNI-Qr5wtOePqx24JwT0_YVgKxnXWlkyID2TBay0KZbT6SBaZ04U0sjwhpzHuGGOSCfWZnAjDlWGyWpC0npLv_ZsfnmiPjXeQ_DjQfUTqB4pdg6F7pROOU_dXmYLvIbxSBwEv6X0_gUt0bOnjZv3wQF3wCYMHmiP8ANMUxmyAhNmHMf9Oc3o8J59a6CJ-Ob5nZPPr5-bmrlitb-9vrleFK41JhaxBO2M0OFbXyuBWCrE1Ao0WpSnrLa85B6WccqJthcBGMigrIU0DWmlenpGLQ-wzdPa4uB3B27vrlZ01JhjTZVm9zOz3A5tX_r3HmGzvo8OugwHHfbTcqFrKSkqW0eqAujDGGLB9z-bMzt3YnT12Y-duZjl3k33fjiP223zqd9e_MjJwdQAw3-TFZ3t0HgeXawnokm1G_58RfwDaS6J-</recordid><startdate>201803</startdate><enddate>201803</enddate><creator>Gibert, Prudence</creator><creator>Cabaret, Maud</creator><creator>Moulis, Mélanie</creator><creator>Bosson, Jean-Luc</creator><creator>Boivin, Jean-Emmanuel</creator><creator>Chanoine, Sebastien</creator><creator>Allenet, Benoit</creator><creator>Bedouch, Pierrick</creator><creator>Gavazzi, Gaëtan</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>BXJBU</scope><orcidid>https://orcid.org/0000-0002-9989-5101</orcidid><orcidid>https://orcid.org/0000-0003-2245-0160</orcidid><orcidid>https://orcid.org/0000-0001-7708-9777</orcidid></search><sort><creationdate>201803</creationdate><title>Optimizing medication use in elderly people in primary care: Impact of STOPP criteria on inappropriate prescriptions</title><author>Gibert, Prudence ; Cabaret, Maud ; Moulis, Mélanie ; Bosson, Jean-Luc ; Boivin, Jean-Emmanuel ; Chanoine, Sebastien ; Allenet, Benoit ; Bedouch, Pierrick ; Gavazzi, Gaëtan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-48a7c997ac08869eb422b92e9723938b1811a66c6c2ff22ed40a35249da76713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Education</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>General Practitioners - standards</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Inappropriate Prescribing - prevention & control</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Mass Screening - methods</topic><topic>Medication</topic><topic>Nursing Homes</topic><topic>Older age people</topic><topic>Pharmaceutical sciences</topic><topic>Potentially inappropriate medication</topic><topic>Potentially Inappropriate Medication List - statistics & numerical data</topic><topic>Primary care</topic><topic>Primary Health Care - standards</topic><topic>Psychology</topic><topic>Retrospective Studies</topic><topic>Santé publique et épidémiologie</topic><topic>STOPP criteria</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gibert, Prudence</creatorcontrib><creatorcontrib>Cabaret, Maud</creatorcontrib><creatorcontrib>Moulis, Mélanie</creatorcontrib><creatorcontrib>Bosson, Jean-Luc</creatorcontrib><creatorcontrib>Boivin, Jean-Emmanuel</creatorcontrib><creatorcontrib>Chanoine, Sebastien</creatorcontrib><creatorcontrib>Allenet, Benoit</creatorcontrib><creatorcontrib>Bedouch, Pierrick</creatorcontrib><creatorcontrib>Gavazzi, Gaëtan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>HAL-SHS: Archive ouverte en Sciences de l'Homme et de la Société</collection><jtitle>Archives of gerontology and geriatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gibert, Prudence</au><au>Cabaret, Maud</au><au>Moulis, Mélanie</au><au>Bosson, Jean-Luc</au><au>Boivin, Jean-Emmanuel</au><au>Chanoine, Sebastien</au><au>Allenet, Benoit</au><au>Bedouch, Pierrick</au><au>Gavazzi, Gaëtan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Optimizing medication use in elderly people in primary care: Impact of STOPP criteria on inappropriate prescriptions</atitle><jtitle>Archives of gerontology and geriatrics</jtitle><addtitle>Arch Gerontol Geriatr</addtitle><date>2018-03</date><risdate>2018</risdate><volume>75</volume><spage>16</spage><epage>19</epage><pages>16-19</pages><issn>0167-4943</issn><eissn>1872-6976</eissn><abstract>•GP used STOPP criteria on prescriptions of older patients during a consultation.•The intervention significantly reduced the prevalence of PIM and the number of PIM.•The intervention also significantly reduced the MAI score of all medications.•STOPP criteria help GPs to improve the quality of prescription in primary care.
STOPP (Screening Tool of Older Person’s Prescriptions) criteria have been used in acute care and nursing home settings as a screening tool to assess Potentially Inappropriate Medication (PIM) for elderly people. Furthermore, this tool could help General Practitioners (GPs) to lower PIM frequency in primary care.
The aim of the study was to measure the impact of STOPP criteria applied by the GP on prescriptions during a primary care consultation.
Twenty GPs were involved and trained to use STOPP criteria. GPs were asked to use STOPP criteria for elderly patients (>75years old) who were taking at least five different drugs, seen over a two-month period. The rate of PIM according to STOPP criteria was measured before and after training. Prescription quality was compared using the Medication Appropriateness Index (MAI) score.
Overall, 172 prescriptions were analyzed. A total of 170 PIM were identified according to STOPP criteria before the intervention. Fifty-seven percent of the population (n=98 patients) had at least one PIM. GP’s intervention decreased the number of PIM according to STOPP criteria to 106 and was beneficial for 44.9% of the patients (n=44). The mean MAI score of all medications and PIM decreased by 14.3% (p<0.001) and 39.1% (p<0.001) respectively.
Application of STOPP criteria by GPs is an effective tool to decrease PIM and MAI score in primary care. The generalization of the use of STOPP criteria during GP consultation should be fostered.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>29169045</pmid><doi>10.1016/j.archger.2017.10.022</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-9989-5101</orcidid><orcidid>https://orcid.org/0000-0003-2245-0160</orcidid><orcidid>https://orcid.org/0000-0001-7708-9777</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0167-4943 |
| ispartof | Archives of gerontology and geriatrics, 2018-03, Vol.75, p.16-19 |
| issn | 0167-4943 1872-6976 |
| language | eng |
| recordid | cdi_hal_primary_oai_HAL_hal_02007335v1 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Aged Aged, 80 and over Education Female Follow-Up Studies General Practitioners - standards Humanities and Social Sciences Humans Inappropriate Prescribing - prevention & control Life Sciences Male Mass Screening - methods Medication Nursing Homes Older age people Pharmaceutical sciences Potentially inappropriate medication Potentially Inappropriate Medication List - statistics & numerical data Primary care Primary Health Care - standards Psychology Retrospective Studies Santé publique et épidémiologie STOPP criteria |
| title | Optimizing medication use in elderly people in primary care: Impact of STOPP criteria on inappropriate prescriptions |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T13%3A23%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_hal_p&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Optimizing%20medication%20use%20in%20elderly%20people%20in%20primary%20care:%20Impact%20of%20STOPP%20criteria%20on%20inappropriate%20prescriptions&rft.jtitle=Archives%20of%20gerontology%20and%20geriatrics&rft.au=Gibert,%20Prudence&rft.date=2018-03&rft.volume=75&rft.spage=16&rft.epage=19&rft.pages=16-19&rft.issn=0167-4943&rft.eissn=1872-6976&rft_id=info:doi/10.1016/j.archger.2017.10.022&rft_dat=%3Cproquest_hal_p%3E1968445440%3C/proquest_hal_p%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1968445440&rft_id=info:pmid/29169045&rft_els_id=S0167494317300730&rfr_iscdi=true |