ArticleEuropean journal of clinical pharmacology2015
Majority of drug-related problems identified during medication review are not associated with STOPP/START criteria.
Article in European journal of clinical pharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of Polypharmacy, Drug-Related Problems, and Potentially Inappropriate Medications in Geriatric Patients and Its Implications for Bulgaria-Narrative Review and Meta-Analysis.Frontiers in public health · 2022Pooled it
- Medication Optimization Protocol Efficacy for Geriatric Inpatients: A Randomized Clinical Trial.JAMA network open · 2024Trial
- Detectability of Medication Errors With a STOPP/START-Based Medication Review in Older People Prior to a Potentially Preventable Drug-Related Hospital Admission.Drug safety · 2022Trial
- Trial
- Identification, classification, and documentation of drug related problems in community pharmacy practice in Europe: a scoping review.International journal of clinical pharmacy · 2025Article
- [New tools for medication review: DRP in patients treatment with proton pump inhibitors].Atencion primaria · 2024Observational
- What types of information do pharmacists include in comprehensive medication management review reports? A qualitative content analysis.International journal of clinical pharmacy · 2023Article
- Multicenter prospective observational study on hospital pharmacist interventions to reduce inappropriate medications.Frontiers in pharmacology · 2023Article
- Clinical relevance of potentially inappropriate medications and potential prescribing omissions according to explicit criteria-a validation study.European journal of clinical pharmacology · 2022Article
- Inappropriate Prescriptions in Older People-Translation and Adaptation to Portuguese of the STOPP/START Screening Tool.International journal of environmental research and public health · 2022Article
- A user-centered evaluation of medication therapy management alerts for community pharmacists: Recommendations to improve usability and usefulness.Research in social & administrative pharmacy : RSAP · 2021Observational
- Polypharmacy Management in the Older Adults: A Scoping Review of Available Interventions.Frontiers in pharmacology · 2021Article
- Article
- Emergency department-based medication review on outpatient health services utilization: interrupted time series.BMC health services research · 2020Article
- Intervention protocol: OPtimising thERapy to prevent avoidable hospital Admission in the Multi-morbid elderly (OPERAM): a structured medication review with support of a computerised decision support system.BMC health services research · 2020Article
- Can screening tools for potentially inappropriate prescriptions in older adults prevent serious adverse drug events?European journal of clinical pharmacology · 2019Article
- Potentially inappropriate medication use among hypertensive older African-American adults.BMC geriatrics · 2018Observational
- Reduction of inappropriate medication in older populations by electronic decision support (the PRIMA-eDS study): a qualitative study of practical implementation in primary care.BMC family practice · 2018Article
- Contribution of Patient Interviews as Part of a Comprehensive Approach to the Identification of Drug-Related Problems on Geriatric Wards.Drugs & aging · 2018Article
- Potential drug-related problems detected by routine pharmaceutical interventions: safety and economic contributions made by hospital pharmacists in Japan.Journal of pharmaceutical health care and sciences · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSTOPP and START criteria identify potential inappropriate prescribing and potential prescribing omissions. It is unknown whether STOPP/START criteria identify all drug-related problems. This study aims to determine to what extent STOPP/START correspond to drug-related problems (DRPs) identified during a full clinical medication review.
methodsIn 13 Dutch community pharmacies, 457 community-dwelling patients aged ≥65 years and using ≥5 drugs, received a full clinical medication review. Community pharmacists identified potential DRPs and recommendations by implicit criteria. After completion, all identified DRPs and recommendations were compared with STOPP and START criteria by investigators.
resultsThe total number of potential DRPs identified by community pharmacists was 1656 in 457 patients (mean 3.6 per patient). Eighty-one percent of DRPs were not associated with STOPP/START criteria. The percentage of START criteria present in identified DRPs was higher than the percentage of STOPP criteria (13 vs. 5.7%, p < 0.01). The implementation rate for recommendations associated with STOPP criteria was higher compared to recommendations associated with START criteria (56 vs. 39%, p < 0.01). Both implementation rates of STOPP and START recommendations were lower compared to recommendations not associated with STOPP/START criteria (66%, p = 0.047 and p < 0.001, respectively).
conclusionsThis study shows that the majority of drug-related problems of community-dwelling older patients was not associated with STOPP/START criteria. These findings suggest that application of STOPP/START criteria in full clinical medication review should preferably be combined with implicit criteria.
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