Evidence map›Paper›PMID 27693033›Full record

ArticleAtencion primaria2017

[Potentially inappropriate prescribing in older Spanish population according to STOPP/START criteria (STARTREC study)].

Inés Cruz-Esteve, Josep Ramón Marsal-Mora, Gisela Galindo-Ortego, Leonardo Galván-Santiago, Marcos Serrano-Godoy, Esther Ribes-Murillo, Jordi Real-Gatius, en representación del grupo de investigación GRETAP

Open access · goldAbstract read
In one paragraph

Article in Atencion primaria, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.3field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Observational
  5. Article
  6. Article
  7. Review
  8. Prevalence and Associated Factors of Polypharmacy in Nursing Home Residents: A Cross-Sectional Study.International journal of environmental research and public health · 2021
    Article
  9. Article
  10. Observational
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Inés Cruz-EsteveCentro de Atención Primaria Primer de Maig, Institut Català de la Salut, Lleida, España; Unitat de Suport a la Recerca Lleida-Pirineus, Institut d'Investigació en Atenció Primària J Gol (IDIAP J Gol), Lleida, España. Electronic address: icruz.lleida.ics@gencat.cat.
Josep Ramón Marsal-MoraUnitat de Suport a la Recerca Lleida-Pirineus, Institut d'Investigació en Atenció Primària J Gol (IDIAP J Gol), Lleida, España.
Gisela Galindo-OrtegoCentro de Atención Primaria Primer de Maig, Institut Català de la Salut, Lleida, España; Unitat de Suport a la Recerca Lleida-Pirineus, Institut d'Investigació en Atenció Primària J Gol (IDIAP J Gol), Lleida, España.
Leonardo Galván-SantiagoUnidad de Farmacia, Región Sanitaria de Lleida, Servei Català de la Salut, Lleida, España.
Marcos Serrano-GodoyServicio de Geriatría, Hospital Santa María, Gestión de Servicios Sanitarios, Lleida, España.
Esther Ribes-MurilloUnidad de Farmacia, Institut Català de la Salut, Lleida, España.
Jordi Real-GatiusUnitat de Suport a la Recerca Lleida-Pirineus, Institut d'Investigació en Atenció Primària J Gol (IDIAP J Gol), Lleida, España.
en representación del grupo de investigación GRETAP
Institut Universitari d'Investigació en Atenció Primària Jordi Gol · ESInstitut Català de la Salut · ESHospital Universitari de Santa Maria · ESServei de Salut de les Illes Balears · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRational prescribing in older people is a priority for health care organizations. The STOPP/START screening tool has been developed to identify potentially inappropriate prescribing (PIP) in individuals. In a primary care setting, STOPP/START can estimate PIP prevalence and related factors at population level. The aim of this study is to measure the prevalence rates of PPI in elderly population using clinical and prescription claim databases.

designCross-sectional population study. SETTINGS: Primary Care, Lleida Health Region, Spain.

participants45.408 patients 70 years old and over, attended in the primary health care centers at least once the last year.

methods43 STOPP and 12 START criteria are applied to their 2012 clinical and prescription records. Logistic regression models are adjusted to determine PIP association with several factors.

results45,408 patients are included. The mean age is 79.7 years, 58% being female. The overall prevalence of PPI is 58.1%. According to STOPP, the most common drugs identified are benzodiazepines, non-steroidal anti-inflammatory drugs and proton pump inhibitors; according to START, osteoporosis treatments, antiplatelet agents, statins, metformin and beta blockers. PIP increases with age and polypharmacy and it is higher in long-term care facilities residents and patients receiving home health care.

conclusionsIn our Health Region, at least 50% of the population aged 70 or older has one or more PIP, according to STOPP/START criteria.

Indexed as

AgedAged, 80 and overCross-Sectional StudiesFemaleHumansMalePotentially Inappropriate Medication ListSpainAgedAncianosAtención primariaCommunity health planningInappropriate prescribingPolifarmaciaPolypharmacyPrescripción inapropiadaPrimary health careSalud comunitaria

Identifiers

PMID27693033
PMCPMC6875995
OpenAlexW2523795325

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.